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Echocardiographic Evaluation of Ischemic Heart Disease

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Coronary Heart Disease

Abstract

State-of-the-art echo-Doppler is the most practical and useful technique for rapid, noninvasive bedside evaluation of coronary heart disease. This chapter highlights changes in technology over the past 40 years that have advanced the status of echo-Doppler techniques in the evaluation of coronary heart disease. It emphasizes echo-Doppler’s use in diagnosing myocardial infarction and its complications, its prognostic value, and ability to guide specific treatment. The role of echo-Doppler in diagnosing coronary heart disease using exercise or pharmacologic stress technique is also reviewed.

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References

  1. Kisslo JA, vonRamm OT, Thurstone FL. Dynamic cardiac imaging using a focused, phased-array ultrasound system. Am J Med. 1977;63(1):61–8.

    Article  PubMed  CAS  Google Scholar 

  2. Tei C, Sakamaki T, Shah PM, et al. Myocardial contrast echocardiography: a reproducible technique of myocardial opacification for identifying regional perfusion deficits. Circulation. 1983;67(3):585–93.

    Article  PubMed  CAS  Google Scholar 

  3. Quinones MA, Otto CM, Stoddard M, Waggoner A, Zoghbi WA. Recommendations for quantification of Doppler echocardiography: a report from the Doppler Quantification Task Force of the Nomenclature and Standards Committee of the American Society of Echocardiography. J Am Soc Echocardiogr. 2002;15(2):167–84.

    Article  PubMed  Google Scholar 

  4. Nagueh SF, Appleton CP, Gillebert TC, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography. J Am Soc Echocardiogr. 2009;22(2):107–33.

    Article  PubMed  Google Scholar 

  5. Gorcsan III J, Abraham T, Agler DA, et al. Echocardiography for cardiac resynchronization therapy: recommendations for performance and reporting–a report from the American Society of Echocardiography Dyssynchrony Writing Group endorsed by the Heart Rhythm Society. J Am Soc Echocardiogr. 2008;21(3):191–213.

    Article  PubMed  Google Scholar 

  6. Stewart JT, Grbic M, Sigwart U. Left atrial and left ventricular diastolic function during acute myocardial ischaemia. Br Heart J. 1992;68(4):377–81.

    Article  PubMed  CAS  Google Scholar 

  7. Alpert JS. No change in post-myocardial infarction prognostic factors. Eur Heart J. 1997;18(1):11–2.

    Article  PubMed  CAS  Google Scholar 

  8. Touboul P, Andre-Fouet X, Leizorovicz A, et al. Risk stratification after myocardial infarction. A reappraisal in the era of thrombolysis. The Groupe d’Etude du Pronostic de l’Infarctus du Myocarde (GREPI). Eur Heart J. 1997;18(1):99–107.

    Article  PubMed  CAS  Google Scholar 

  9. Bendjelid K, Romand JA, Walder B, Suter PM, Fournier G. Correlation between measured inferior vena cava diameter and right atrial pressure depends on the echocardiographic method used in patients who are mechanically ventilated. J Am Soc Echocardiogr. 2002;15(9):944–9.

    Article  PubMed  Google Scholar 

  10. Teichholz LE, Kreulen T, Herman MV, Gorlin R. Problems in echocardiographic volume determinations: echocardiographic-angiographic correlations in the presence of absence of asynergy. Am J Cardiol. 1976;37(1):7–11.

    Article  PubMed  CAS  Google Scholar 

  11. Lang RM, Bierig M, Devereux RB, et al. Recommendations for chamber quantification: a report from the American Society of Echocardiography’s Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr. 2005;18(12):1440–63.

    Article  PubMed  Google Scholar 

  12. Gehrke J, Leeman S, Raphael M, Pridie RB. Non-invasive left ventricular volume determination by two-dimensional echocardiography. Br Heart J. 1975;37(9):911–6.

    Article  PubMed  CAS  Google Scholar 

  13. Goerke RJ, Carlsson E. Calculation of right and left cardiac ventricular volumes. Method using standard computer equipment and biplane angiocardiograms. Invest Radiol. 1967;2(5):360–7.

