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Prognostic Value of Stress Echocardiography

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Stress Echocardiography

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

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Abstract

Previous chapters have concentrated upon the ability of stress echocardiography to predict the presence of significant coronary artery disease. This approach permits the comparison of this test and various other non-invasive methodologies, using angiographic stenosis as the reference standard. However, this standard may be difficult to accurately define [1], and may not correlate with functional indices of coronary flow [2]. Consequently, the clinical value of identifying moderate (but “significant”) coronary stenoses may reasonably be questioned.

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References

  1. Marcus M, Skorton S, Johnson, Collins, Harrison, Kerber R. Visual estimates of percent diameter coronary stenosis: “A battered gold standard” J Am Coll Cardiol 1988; 11: 882–885.

    Article  PubMed  CAS  Google Scholar 

  2. Klocke F. Measurements of coronary blood flow and degree of stenosis: Current clinical implications and continuing uncertainties. J Am Coll Cardiol 1983;1: 31–41.

    Article  PubMed  CAS  Google Scholar 

  3. Kannel WB, Feinlieb M. Natural history of angina pectoris in the Framingham study: Progress and survival. Am J Cardiol 1972;29: 154–161.

    Article  PubMed  CAS  Google Scholar 

  4. Taylor HA, Deumite NJ, Chaitman BR et al. Asymptomatic left main coronary artery disease in the coronary artery surgery study (CASS) registry. Circulation 1989;79: 1171–1179.

    Article  PubMed  CAS  Google Scholar 

  5. Proudfit WL, Kramer JR, Goormastic M, Loop FD. Survival of patients with mild angina or myocardial infarction without angina; A comparison of medical and surgical treatment. Br Heart J 1988;59: 641–647.

    Article  PubMed  CAS  Google Scholar 

  6. Armstrong WF, O’Donnell J, Ryan T, Feigenbaum H. Effect of prior myocardial infarction and extent and location of coronary disease on accuracy of exercise echocardiography. J Am Coll Cardiol 1987;10: 531–538.

    Article  PubMed  CAS  Google Scholar 

  7. Andrade MJ, Landi P, Michelassi C, Malasoma M, Gimelli A, and EPIC investigators. Dipyridamole echocardiography in left main coronary stenosis [abstract]. Echocardiography 1993 (in press).

    Google Scholar 

  8. Weiner DA, Ryan TJ, McCabe CH et al. Prognostic importance of a clinical profile and exercise test in medically treated patients with coronary artery disease. J Am Coll Cardiol 1984;3: 772–780.

    Article  PubMed  CAS  Google Scholar 

  9. Brown KA. Prognostic value of thallium-201 myocardial perfusion imaging: A diagnostic tool comes of age. Circulation 1991;83: 363–381.

    Article  PubMed  CAS  Google Scholar 

  10. Lee KL, Pryor DB, Pieper KS et al. Prognostic value of radionuclide angiography in medically treated patients with coronary artery disease. A comparison with clinical and catheterization variables. Circulation 1990;82: 1705–1717.

    Article  PubMed  CAS  Google Scholar 

  11. Corday S, Martin S, Areeda J, Hajduczki I. Prognostic value of treadmill echocardiography in patients with chest pain and positive stress ECG [abstract]. Circulation 1988;78: II–272.

    Google Scholar 

  12. Diamond GA. Reverend Bayes’ silent majority: An alternative factor affecting sensitivity and specificity of exercise electrocardiography. Am J Cardiol 1986;57: 1175–1180.

    Article  PubMed  CAS  Google Scholar 

  13. Pamelia FX, Gibson RS, Watson DD et al. Prognosis with chest pain and normal thallium-201 exercise scintigrams. Am J Cardiol 1985;55: 920–926.

    Article  PubMed  CAS  Google Scholar 

  14. Sawada SG, Ryan T, Conley MJ, Corya BC, Feigenbaum H, Armstrong WF. Prognostic value of a normal exercise echocardiogram. Am Heart J 1990;120: 49–54.

    Article  PubMed  CAS  Google Scholar 

  15. Picano E, Severi S, Michelassi C et al. Prognostic importance of dipyridamole-echocardiography test in coronary artery disease. Circulation 1989;80: 450–457.

    Article  PubMed  CAS  Google Scholar 

  16. Marcovitz PA, Bach DS, Shayna VL, Armstrong WF. An abnormal dobutamine echocardiogram predicts death and myocardial infarction in the year following study [abstract]. Circulation 1992;86: 1–789.

