Comparison of stress echo with standard stress testing

Is the exercise ECG obsolete?
  • Thomas H. Marwick
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 247)


The provocation of ST segment depression in response to increased cardiac work is accepted as the simplest and most widely used test for the documentation of myocardial ischemia (1). These phenomena reflect changes in the resting polarity of a myocardial segment, based upon ischemia-induced disturbances in the electrical state of individual myocytes (2), and depend to some extent on the location and extent of ischemia. The stress electocardiogram (ECG) reflects the electrical manifestation of ischemia, contrasting with the mechanical sequelae identified by echocardiography.


Left Ventricular Hypertrophy Left Bundle Branch Block Stress Echocardiography Dobutamine Stress Dobutamine Stress Echocardiography 
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Copyright information

© Springer Science+Business Media New York 2003

Authors and Affiliations

  • Thomas H. Marwick
    • 1
  1. 1.University of QueenslandBrisbaneAustralia

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