Abstract
Echocardiographically detected wall motion abnormalities are a sensitive marker of coronary artery disease. However, even patients with severe coronary stenoses may have a normal ventricular wall motion at rest. Any stress which is able to induce myocardial ischemia may also induce mechanical alterations (i.e. wall motion abnormalities) whose onset is known to be an even earlier ischemic marker than electrical alterations and angina. Therefore, one can reasonably expect that by combining a suitable stress with an imaging technique such as echocardiography one has an efficient diagnostic means for coronary artery disease.
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References
Laurent D, Bolene Williams C, Williams FL, Katz LN (1956) Effects of heart rate on coronary flow and cardiac oxygen consumption. Am J Physiol 185: 355–64.
Berglund E, Borst HG, Duff F, Schreiner GL (1958) Effect of heart rate on cardiac work, myocardial oxygen consumption and coronary blood flow in the dog. Acta Physiol Scand 42: 185–90.
Pitt B, Gregg DE (1968) Coronary hemodynamic effects of increasing ventricular rate in the unanesthetized dog. Circ Res 22: 753–59.
Becker L (1976) Effect of tachycardia on left ventricular blood flow distribution during coronary occlusion. Am J Physiol 230: 1072–77.
O’Riordan JB, Flaherty JT, Khuri SF, Brawley RK, Pitt B, Gott VL (1977) Effects of atrial pacing on regional myocardial gas tensions with critical coronary stenosis. Am J Physiol H49–H53.
Tomoike H, Franklin D, Ross J (1978) Detection of myocardial ischemia by regional dysfunction during and after rapid pacing in conscious dogs. Circulation 58: 48–56.
Schmidt DH, Weiss MB, Casarella WJ, Fowler DL, Sciacca RR, Cannon PJ (1976) Regional myocardial perfusion during atrial pacing in patients with coronary artery disease. Circulation 53: 807–19.
Heller GV, Aroesty JM, Parker J A, McKay RG, Silverman KJ, Als AV, Come PC, Kolodny GM, Grossman W (1984) The pacing stress test: Thallium-201 myocardial imaging after atrial pacing. Diagnostic value in detecting coronary artery disease compared with exercise testing. J Am Coll Cardiol 3: 1197–1204.
Pasternac A, Gorlin R, Sonnenblick EH, Haft JI, Kemp HG (1972) Abnormalities of ventricular motion induced by atrial pacing in coronary artery disease. Circulation 45: 1195–205.
Stone D, Dymond D, Elliott AT, Britton KE, Spurrell RAJ, Banim SO (1980) Use of first- pass radionuclide ventriculography in assessment of wall motion abnormalities induced by incremental atrial pacing in patients with coronary artery disease. Br. Heart J A3: 369–75.
Hecht HS, Chew CY, Burnam M, Schnugg S J, Hopkins JM, Singh BN (1981) Radionuclide ejection fraction and wall motion during atrial pacing in stable angina pectoris: Compari¬son with metabolic and hemodynamic parameters. Am Heart J 101: 726–33.
Tobis J, Nalcioglu O, Johnston WD, Seibert A, Iseri LT, Werner R, Walter LH (1983) Digital angiography in assessment of ventricular function and wall motion during pacing in patients with coronary artery disease. Am J Cardiol 51: 668–75.
Johnson RA, Wassermann AG, Leiboff RH, Katz RJ, Bren GB, Varghese J, Ross AM (1983) Intravenous digital left ventriculography at rest and with atrial pacing as a screening procedure for coronary artery disease. J Am Coll Cardiol 2: 905–10.
Mancini GBJ, Peterson KL, Gregoratos G, Higgins CB (1984) Effects of atrial pacing on global and regional left ventricular function in coronary heart disease assessed by digital intravenous ventriculography. Am J Cardiol 53: 456–61.
Zoll PM (1952) Resuscitation of the heart in ventricular standstill by external electrical stimulation. JAMA 247: 768–71.
Burack B, Furman S (1969) Transesophageal cardiac pacing. Am J Cardiol 23: 469–72.
Rowe GG, Terry W, Neblett I (1969) Cardiac pacing with an esophageal electrode. Am J Cardiol 24: 548–50.
Lubell DL (1971) Cardiac pacing from the esophagus. Am J Cardiol 27: 641–644.
Gallagher JJ, Smith WM, Kasell J, Smith WM, Grant AO, Benson DW (1980) The use of esophageal lead in the diagnosis of mechanisms of reciprocating supraventricular tachycardia. PACE 3: 440–4.
Gallagher JJ, Smith WM, Kerr CR, Kasell J, Cook L, Reiter M, Sterba R, Harte M (1982) Esophageal pacing: A diagnostic and therapeutic tool. Circulation 65: 336–41.
Iliceto S, Sorino M, D’Ambrosio G, Papa A, Favale S, Biasco G, Rizzon P (1985) Detection of coronary artery disease by two-dimensional echocardiography and transesophageal atrial pacing. J Am Coll Cardiol 5: 1188–97.
