Coronary Artery Disease: Assessing Regional Wall Motion
The assessment of left ventricular systolic function and particularly regional wall motion has become increasingly important in determining the severity and prognosis of coronary artery disease (CAD). Echocardiography, with its high spatial and temporal resolution, is an ideally suited non-invasive method of assessing such changes in wall motion. In the acute situation, the ability to detect these changes can be very useful in the early detection of myocardial ischemia, even preceding ECG changes and symptoms. Equally in patients presenting acutely with chest pain, with inconclusive ECGs, normal regional wall motion may help to exclude underlying myocardial ischaemia.
KeywordsCoronary artery disease Regional wall motion abnormalities Contrast 3D Strain
- 2.Cerqueira MD, Weissman NJ, Dilsizian V, Jacobs AK, Kaul S, Laskey WK, Pennell DJ, Rumberger JA, Ryan T, Verani MS. Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart: a statement for healthcare professionals from the Cardiac Imaging Committee of the Council on Clinical Cardiology of the American Heart Association. Circulation. 2002;105:539–42.CrossRefGoogle Scholar
- 3.Kober L, Torp-Pederson C, Carlsen J, Videbaeck R, Egelblad H. An echocardiographic method for selecting high risk patients shortly after acute myocardial infarction for inclusion in multicentre studies (as used in TRACE study) TRAndalopril Cardiac Evaluation. Eur Heart J. 1994;15:1616–20.CrossRefGoogle Scholar