Skip to main content
SpringerLink
Log in

Use of Stress Echocardiography for Assessment of Interventions and Medical Treatments

  • Chapter
Stress Echocardiography

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 149))

  • 40 Accesses

Abstract

The previous sections have dealt with issues relating to the performance of stress echocardiography for the diagnosis of coronary artery disease. However, the chronic nature of this illness mandates the careful follow-up of patients, to identify the progression of disease or the development of complications. Functional tests are well suited to monitoring the progress of patients in these respects. This chapter will review data pertaining to the efficacy of stress echocardiography for the follow-up of patients after coronary bypass surgery, coronary angioplasty, and medical therapy of ischemic heart disease.

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

Access this chapter

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 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight 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

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Gershlick AH, Lyons JP, Wright JEC, Sturridge MF, Layton CA, Balcon R. Long-term clinical outcome of coronary surgery and assessment of the benefit obtained with postoperative aspirin and dipyridamole. Br Heart J 1988;60: 111–116.

    Article  PubMed  CAS  Google Scholar 

  2. Murphy ML, Hulgren HN, Detre K et al. Treatment of chronic stable angina: a preliminary report of survival data in the randomized Veterans Administration cooperative Study. N Engl J Med 1977;297: 621–627.

    Article  PubMed  CAS  Google Scholar 

  3. European Coronary Surgery Study Group. Coronary artery bypass surgery in stable angina pectoris: survival at two years. Lancet 1979;i: 589–593.

    Google Scholar 

  4. Principal Investigators of CASS and their Associates. National Heart, Lung and Blood Institute Coronary Artery Surgery Study. Circulation 1981; 63(suppl I)I.1–I.81.

    Google Scholar 

  5. Hamby RI, Aintablain A, Handler M et al. Aortocoronary saphenous vein bypass grafts: Long-term patency, morphology and blood flow in patients with patent grafts early after surgery. Circulation 1979;60: 901–909.

    Article  PubMed  CAS  Google Scholar 

  6. Robinson PS, Williams BT, Webb-Peploe MM, Crowther A, Coltart DJ. Thallium-201 myocardial imaging in assessment of results of aortocoronary bypass surgery. Br Heart J 1979;42: 455–462.

    Article  PubMed  CAS  Google Scholar 

  7. Greenberg BH, Hart R, Botvinick EH et al. Thallium-201 myocardial perfusion scintigraphy to evaluate patients after coronary bypass surgery. Am J Cardiol 1978;42: 167–176.

    Article  PubMed  CAS  Google Scholar 

  8. Hirzel HO, Nuesch K, Sialer G, Horst W, Krayenbuehl HP. Thallium-201 exercise myocardial imaging to evaluate myocardial perfusion after coronary artery bypass surgery. Br Heart J 1980;43: 426–435.

    Article  PubMed  CAS  Google Scholar 

  9. Wainwright RJ, Brennand-Roper DA, Maisey MN, Sowton E. Exercise thallium-201 myocardial scintigraphy in the follow-up of aortocoronary bypass graft surgery. Br Heart J 1980;43: 56–66.

    Article  PubMed  CAS  Google Scholar 

  10. Pfisterer M, Emmenegger H, Schmitt HE et al. Accuracy of serial myocardial perfusion scintigraphy with thallium-201 for prediction of graft patency early and late after coronary artery bypass surgery. Circulation 1982;66: 1017–1024.

    Article  PubMed  CAS  Google Scholar 

  11. Iskandrian AS, Haaz W, Segal BL, Kane SA. Exercise thallium-201 scintigraphy in evaluating aortocoronary bypass surgery. Chest 1981;80: 11–15.

    Article  PubMed  CAS  Google Scholar 

  12. Paolillo V, Iazzolino E, Varetto T et al. Myocardial scintigraphy with thallium-201 in the evaluation of aortocoronary bypass patients. G Ital Cardiol 1987;17: 947–956.

    PubMed  CAS  Google Scholar 

  13. Marwick T, Lafont A, Go RT et al. Diagnostic accuracy of positron emission tomography in the identification of recurrent ischemia after coronary artery bypass surgery. Int J Cardiol 1992;35: 33–41.

    Article  PubMed  CAS  Google Scholar 

  14. Sawada SG, Judson WE, Ryan T, Armstrong WF, Feigenbaum H. Upright bicycle exercise echocardiography after coronary artery bypass grafting. Am J Cardiol 1989;64: 1123–1129.

    Article  PubMed  CAS  Google Scholar 

  15. Crouse LJ, Vacek JL, Beauchamp GD, Porter CB, Rosamond TL, Kramer PH. Exercise echocardiography after coronary artery bypass grafting. Am J Cardiol 1992;70: 572–576.

    Article  PubMed  CAS  Google Scholar 

  16. Williams J, O’Gorman D, Foale RA, Marwick T. Stress echocardiography is superior to ST segment and multivariate ECG analysis for detection of ischemia after coronary artery bypass grafting [Abstract]. Eur Heart J 1993 (in press).

    Google Scholar 

  17. Biagini A, Maffei S, Baroni M et al. Early assessment of coronary reserve after bypass surgery by dipyridamole transesophageal echocardiographic stress test. Am Heart J 1990;120: 1097–1101.

    Article  PubMed  CAS  Google Scholar 

  18. Holmes DR, Holubkov R, Vlietstra Re et al. for the NHLBI PTCA Registry. Comparison of complications during percutaneous transluminal coronary angioplasty from 1977 to 1981 and 1985 to 1986; The NHLBI PTCA Registry. J Am Coll Cardiol 1988;12: 1149–1155.

    Article  PubMed  Google Scholar 

  19. Broderick T, Sawada S, Armstrong WF et al. Improvement in rest and exercise-induced wall motion abnormalities after coronary angioplasty: An exercise echocardiographic study. J Am Coll Cardiol 1990;15: 591–599.

    Article  PubMed  CAS  Google Scholar 

  20. Massa D, Pirelli S, Gara E et al. Exercise testing and dipyridamole echocardiography test before and 48h after successful coronary angioplasty: Prognostic implications. Eur Heart J 1989;10(Suppl G): 13–17.

    Article  PubMed  Google Scholar 

  21. Picano E, Pirelli S, Marzilli M et al. Usefulness of high-dose dipyridamole echocardiography test in coronary angioplasty. Circulation 1989;80: 807–815.

    Article  PubMed  CAS  Google Scholar 

  22. Renkin J, Melin JA, Robert A et al. Detection of restenosis after successful coronary angioplasty: Improved clinical decision making with use of a logistic regression model combining procedural and follow-up variables. J Am Coll Cardiol 1990;16: 1333–1340.

    Article  PubMed  CAS  Google Scholar 

  23. Laarman GJ, Serruys PW, Suryapranata H et al. Inability of coronary blood flow reserve measurements to assess the efficacy of coronary angioplasty in the first 24 hours in unselected patients. Am Heart J 1991;122: 631–639.

    Article  PubMed  CAS  Google Scholar 

  24. Manyari DE, Knudtson M, Kloiber R, Roth D. Sequential thallium-201 myocardial perfusion studies after successful PTCA: Delayed resolution of exercise-induced scintigraphic abnormalities. Circulation 1988;77: 86–95.

    Article  PubMed  CAS  Google Scholar 

  25. Marwick T, Baudhuin T, Willemart W, D’Hondt AM, Wijns W, Melin J. Differential alteration of regional left ventricular function and perfusion responses to cardiac stress early after coronary angioplasty [abstract]. Eur Heart J 1992;13(Suppl): 404.

    Google Scholar 

  26. Pirelli S, Danzi GB, Alberti A et al. Comparison of usefulness of high-dose dipyridamole echocardiography and exercise electrocardiography for detection of asymptomatic restenosis after coronary angioplasty. Am J Cardiol 1991;67: 1335–1338.

    Article  PubMed  CAS  Google Scholar 

  27. Aboul-Enein H, Bengtson JR, Adams DB et al. Effect of the degree of effort on exercise echocardiography for the detection of restenosis after coronary artery angioplasty. Am Heart J 1991;122: 430–437.

    Article  PubMed  CAS  Google Scholar 

  28. Fioretti PM, Pozzoli MMA, Ilmer B et al. Exercise echocardiography versus thallium-201 SPECT for assessing patients before and after PTCA. Eur Heart J 1992;13: 213–219.

    PubMed  CAS  Google Scholar 

  29. McNeill AJ, Fioretti PM, El-Said EM, Salustri A, de Feyter PJ, Roelandt JR. Dobutamine stress echocardiography before and after coronary angioplasty. Am J Cardiol 1992; 69: 740–745.

    Article  PubMed  CAS  Google Scholar 

  30. Lattanzi F, Picano E, Bolognese L et al. Inhibition of dipyridamole-induced ischemia by antianginal therapy in humans: Correlation with exercise echocardiography. Circulation 1991;83: 1256–1262.

    Article  PubMed  CAS  Google Scholar 

  31. Ferrara N, Longobardi G, Nicolino A et al. Effect of beta-adrenoceptor blockade on dipyridamole-induced myocardial asynergies in coronary artery disease. Am J Cardiol 1992;70: 724–727.

    Article  PubMed  CAS  Google Scholar 

  32. Iliceto S, Caiati C, Tota F, Rizzon P. The importance of stress-induced cardiac wall motion abnormalities in the evaluation of drug intervention. Drugs 1992;43(Suppl l): 33–36.

    Article  PubMed  Google Scholar 

  33. Salustri A, Fioretti PR, Pozzoli MMA, McNeill AJ, Roelandt JR. Dobutamine stress echocardiography: its role in the diagnosis of coronary artery disease. Eur Heart J 1992;13: 70–77.

    PubMed  CAS  Google Scholar 

  34. Marwick T, D’Hondt AM, Baudhuin T et al. Optimal use of dobutamine stress for the detection and evaluation of coronary artery disease: Combination with echocardiography, scintigraphy or both? J Am Coll Cardiol 1993;22: 159–167.

    Article  PubMed  CAS  Google Scholar 

  35. Marwick T, Nemec J, Pashkow F, Stewart WJ, Salcedo E. Accuracy and limitations of exercise echocardiography in a routine clinical setting. J Am Coll Cardiol 1992;19: 74–81.

    Article  PubMed  CAS  Google Scholar 

  36. Ciliberto GR, Massa D, Mangiavacchi M et al. High-dose dipyridamole echocardiography test in coronary artery disease after heart transplantation. Eur Heart J 1993;14: 48–52.

    Article  PubMed  CAS  Google Scholar 

  37. Marwick T, D’Hondt AM, Baudhuin T et al. Choice of exercise ECG, perfusion scintigraphy or exercise echocardiography for detection of graft vessel atherosclerosis [abstract]. Br Heart J 1993 (in press).

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Director of Cardiac Stress Imaging, Cleveland Clinic Foundation, Cleveland, OH 44195, USA

    T. Marwick (Director of Cardiac Stress Imaging)

Authors
  1. T. Marwick
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Marwick, T. (1994). Use of Stress Echocardiography for Assessment of Interventions and Medical Treatments. In: Stress Echocardiography. Developments in Cardiovascular Medicine, vol 149. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-0782-2_8

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-0782-2_8

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4335-9

  • Online ISBN: 978-94-011-0782-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation