Editorial Reviews. Review. From reviews of the previous editions: “Dr. Picano, one of the Buy Stress Echocardiography: Read 1 Books Reviews – Amazon. com. The new clinical standard of integrated quadruple stress echocardiography with ABCD protocol. Eugenio Picano, corresponding author. Eugenio Picano, corresponding author 1 Sabrina .. Picano E. Stress echocardiography: from pathophysiological toy to diagnostic tool. Point of.

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Stress Echocardiography : Eugenio Picano :

The direct cost of a stress myocardial scintigraphy is 2- to 4- echocardiogarphy higher than SE 5. Force-frequency relationship in the echo lab: Our data also explain the recent findings of stress-CMR, conceptually germane but less operator-dependent than stress echo, showing that the fast high dose dipyridamole protocol is the best choice to catch “two birds with a stone”, i.

The normal IQ-SE response of a non-ischemic first rowdry second rowstrong third row and warm fourth row heart. The lung water cascade. The pooled weighted estimation of sensitivity, specificity and accuracy were reported in Table. Priority will be given to right ventricular function in patients with repaired tetralogy of Fallot, to pulmonary hemodynamics in patients with primary or secondary pulmonary hypertension, to valve gradients and regurgitation in patients with valvular heart disease [ 80 ], and to intraventricular gradients in patients with HCM [ 3371 ].

As a versatile smart-phone with multiple applications, stress echo today uses many signs for different pathophysiological and clinical targets. In terms of population burden, the almost 8 million stress myocardial scintigraphy scans per year in the USA translate into a population risk of about 8 thousand new cancers in the lifetime [ 18 ], which represent also an extra-cost echocaddiography around 50, US dollars per cancer [ 17 ].


We did not exclude studies based on the quality of data reported. Juni et al showed that studies should not be excluded based on composite quality scores because many quality scales are more closely related to reporting quality than to the internal validity of the studies [ 52 ]. The operator-dependence can be minimized – not abolished – by expert training and adoption of conservative reading criteria, with credentialing via standardized web-based training and certification [ 29 ].


The risk stratification can be improved with the combination of RWMA with clinical parameters, if we consider 6 simple items to build a score ranging from zero to 6 pican acts as a multiplier of SE risk.

Stress echocardiography as a gatekeeper to donation in aged marginal donor hearts: We designed our search to identify ipcano studies assessing the comparison between dipyridamole and dobutamine stress echocardiography state of the art protocols in their diagnostic accuracy. It is the least feasible and the more technically demanding of the new parameters: Pharmacological stress echocardiography in the diagnosis of coronary artery disease and myocardial ischemia: Predicting the extent and location of coronary artery disease in acute myocardial infarction by echocardiography during dobutamine infusion.

Echocardiographj black and echocxrdiography risk stratification becomes color-coded with a spectrum of responses from benign all-negative green-code to malignant all-positive red-code Fig.

The new clinical standard of integrated quadruple stress echocardiography with ABCD protocol

Pooled weight meta-analysis was performed. The ABCD parameters are conceptually merged, temporally synchronized, and methodologically harmonized in the new standard adopted in SE study: J Am Soc Echocardiogr. Eechocardiography and prognostic value of dipyridamole and dobutamine echocardipgraphy echocardiography in patients with Q-wave acute myocardial infarction.

The cardinal sign of transient myocardial ischemia is a stress-induced regional asynergy also called dyssynergy in its three degrees: Left ventricular contractile reserve as a predictor of response to cardiac resynchronization therapy in heart failure: Diagnostic and prognostic value of dipyridamole echocardiography in patients with suspected coronary artery disease: Journal List Cardiovasc Ultrasound v.

The new clinical standard of integrated quadruple stress echocardiography with ABCD protocol

It is conventional wisdom that ” as long as the oxygen demand is not increased in these segments there is no ischemia and consequently no wall motion abnormality ” [ 42 ]. EP drafted the manuscript, and all authors revised it for critically intellectual content.


The additive prognostic value of end-systolic pressure-volume relationship in diabetic patients with negative Dobutamine stress echocardiography by wall motion criteria. Safety, feasibility and diagnostic accuracy of accelerated high-dose stress echocardiography.

Stress Echocardiography

Inappropriate testing is a waste of public health money and also lowers the diagnostic and prognostic value of SE [ 11 — 13 ]. C for left ventricular contractile reserve: In patients with suspected CAD, CFVR has high sensitivity but limited specificity for CAD detection and only targets the left anterior descending coronary artery, which limits the diagnostic usefulness [ 59 ]. Murder on the Orient Express. Accuracy values for individual studies and cumulative analysis.

Incremental value of transthoracic Doppler echocardiography-assessed coronary flow reserve in patients with suspected myocardial ischemia undergoing myocardial perfusion scintigraphy.

In the same time period, the use of other established stress techniques such piacno stress myocardial scintigraphy remained stable or declined Fig. The old landline telephone with a single sign RWMA for one patient with known or suspected CAD [ 81 ] is now a versatile smart-phone with multiple applications, and can be tailored in the individual patient according to clinical needs.

Aim To evaluate the diagnostic accuracy of dobutamine versus dipyridamole stress echocardiography through an evidence-based approach.

A total of 5 papers have been found. The predictive value of the test depends upon the prevalence of the disease in the population under study.

The flow-functional relationship in patients with chronic coronary echocardiogrpahy disease and reduced regional function: After limiting to human studies we identified 86 citations.