Prospective multicenter Polish Stress Echocardiography Registry (PolStress-Echopro) - the role in clinical practice.

Autor:	Gąsior ZT; Department of Cardiology, School of Health Sciences in Katowice, Medical University of Silesia, Poland.; 2nd Department of Cardiology Upper Silesian Medical Centre, Katowice, Poland., Lasota B; 2nd Department of Cardiology Upper Silesian Medical Centre, Katowice, Poland., Zaborska B; Department of Cardiology, Postgraduate Medical School, Grochowski Hospital, Warszawa, Poland., Mizia-Stec K; 1st Department of Cardiology, School of Health Sciences in Katowice, Medical University of Silesia, Poland., Gościniak P; Department of Cardiology, Provincial Hospital, Szczecin, Poland., Marcinkiewicz-Siemion M; Department of Cardiology, University Hospital, Bialystok, Poland., Brzezińska B; Department of Cardiology, T. Marciniak Hospital, Wrocław, Poland., Rapacewicz J; Department of Cardiology, Pomeranian Medical University in Szczecin, Poland., Rzucidło-Resil J; Department of Coronary Artery Disease and Heart Failure, John Paul II Hospital, Kraków, Poland., Gąsior T; 3rd Department of Cardiology and Structural Heart Diseases, School of Medicine in Katowice, Medical University of Silesia, Poland., Olszanecka A; 1st Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kraków, Poland., Płońska-Gościniak E; Department of Cardiology, Pomeranian Medical University in Szczecin, Poland.
Jazyk:	angličtina
Zdroj:	Advances in clinical and experimental medicine : official organ Wroclaw Medical University [Adv Clin Exp Med] 2019 Nov; Vol. 28 (11), pp. 1555-1560.
DOI:	10.17219/acem/100648
Abstrakt:	Background: Stress echocardiography (SE) is becoming an increasingly frequently performed diagnostic examination in Poland. After the published retrospective PolSTRESS Registry, this prospective study is the first one available so far. Objectives: The aim of the study was to analyze SE tests, taking into account the clinical characteristics of the patients, indications, applied protocols, and diagnostic and therapeutic decisions. Material and Methods: Reference cardiological centers in Poland were asked for a 1-month prospective analysis of the data obtained. The study included 189 SE examinations. To evaluate coronary artery disease (CAD) (178 tests), all 17 centers performed dobutamine SE (DSE) (100%), 3 centers (17%) performed pacing, while cycle ergometer and treadmill SE were performed by 1 (5%) and 2 (11%) centers, respectively. In patients with valvular heart disease (VHD) (11 tests), 3 centers (16%) performed SE to evaluate low-flow/low-gradient aortic stenosis (AS), 4 (22%) in asymptomatic AS and 1 (5%) to evaluate mitral regurgitation. Results: For CAD assessment, a positive result was found in 37 (20%) patients, negative in 109 (61%) and nondiagnostic in 32 (19%). In the CAD group, coronarography was performed in 41 (23%) people. The analysis of the significance of the SE results for decision-making on interventional measures revealed that 30 patients (from the total study population of 189) were referred for the intervention. Conclusions: The most commonly used SE is the DSE. Negative test results allowed in almost half of the patients to resign from invasive coronarography. Stress echocardiography should be more frequently used in patients with VHD in the qualification for invasive treatment.
Databáze:	MEDLINE
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