    Article  PubMed  CAS  Google Scholar 

  14. Feigenbaum H, Armstrong WF, Ryan TJ, editors. Feigenbaum’s echocardiography, 6 edn. Philadelphia, PA: Lippincott Williams & Wilkins; 2005. p. 876.

    Google Scholar 

  15. Schiller NB, Shah PM, Crawford M, et al. Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms. J Am Soc Echocardiogr. 1989;2(5):358–67.

    PubMed  CAS  Google Scholar 

  16. Sharkey SW, Lesser JR, Zenovich AG, et al. Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation. 2005;111(4):472–9.

    Article  PubMed  Google Scholar 

  17. Oliva PB, Hammill SC, Edwards WD. Cardiac rupture, a clinically predictable complication of acute myocardial infarction: report of 70 cases with clinicopathologic correlations. J Am Coll Cardiol. 1993;22(3):720–6.

    Article  PubMed  CAS  Google Scholar 

  18. Asinger RW, Mikell FL, Elsperger J, Hodges M. Incidence of left-ventricular thrombosis after acute transmural myocardial infarction. Serial evaluation by two-dimensional echocardiography. N Engl J Med. 1981;305(6):297–302.

    Article  PubMed  CAS  Google Scholar 

  19. Haugland JM, Asinger RW, Mikell FL, Elsperger J, Hodges M. Embolic potential of left ventricular thrombi detected by two-dimensional echocardiography. Circulation. 1984;70(4):588–98.

    Article  PubMed  CAS  Google Scholar 

  20. Mansencal N, Nasr IA, Pilliere R, et al. Usefulness of contrast echocardiography for assessment of left ventricular thrombus after acute myocardial infarction. Am J Cardiol. 2007;99(12):1667–70.

    Article  PubMed  Google Scholar 

  21. Thanigaraj S, Schechtman KB, Perez JE. Improved echocardiographic delineation of left ventricular thrombus with the use of intravenous second-generation contrast image enhancement. J Am Soc Echocardiogr. 1999;12(12):1022–6.

    Article  PubMed  CAS  Google Scholar 

  22. Cohn JN, Guiha NH, Broder MI, Limas CJ. Right ventricular infarction. Clinical and hemodynamic features. Am J Cardiol. 1974;33(2):209–14.

    Article  PubMed  CAS  Google Scholar 

  23. Mulvagh SL, Rakowski H, Vannan MA, et al. American Society of Echocardiography Consensus Statement on the Clinical Applications of Ultrasonic Contrast Agents in Echocardiography. J Am Soc Echocardiogr. 2008;21(11):1179–201.

    Article  PubMed  Google Scholar 

  24. Timperley J, Mitchell AR, Becher H. Contrast echocardiography for left ventricular opacification. Heart. 2003;89(12):1394–7.

    Article  PubMed  CAS  Google Scholar 

  25. La CG, Alfieri O, Giubbini R, Gargano M, Ferrari R, Visioli O. Echocardiography during infusion of dobutamine for identification of reversibly dysfunction in patients with chronic coronary artery disease. J Am Coll Cardiol. 1994;23(3):617–26.

    Article  Google Scholar 

  26. Pierard LA, De Landsheere CM, Berthe C, Rigo P, Kulbertus HE. Identification of viable myocardium by echocardiography during dobutamine infusion in patients with myocardial infarction after thrombolytic therapy: comparison with positron emission tomography. J Am Coll Cardiol. 1990;15(5):1021–31.

    Article  PubMed  CAS  Google Scholar 

  27. Redfield MM, Jacobsen SJ, Burnett Jr JC, Mahoney DW, Bailey KR, Rodeheffer RJ. Burden of systolic and diastolic ventricular dysfunction in the community: appreciating the scope of the heart failure epidemic. JAMA. 2003;289(2):194–202.

    Article  PubMed  Google Scholar 

  28. Ommen SR, Nishimura RA, Appleton CP, et al. Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures: a comparative simultaneous Doppler-catheterization study. Circulation. 2000;102(15):1788–94.

