Research article summary (published 21 Sep 2009):

[Diagnosis of coronary artery disease - part 3: Stress echocardiography and cardiac magnetic resonance imaging]

(Diagnostik der koronaren Herzkrankheit - Teil 3: Stress-Echokardiographie und kardiale Magnetresonanztomographie.)

Full Abstract

The diagnostic principle of stress echocardiography and cardiac magnetic resonance imaging (CMR) for the diagnosis of coronary artery disease is based on the visualisation of ischaemia-induced wall motion abnormalities. From a logistic point of view, stress echocardiography is the easiest test given that it can be performed at bedside. Both stress echocardiography and stress CMR also permit direct visualisation of myocardial perfusion at rest and during pharmacological stress (typically adenosine) using contrast administration (microbubbles for stress echocardiography, gadolinium for stress CMR). These novel methods for the visualisation of myocardial perfusion seem to provide information similar to that obtained using myocardial perfusion imaging but these techniques (particularly myocardial perfusion echocardiography) are not broadly established in daily practice yet. Similar to other non-invasive tests stress echocardiography and stress CMR have the highest diagnostic yield in patients with intermediate probability of significant coronary artery disease.

Author information

Author/s: Maeder, M T (MT); Zellweger, M J (MJ);

Affiliation: Baker IDI Heart and Diabetes Institute, Heart Center, Alfred Hospital, Melbourne, Victoria, Australien. micha.maeder(-atsign-)bluewin.ch

Journal and publication information

Publication Type: English Abstract; Journal Article

Journal: Praxis (Praxis (Bern 1994)), published in Switzerland. (Language: ger)

Reference: 2009-Sep; vol 98 (issue 19) : pp 1075-81

Dates: Created 2009/09/23; Completed 2009/10/27;

PMID: 19774515, status: MEDLINE (last retrieval date: 10/27/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult Aged Aged, 80 and over Cardiotonic Agents - diagnostic use Contrast Media Coronary Disease - diagnosis Dobutamine - diagnostic use Echocardiography, Stress Electrocardiography Exercise Test

Exercise Test Female Humans Image Enhancement Image Processing, Computer-Assisted Magnetic Resonance Imaging Male Middle Aged Referral and Consultation Risk Factors

Associated Chemicals: Cardiotonic Agents (0) ; Contrast Media (0) ; Dobutamine (34368-04-2)

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