Iliceto S, Sorino M, D’Ambrosio G, Lopriore V, Ricci A, Papa A, Amico A, Chiddo A, Rizzon P (1986) Atrial pacing in the detection and evaluation of coronary artery disease. Eur Heart J 7 (C): 59–67.
Iliceto S, D’Ambrosio G, Sorino M, Papa A, Amico A, Ricci A, Rizzon P (1986) Comparison of postexercise and transesophageal atrial pacing two-dimensional echocardiography for detection of coronary artery disease. Am J Cardiol 57: 547–53.
Bruschke AVG, Proudfit WL, Sones FM (1973) Progress study of 590 consecutive non surgical cases of coronary disease followed 5–9 years. I. Artériographie correlations. Circulation 47: 1147–1153.
Iliceto S, Papa A, D’Ambrosio G, Amico A, Sorino M, Coluccia P, Rizzon P (1987) Prediction of the extent of coronary artery disease with the evaluation of left ventricular wall motion abnormalities during atrial pacing. A cross-sectional echocardiographic study. Int J Cardiol 14: 33–45.
Amico A, Iliceto S, D’Ambrosio G, Sorino M, Coluccia P, Rizzon P (1987) Evaluation o timing of occurrence of wall motion abnormalities during incremental atrial pacing aids in the prediction of the severity of coronary artery disease. Eur Heart J 8 (suppl II): 190.
Gibson RS, Watson DD, Craddock GB, Crampton RS, Kaiser DL, Denny MJ, Beller GA (1983) Prediction of cardiac events after uncomplicated myocardial infarction: A prospective study comparing predischarge exercise thallium-201 scintigraphy and coronary arteriography. Circulation 68: 321–36.
Iliceto S, Caiati C, Ricci A, Amico A, Biasco G, Rizzon (1988) Prognostic stratification of patients with recent uncomplicated myocardial infarction by transesophageal atrial pacing 2D Echo. Circulation 78(4) (suppl II ): 1094.
Iliceto S, Papa A, Ricci A, Lopriore V, DAmbrosio G, Rizzon P (1986) Effects of Isosor- bide-5-mononitrate on left ventricular wall motion abnormalities induced by atrial pacing. 2nd International Symposium on Mononitrates, Berlin, Dec 11-13, p 62, (abstracts).
Amico A, Ricci A, Lopriore V, Sorino M, D’Ambrosio G, Coluccia P, Iliceto S, Rizzon P (1987) Effects of coronary artery by-pass surgery on left ventricular wall motion at rest and during transesophageal atrial pacing. A two-dimensional echocardiographic study. Cardiologia 32 (8): 699–706.
Rokey R, Kuo LC, Zoghbi WA, Limacher MC, Quinones MA (1985) Determination of parameters of left ventricular diastolic filling with pulsed Doppler echocardiography: comparison with cineangiography. Circulation 71: 543–50.
Markham RV, Winniford MD, Firth GB, Nicod P, Dehmer GJ, Lewis SE, Hillis LD (1983) Symptomatic, electrocardiographic, metabolic and hemodynamic alterations during pacing-induced myocardial ischemia. Am J Cardiol 51: 1589–94.
Iliceto, S, Amico A, Marangelli V, D’Ambrosio G, Rizzon (1988) Doppler echocardiographic evaluation of the effect of atrial pacing-induced ischemia on left ventricular filling in patients with coronary artery disease. J Am Coll Car 11: 953–61.
Finn MC, Bower PJ (1977) Severe papillary muscle dysfunction substantiated by atrial pacing during cardiac catheterization. Am Heart J 93 (5): 626–628.
Burch GE, DePasquale N, Phillips JH (1968) The Papillary Muscle Syndrome. JAMA 204 (3): 157–160.
Burch GE, DePasquale NP, Phillips JH (1968) The syndrome of papillary muscle dysfunction. Am Heart J (March): 399–415.
De Busk RF, Harrison DC (1969) The clinical spectrum of papillary-muscle disease. New Engl J Med 281: 1458–1467.
Bailas N (1965) Functional mitral insufficiency in acute myocardial ischemia. Am J Card 16: 807–812.
Iliceto S, Tota F, Selvaggi G, De Martino G, Piccinni G, D’Ambrosio G, Rizzon P (1989) Color Doppler evaluation of mitral regurgitation induced by acute myocardial ischemia. Circulation (suppl II) 90 (4): 338.
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Iliceto, S. et al. (1991). Echocardiography during transesophageal atrial pacing. In: Iliceto, S., Rizzon, P., Roelandt, J.R.T.C. (eds) Ultrasound in Coronary Artery Disease. Developments in Cardiovascular Medicine, vol 113. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0611-2_5
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DOI: https://doi.org/10.1007/978-94-009-0611-2_5
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