    Article  PubMed  CAS  Google Scholar 

  29. Hillis GS, Moller JE, Pellikka PA, et al. Noninvasive estimation of left ventricular filling pressure by E/e’ is a powerful predictor of survival after acute myocardial infarction. J Am Coll Cardiol. 2004;43(3):360–7.

    Article  PubMed  Google Scholar 

  30. Temporelli PL, Giannuzzi P, Nicolosi GL, et al. Doppler-derived mitral deceleration time as a strong prognostic marker of left ventricular remodeling and survival after acute myocardial infarction: results of the GISSI-3 echo substudy. J Am Coll Cardiol. 2004;43(9):1646–53.

    Article  PubMed  Google Scholar 

  31. Marwick TH, Case C, Leano R, et al. Use of tissue Doppler imaging to facilitate the prediction of events in patients with abnormal left ventricular function by dobutamine echocardiography. Am J Cardiol. 2004;93(2):142–6.

    Article  PubMed  Google Scholar 

  32. Yu CM, Fung JW-H, Zhang Q, et al. Tissue Doppler imaging is superior to strain rate imaging and postsystolic shortening on the prediction of reverse remodeling in both ischemic and nonischemic heart failure after cardiac resynchronization therapy. Circulation. 2004;110(1):66–73.

    Article  PubMed  Google Scholar 

  33. Smiseth OA, Stoylen A, Ihlen H. Tissue Doppler imaging for the diagnosis of coronary artery disease. Curr Opin Cardiol. 2004;19(5):421–9.

    Article  PubMed  Google Scholar 

  34. Urheim S, Edvardsen T, Torp H, Angelsen B, Smiseth OA. Myocardial strain by Doppler echocardiography. Validation of a new method to quantify regional myocardial function. Circulation. 2000;102(10):1158–64.

    Article  PubMed  CAS  Google Scholar 

  35. Jenkins C, Bricknell K, Hanekom L, Marwick TH. Reproducibility and accuracy of echocardiographic measurements of left ventricular parameters using real-time three-dimensional echocardiography. J Am Coll Cardiol. 2004;44(4):878–86.

    Article  PubMed  Google Scholar 

  36. Takeuchi M, Lang RM. Three-dimensional stress testing: volumetric acquisitions. Cardiol Clin. 2007;25(2):267–72.

    Article  PubMed  Google Scholar 

  37. Sieswerda GT, Yang L, Boo MB, Kamp O. Real-time perfusion imaging: a new echocardiographic technique for simultaneous evaluation of myocardial perfusion and contraction. Echocardiography. 2003;20(6):545–55.

    Article  PubMed  Google Scholar 

  38. Rinkevich D, Kaul S, Wang XQ, et al. Regional left ventricular perfusion and function in patients presenting to the emergency department with chest pain and no ST-segment elevation. Eur Heart J. 2005;26(16):1606–11.

    Article  PubMed  Google Scholar 

  39. Biagini E, van Geuns RJ, Baks T, et al. Comparison between contrast echocardiography and magnetic resonance imaging to predict improvement of myocardial function after primary coronary intervention. Am J Cardiol. 2006;97(3):361–6.

    Article  PubMed  Google Scholar 

  40. Tsutsui JM, Elhendy A, Anderson JR, Xie F, McGrain AC, Porter TR. Prognostic value of dobutamine stress myocardial contrast perfusion echocardiography. Circulation. 2005;112(10):1444–50.

    Article  PubMed  Google Scholar 

  41. McLean DS, Anadiotis AV, Lerakis S. Role of echocardiography in the assessment of myocardial viability. Am J Med Sci. 2009;337(5):349–54.

    Article  PubMed  Google Scholar 

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Correspondence to Richard W. Asinger MD .

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Asinger, R.W., Bachour, F.A., Shroff, G.R. (2012). Echocardiographic Evaluation of Ischemic Heart Disease. In: Vlodaver, Z., Wilson, R., Garry, D. (eds) Coronary Heart Disease. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-1475-9_3

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  • DOI: https://doi.org/10.1007/978-1-4614-1475-9_3

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4614-1474-2

  • Online ISBN: 978-1-4614-1475-9

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