Skip to main content
SpringerLink
Log in
Book cover

Coronary Graft Failure pp 467–472Cite as

Stress Echocardiography

  • Chapter
  • First Online:

  • 1019 Accesses

Abstract

Patients with previous coronary artery bypass grafting (CABG) are susceptible to the development of recurrent myocardial ischemia due to incomplete revascularization, progression of epicardial coronary artery disease of the native vessels, and/or development of new disease in bypass grafts. Imaging stress testing allows the accurate detection of myocardial ischemia in these patients.

The presence of myocardial ischemia on stress echocardiography predicts adverse outcomes both in symptomatic and asymptomatic patients with prior revascularization and can impact the further management of the patients.

This chapter covers the indications, diagnostic accuracy, prognostic value, and specific issues regarding methodology, safety, and tolerability of stress echocardiography in patients with previous coronary artery bypass grafting.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Zellweger MJ, Kaiser C, Jeger R, Brunner-La Rocca HP, Buser P, Bader F, Mueller-Brand J, Pfisterer M. Coronary artery disease progression late after successful stent implantation. J Am Coll Cardiol. 2012;59:793–9.

    Article  PubMed  Google Scholar 

  2. Task Force Members, Montalescot G, Sechtem U, et al. 2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology. Eur Heart J. 2013;34:2949–3003.

    Article  Google Scholar 

  3. Douglas PS, Khandheria B, Stainback RF, et al. ACCF/ASE/ACEP/AHA/ASNC/SCAI/SCCT/SCMR 2008 appropriateness criteria for stress echocardiography: a report of the American College of Cardiology Foundation Appropriateness Criteria Task Force, American Society of Echocardiography, American College of Emergency Physicians, American Heart Association, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, and Society for Cardiovascular Magnetic Resonance: endorsed by the Heart Rhythm Society and the Society of Critical Care Medicine. Circulation. 2008;117:1478–97.

    Article  PubMed  Google Scholar 

  4. Arruda AM, McCully RB, Oh JK, et al. Prognostic value of exercise echocardiography in patients after coronary artery bypass surgery. Am J Cardiol. 2001;87:1069–73.

    Article  CAS  PubMed  Google Scholar 

  5. Cortigiani L, Bigi R, Sicari R, et al. Stress echocardiography for the risk stratification of patients following coronary bypass surgery. Int J Cardiol. 2010;143:337–42.

    Article  PubMed  Google Scholar 

  6. Harb SC, Cook T, Jaber WA, et al. Exercise testing in asymptomatic patients after revascularization: are outcomes altered? Arch Intern Med. 2012;172:854–61.

    Article  PubMed  Google Scholar 

  7. Sicari R, Nihoyannopoulos P, Evangelista A, et al. Stress echocardiography expert consensus statement: European Association of Echocardiography (EAE) (a registered branch of the ESC). Eur J Echocardiogr. 2008;9:415–37.

    Article  PubMed  Google Scholar 

  8. Fino C, Iacovoni A, Ferrero P, et al. Restrictive mitral valve annuloplasty versus mitral valve replacement for functional ischemic mitral regurgitation: an exercise echocardiographic study. J Thorac Cardiovasc Surg. 2014;148:447–53.

    Article  PubMed  Google Scholar 

  9. Magne J, Sénéchal M, Mathieu P, et al. Restrictive annuloplasty for ischemic mitral regurgitation may induce functional mitral stenosis. J Am Coll Cardiol. 2008;51:1692–701.

    Article  PubMed  Google Scholar 

  10. Kristensen SD, Knuuti J, Saraste A, et al. 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management: the Joint Task Force on non-cardiac surgery: cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA). Eur Heart J. 2014;35:2383–431.

    Article  PubMed  Google Scholar 

  11. Chin AS, Goldman LE, Eisenberg MJ. Functional testing after coronary artery bypass graft surgery: a meta-analysis. Can J Cardiol. 2003;19:802–8.

    PubMed  Google Scholar 

  12. Fleischmann KE, Hunink MG, Kuntz KM, Douglas PS. Exercise echocardiography or exercise SPECT imaging? A meta-analysis of diagnostic test performance. JAMA. 1998;280:913–20.

    Article  CAS  PubMed  Google Scholar 

  13. Senior R, Moreo A, Gaibazzi N, et al. Comparison of sulfur hexafluoride microbubble (SonoVue)-enhanced myocardial contrast echocardiography with gated single-photon emission computed tomography for detection of significant coronary artery disease: a large European multicenter study. J Am Coll Cardiol. 2013;62:1353–61.

    Article  CAS  PubMed  Google Scholar 

  14. Caiati C, Lepera ME, Carretta D, et al. Head-to-head comparison of peak upright bicycle and post-treadmill echocardiography in detecting coronary artery disease: a randomized, single-blind crossover study. J Am Soc Echocardiogr. 2013;26:1434–43.

    Article  PubMed  Google Scholar 

  15. Kafka H, Leach AJ, Fitzgibbon GM. Exercise echocardiography after coronary artery bypass surgery: correlation with coronary angiography. J Am Coll Cardiol. 1995;25:1019–23.

    Article  CAS  PubMed  Google Scholar 

  16. Shah BN, Chahal NS, Bhattacharyya S, et al. The feasibility and clinical utility of myocardial contrast echocardiography in clinical practice: results from the incorporation of myocardial perfusion assessment into clinical testing with stress echocardiography study. J Am Soc Echocardiogr. 2014;27:520–30.

