Abstract
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.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Senior R, Basu S, Khattar R, Lahiri A. Independent prognostic value of the extent and severity of systolic wall thickening abnormality at infarct site after thrombolytic therapy. Am Heart J. 1998;135:1093–8.
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.
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.
Kjoller E, Kober L, Jorgenson S, Torp-Penderson C. Long term prosgnostic importance of hyperkinesia following acute myocardial infarction. TRACE study group. TRAndalopril Cardiac Evaluation. Am J Cardiol. 1999;83:655–9.
Leibermann AN, Weiss JL, Jugdutt BI, et al. Two-dimensional echocardiography and infarct size:relationship of regional wall motion and thickening to the extent of myocardialinfarction in the dog. Circulation. 1981;63:739–46.
Swinburn JM, Stubbs P, Soman P, Collinson P, Lahiri A, Senior R. Independent value of tissue harmonic echocardiography for risk stratification in patients with non-ST-segment elevation acute chest pain. J Am Soc Echocardiogr. 2002;15:1031–7.
Platts DG, Monaghan MJ. Colour encoded endocardial tracking:the current state of play. Eur J Echocardiogr. 2003;4:6–16.
Mor-Avi V, Sugeng L, Lang RM. Real time 3-dimensional echocardiography: an integral component of the echocardiographic examination in adult patients? Circulation. 2009;119:314–29.
Ozkan A, et al. Assessment of left ventricular function in aortic stenosis. Nat Rev Cardiol. 2011;8:494–501.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Jeetley, P., Khattar, R.S., Senior, R. (2018). Coronary Artery Disease: Assessing Regional Wall Motion. In: Nihoyannopoulos, P., Kisslo, J. (eds) Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-319-71617-6_19
Download citation
DOI: https://doi.org/10.1007/978-3-319-71617-6_19
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-71615-2
Online ISBN: 978-3-319-71617-6
eBook Packages: MedicineMedicine (R0)