    Article  Google Scholar 

  17. Luria MH, Debanne SM, Osman MI. Long-term follow-up after recovery from acute myocardial infarction. Arch Intern Med 1985;145: 1592–1595.

    Article  PubMed  CAS  Google Scholar 

  18. Multicenter Postinfarction Research Group. Risk stratification and survival after myocardial infarction. N Engl J Med 1983;309: 331–336.

    Article  Google Scholar 

  19. Nishimura RA, Reeder GS, Miller FA et al. Prognostic value of predischarge 2-dimensional echocardiogram after acute myocardial infarction. Am J Cardiol 1984;53: 429–432.

    Article  PubMed  CAS  Google Scholar 

  20. Silverman KJ, Becker LC, Bulkley BH et al. Value of early thallium-201 scintigraphy for predicting mortality in patients with acute myocardial infarction. Circulation 1980;61: 996–1003.

    Article  PubMed  CAS  Google Scholar 

  21. Theroux P, Waters DD, Halphen C, Debaisieux JC, Mizgala HF. Prognostic value of exercise testing soon after myocardial infarction. N Engl J Med 1989;30: 341–352.

    Google Scholar 

  22. Gibson RS, Watson DD, Craddock GB et al. Prediction of cardiac events after uncomplicated myocardial infarction: A prospective study comparing predischarge exercise thallium-201 scintigraphy and coronary angiography. Circulation 1983;68: 321–336.

    Article  PubMed  CAS  Google Scholar 

  23. Nicod P, Corbett JR, Firth BG et al. Prognostic value of resting and submaximal exercise radionuclide ventriculography after acute myocardial infarction in high risk patients with single and multivessel disease. Am J Cardiol 1985;52: 30–36.

    Article  Google Scholar 

  24. DeBusk RF. Specialized testing in recent acute myocardial infarction. Ann Intern Med 1989;110: 470–481.

    PubMed  CAS  Google Scholar 

  25. Norris RM, Caughey DE, Deeming LW, Mercer CJ, Scott PJ. Coronary prognostic index for predicting survival after recovery from acute myocardial infarction. Lancet 1970;ii: 485–491.

    Article  Google Scholar 

  26. Candell-Riera J, Permanyer-Miralda G, Castell J et al. Uncomplicated first myocardial infarction: Strategy for comprehensive prognostic studies. J Am Coll Cardiol 1991; 18: 1207–1219.

    Article  PubMed  CAS  Google Scholar 

  27. Jaarsma W, Visser CA, Funke Kupper AJ, Res JC, Van Eenige MJ, Roos JP. Usefulness of two-dimensional exercise echocardiography shortly after myoardial infarction. Am J Cardiol 1986;57: 86–90.

    Article  PubMed  CAS  Google Scholar 

  28. Applegate RJ, Dell’Italia LJ, Crawford MH. Usefulness of two-dimensional echocardiography during low-level exercise testing early after uncomplicated acute myocardial infarction. Am J Cardiol 1987;60: 10–14.

    Article  PubMed  CAS  Google Scholar 

  29. Ryan T, Armstrong WF, O’Donnell JA, Feigenbaum H. Risk stratification after acute myocardial infarction by means of exercise two-dimensional echocardiography. Am Heart J 1987;114: 1305–1316.

    Article  PubMed  CAS  Google Scholar 

  30. Iliceto S, Caiati C, Ricci A et al. Prediction of cardiac events after uncomplicated myocardial infarction by cross-sectional echocardiography during transesophageal pacing. Int J Cardiol 1990;28: 95–104.

    Article  PubMed  CAS  Google Scholar 

  31. Bolognese L, Sarasso G, Aralda D, Bongo SA, Rossi L, Rossi P. High dose echocardiography test early after uncomplicated acute myocardial infarction: Correlation with exercise testing and coronary angiography. J Am Coll Cardiol 1989;14: 357–363.

    Article  PubMed  CAS  Google Scholar 

  32. Bosco M, Gandolfo N, Belli R, Parigi A, Schon W. Prognostic value of echocardiography with high-dose dipyridamole after recent uncomplicated myocardial infarction. G Ital Cardiol 1991;21: 15–22.

    PubMed  CAS  Google Scholar 

  33. Berthe C, Pierard LA, Hiernaux M et al. Predicting the extent and location of coronary artery disease in acute myocardial infarction by echocardiography during dobutamine infusion. Am J Cardiol 1986;58: 1167–1172.

    Article  PubMed  CAS  Google Scholar 

  34. Mannering D, Cripps T, Leech G et al. The dobutamine stress test as an alternative to exercise testing after acute myocardial infarction. Br Heart J 1988;59: 521–526.

    Article  PubMed  CAS  Google Scholar 

  35. Landi P, Orlandini A, Chiarella F et al. The prognostic value of rest and stress echocardiography early after uncomplicated acute myocardial infarction: The first 995 patients of the EPIC study [abstract]. J Am Coll Cardiol 1993;21: 441A.

    Google Scholar 

  36. Severi S, Michelassi C. Prognostic impact of stress testing in coronary artery disease. Circulation 1991;83(Suppl III):82–88.

    Google Scholar 

  37. Bolognese L, Sarasso G, Bongo AS et al. Stress testing in the period after infarction. Circulation 1991;83(Suppl III): 32–37.

    Google Scholar 

  38. McNeill A, Slagboom T, Salustri A et al. Residual ischaemia after recent myocardial infarction: Comparison of high dose dipyridamole stress echocardiography and Tc-99m MIBI SPECT [abstract]. Eur Heart J 1991;12: 230.

    Google Scholar 

  39. Hertzer NR, Beven EG, Young JR et al. Coronary artery disease in peripheral vascular patients. A classification of 1000 coronary angiograms and results of surgical management. Ann Surg 1984;199: 223–233.

    Article  PubMed  CAS  Google Scholar 

  40. Jamieson WR, Janusz MT, Miyagishima RT, Gerein AN. Influence of ischemic heart disease on early and late mortality after surgery for peripheral occlusive vascular disease. Circulation 1982;66: 92–97.

    Google Scholar 

  41. Ennix CL, Lawrie GM, Morris GC et al. Improved results of carotid endarterectomy in patients with symptomatic coronary disease: An analysis of 1546 consecutive carotid operations. Stroke 1979;10: 122–125.

    Article  PubMed  Google Scholar 

  42. Crawford ES, Bomberger RA, Glaeser DH et al. Aortoiliac occlusive disease: Factors influencing survival and function following reconstructive operation over a twenty-five year period. Surgery 1981;90: 1055–1066.

    PubMed  CAS  Google Scholar 

  43. Foster ED, Davis KB, Carpenter JA et al. Risk of noncardiac operation in patients with defined coronary disease: The Coronary Artery Surgery Study (CASS) registry experience. Ann Thor Surg 1986;41: 42–47.

    Article  CAS  Google Scholar 

  44. Goldman L, Caldera DL, Nussbaum SR et al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N Engl J Med 1977;297: 845–850.

    Article  PubMed  CAS  Google Scholar 

  45. Takase B, Younis LT, Labovitz AJ et al. Comparison of the prognostic value of rest 2-dimensional echocardiography, dipyridamole stress thallium myocardial imaging, and clinical indices for perioperative cardaic events in major nonvascular surgical patients [abstract]. J Am Coll Cardiol 1992;19: 101A.

    Google Scholar 

  46. Eagle KA, Singer DE, Brewster DC, Darling RC, Mulley AG, Boucher CA. Dipyridamole thallium scanning in patients undergoing vascular surgery. Optimizing preoperative evaluation of cardiac risk. JAMA 1987;257: 2185–2189.

    Article  PubMed  CAS  Google Scholar 

  47. Cumming GR. Yield of ischemic exercise electrocardiograms in relation to exercise intensity in a normal population. Br Heart J 1972;34:919–923.

    Article  PubMed  CAS  Google Scholar 

  48. Brady TJ, Thrall JH, Lo K et al. The importance of adequate exercise in the detection of coronary heart disease by radionuclide ventriculography. J Nucl Med 1980;21: 1125–1130.

    PubMed  CAS  Google Scholar 

  49. Iskandrian AS, Heo J, Kong B, Lyons E. Effect of exercise level on the ability of thallium-201 tomographic imaging in detecting coronary artery disease: Analysis of 461 patients. J Am Coll Cardiol 1989;14: 1477–1486.

    Article  PubMed  CAS  Google Scholar 

  50. 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 

  51. Leppo J, Boucher CA, Okada RD, Newell JB, Strauss HW, Pohost GM. Serial thallium-201 myocardial imaging after dipyridamole infusion: diagnostic utility in detecting coronary stenoses and relationship to regional wall motion. Circulation 1982;66: 649–662.

    Article  PubMed  CAS  Google Scholar 

  52. Boucher CA, Brewster DC, Darling RC, Okada RD, Strauss HW, Pohost GM. Determination of cardiac risk by dipyridamole thallium imaging before peripheral vascular surgery. N Engl J Med 1985;312: 389–394.

    Article  PubMed  CAS  Google Scholar 

  53. Eagle KA, Coley CM, Newell JB et al. Combining clinical and thallium data optimizes preoperative assessment of cardiac risk before major vascular surgery. Ann Intern Med 1989;110: 859–866.

    PubMed  CAS  Google Scholar 

  54. Leppo J, Plaja J, Gionet M, Tumolo J, Paraskos JA, Cutler BS. Noninvasive evaluation of cardiac risk before elective vascular surgery. J Am Coll Cardiol 1987;9: 269–276.

    Article  PubMed  CAS  Google Scholar 

  55. DePuey EG, Guertler-Krawczynska E, Robbins WL. Thallium-201 SPECT in coronary disease patients with left bundle branch block. J Nucl Med 1988;29: 1479–1485.

    PubMed  CAS  Google Scholar 

  56. DePuey EG, Guertler-Krawczynska E, Perkins JV, Robbins WL, Whelchel JD, Clements SD. Alterations in myocardial thallium-201 distribution in patients with chronic systemic hypertension undergoing single-photon emission computed tomography. Am J Cardiol 1988;62: 234–238.

    Article  PubMed  CAS  Google Scholar 

  57. Picano E. Dipyridamole echocardiography test: The historical background and the physiologic basis. Eur Heart J 1989;10: 365–376.

    PubMed  CAS  Google Scholar 

  58. Mazeika P, Nihoyannopoulos P, Joshi J, Oakley CM. Uses and limitations of high dose dipyridamole stress echocardiography for evaluation of coronary artery disease. Br Heart J 1992;67: 144–149.

    Article  PubMed  CAS  Google Scholar 

  59. Marwick T, Willemart B, D’Hondt AM et al. Selection of the optimal non-exercise stress for the evaluation of ischemic regional myocardial dysfunction and malperfusion: Comparison of dobutamine and adenosine using echocardiography and Tc-99 m MIBI single photon emission computed tomography. Circulation 1993;87: 345–354.

    Article  PubMed  CAS  Google Scholar 

  60. Tischler MD, Lee TH, Hirsch AT et al. Prediction of major cardiac events after peripheral vascular surgery using dipyridamole echocardiography. Am J Cardiol 1991;68: 593–599.

    Article  PubMed  CAS  Google Scholar 

  61. Vincent M, Marwick T, D’Hondt AM et al. Prediction of perioperative events at vascular surgery: Selection of thallium scintigraphy or echocardiography with dipyridamole stress? [abstract]. Circulation 1992;86: 1–790.

    Article  Google Scholar 

  62. Lane RT, Sawada SG, Segar DS et al. Dobutamine stress echocardiography for assessment of cardiac risk before noncardiac surgery. Am J Cardiol 1991;68: 976–967.

    Article  PubMed  CAS  Google Scholar 

  63. Lalka SG, Sawada SG, Dalsing MC et al. Dobutamine stress echocardiography as a predictor of cardiac events associated with aortic surgery. J Vase Surg 1992;15: 831–842.

    Article  CAS  Google Scholar 

  64. Davila-Roman VG, Waggoner AD, Sicard GA, Geltman EM, Schechtman KB, Perez JE. Dobutamine stress echocardiography predicts surgical outcome in patients with an aortic aneurysm and peripheral vascular disease. J Am Coll Cardiol 1993;21: 957–963.

    Article  PubMed  CAS  Google Scholar 

  65. Poldermans D, Fioretti PM, Forster T et al. Dobutamine stress echocardiography for assessment of perioperative cardiac risk in patients undergoing major vascular surgery. Circulation 1993;87: 1506–1512.

    Article  PubMed  CAS  Google Scholar 

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© 1994 Springer Science+Business Media Dordrecht

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Marwick, T. (1994). Prognostic Value of Stress Echocardiography. In: Stress Echocardiography. Developments in Cardiovascular Medicine, vol 149. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-0782-2_9

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  • DOI: https://doi.org/10.1007/978-94-011-0782-2_9

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4335-9

  • Online ISBN: 978-94-011-0782-2

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