    Article  PubMed  Google Scholar 

  17. Fitzgibbon GM, Kafka HP, Leach AJ, et al. Coronary bypass graft fate and patient outcome: angiographic follow-up of 5,065 grafts related to survival and reoperation in 1,388 patients during 25 years. J Am Coll Cardiol. 1996;28:616.

    Article  CAS  PubMed  Google Scholar 

  18. Harb SC, Marwick TH. Prognostic value of stress imaging after revascularization: a systematic review of stress echocardiography and stress nuclear imaging. Am Heart J. 2014;167:77–85.

    Article  PubMed  Google Scholar 

  19. Pedone C, Elhendy A, Biagini E, et al. Prognostic significance of myocardial ischemia by dobutamine stress echocardiography in patients without angina pectoris after coronary revascularization. Am J Cardiol. 2008;102:1156–8.

    Article  PubMed  Google Scholar 

  20. Rossi A, Moccetti T, Faletra F, et al. Dipyridamole stress echocardiography stratifies outcomes of asymptomatic patients with recent myocardial revascularization. Int J Cardiovasc Imaging. 2008;24:495–502.

    Article  PubMed  Google Scholar 

  21. Bountioukos M, Elhendy A, van Domburg RT, et al. Prognostic value of dobutamine stress echocardiography in patients with previous coronary revascularisation. Heart. 2004;90:1031–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Askew JW, Miller TD, Greason KL, et al. Population-based study of the use of cardiac stress imaging and referral for coronary angiography and repeated revascularization after coronary artery bypass graft surgery. Mayo Clin Proc. 2013;88:345–53.

    Article  PubMed  Google Scholar 

  23. From AM, Kane G, Bruce C, et al. Characteristics and outcomes of patients with abnormal stress echocardiograms and angiographically mild coronary artery disease (<50% stenoses) or normal coronary arteries. J Am Soc Echocardiogr. 2010;23:207–14.

    Article  PubMed  Google Scholar 

  24. Varga A, Garcia MA, Picano E. Safety of stress echocardiography (from the International Stress Echo Complication Registry). Am J Cardiol. 2006;98:541–3.

    Article  PubMed  Google Scholar 

  25. Geleijnse ML, Krenning BJ, Nemes A, et al. Incidence, pathophysiology, and treatment of complications during dobutamine-atropine stress echocardiography. Circulation. 2010;121:1756–67.

    Article  PubMed  Google Scholar 

  26. Bigi R, Partesana N, Verzoni A, Bandini P, Maffi M, Longoni A, Occhi G, Fiorentini C. Incidence and correlates of complex ventricular arrhythmias during dobutamine stress echocardiography after acute myocardial infarction. Eur Heart J. 1995;16:1819–24.

    CAS  PubMed  Google Scholar 

  27. Cornel JH, Balk AH, Boersma E, Maat AP, Elhendy A, Arnese M, Salustri A, Roelandt JR, Fioretti PM. Safety and feasibility of dobutamine-atropine stress echocardiography in patients with ischemic left ventricular dysfunction. J Am Soc Echocardiogr. 1996;9:27–32.

    Article  CAS  PubMed  Google Scholar 

  28. Cox DE, Farmer LD, Hoyle JR, Wells GL. Prognostic significance of nonsustained ventricular tachycardia during dobutamine stress echocardiography. Am J Cardiol. 2005;96:1293–8.

    Article  PubMed  Google Scholar 

  29. Sheldon SH, Askew 3rd JW, Klarich KW, et al. Occurrence of atrial fibrillation during dobutamine stress echocardiography: incidence, risk factors, and outcomes. J Am Soc Echocardiogr. 2011;24:86–90.

    Article  PubMed  Google Scholar 

  30. Wuthiwaropas P, Wiste JA, McCully RB, et al. Neuropsychiatric symptoms during 24 hours after dobutamine-atropine stress testing: a prospective study in 1,006 patients. J Am Soc Echocardiogr. 2011;24:367–73.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiology, University of Medicine and Pharmacy “Carol Davila”, Euroecolab, Institute of Cardiovascular Diseases “Prof. Dr. C. C. Iliescu”, Bucharest, Romania

    Monica Roşca MD & Bogdan A. Popescu MD, PhD

Authors
  1. Monica Roşca MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Bogdan A. Popescu MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Monica Roşca MD .

Editor information

Editors and Affiliations

  1. Cardiology, Army's Center for Cardiovascular Di, Bucharest, Romania

    Ion C. Ţintoiu

  2. Department of Surgery, Chinese University of Hong Kong, Sha Tin, Hong Kong

    Malcolm John Underwood

  3. University Fribourg, Hospital HFR Fribourg, Fribourg, Fribourg, Switzerland

    Stephane Pierre Cook

  4. Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

    Hironori Kitabata

  5. University Medical Center, Texas Tech Univ. Health Science Center, EL PASO, Texas, USA

    Aamer Abbas

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Roşca, M., Popescu, B.A. (2016). Stress Echocardiography. In: Ţintoiu, I., Underwood, M., Cook, S., Kitabata, H., Abbas, A. (eds) Coronary Graft Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-26515-5_39

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-26515-5_39

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26513-1

  • Online ISBN: 978-3-319-26515-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation