Detection of myocardial viability using stress echocardiography
| Autor: | J. Wolfertz, T. Ketteler, H. Gülker, W. Krahwinkel, Ulbricht Lj, I. Krakau, J Gödke, W. Mecklenbeck |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Inotrope
Adult Male medicine.medical_specialty Cardiotonic Agents Dobutamine stress echocardiography medicine.medical_treatment Myocardial Infarction Revascularization Sensitivity and Specificity Ventricular Function Left Coronary artery disease Predictive Value of Tests Internal medicine Dobutamine medicine Stress Echocardiography Humans Aged Myocardial Stunning Ventricular function business.industry Myocardium Blood flow Middle Aged medicine.disease Echocardiography Cardiology Exercise Test Female Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | European heart journal. 18 |
| ISSN: | 0195-668X |
| Popis: | Asynergic myocardial regions in patients with coronary artery disease can be viable. They may have the ability to improve their function after restoring coronary blood flow. Asynergic but viable myocardial regions have a positive inotropic reserve which can be stimulated by catecholamines. Because echocardiography is an established method for evaluating regional left ventricular function, it has the potential to detect the inotropic response of asynergic myocardial regions. In the clinical setting, prediction of left ventricular functional improvement after revascularization is particularly important. Dobutamine stress echocardiography is the most frequently used stress echocardiographic test for detection of myocardial viability. Dobutamine is infused at low rates of 2.5 to 20 micrograms.kg-1.min-1 to detect myocardial viability. This paper reports on the sensitivity and specificity of the method for the detection of viability and its usefulness for prediction of left ventricular functional improvement after revascularization. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|