Abstract
Echocardiography is one of the most common imaging modalities used in evaluation of ischemic heart disease. It is used to diagnose coronary artery disease, assess consequences of coronary artery disease and give survival prognosis.
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Video 12.1
Parasternal long axis views during bicycle echocardiography. The top left screen shows baseline, top right screen shows peak exercise and bottom left screen shows recovery images. At peak exercise (top right) the anterior septum becomes akinetic with resolution of akinesis in recovery phase (bottom left). This is consistent with inducible ischemia in the anterior septum (AVI 5458 kb)
Video 12.2
Parasternal short axis views of the same patient as in video 37 during bicycle stress echocardiography. The top left screen shows baseline, top right screen shows peak exercise and bottom left screen shows recovery images. At peak exercise the septum and anterior wall become akinetic with resolution during recovery. This is consistent with inducible ischemia in anterior and septal walls (AVI 5441 kb)
Video 12.3
Apical four chamber views during Dobutamine Stress echocardiography. The left upper screen shows baseline, right upper low dose, left lower peak dose and right lower recovery images. At peak Dobutamine dose (left lower) distal septum, anterior and apical wall akinesis develops consistent with inducible ischemia (AVI 6909 kb)
Video 12.4
Parasternal long axis view showing anteroapical akinesis in a patient with prior extensive anterior myocardial infarction (AVI 5003 kb)
Video 12.5
Color Doppler four chamber view showing mild mitral regurgitation (left) at baseline and ischemia-induced increase in mitral regurgitation to moderate (right) in patient presenting with recurrent non-specific chest discomforts and worsening heart failure (AVI 16212 kb)
Video 12.6
Parasternal long axis views of a patient with ruptured papillary muscle as a consequence of prior myocardial infarction. Left panel shows mobile echodensity in LV cavity consistent with ruptured papillary muscle resulting in severe mitral regurgitation (right panel) (AVI 1980 kb)
Video 12.7
Modified apical four chamber view of a patient who developed post-myocardial infarction ventricular septal defect. Left panel is 2D image of VSD in mid-septal region with corresponding color Doppler showing left to right flow across VSD (right panel) (AVI 5843 kb)
Video 12.8
Left panel shows apical 3 chamber view of an LV pseudoaneurysm as defined by a contained oval-shaped echo free space extending from the posterior LV wall. Right panel shows color Doppler image showing low velocity flow into and out of the pseudoaneurysm from LV cavity (AVI 18056 kb)
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Kireyev, D., Hung, J. (2016). Ischemic Heart Disease. In: Kireyev, D., Hung, J. (eds) Cardiac Imaging in Clinical Practice. In Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-319-21458-0_12
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DOI: https://doi.org/10.1007/978-3-319-21458-0_12
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-21457-3
Online ISBN: 978-3-319-21458-0
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