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Titlebook: Stress Echocardiography; Its Role in the Diag Thomas H. Marwick Book 1994 Springer Science+Business Media Dordrecht 1994 coronary artery di

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书目名称Stress Echocardiography
副标题Its Role in the Diag
编辑Thomas H. Marwick
视频videohttp://file.papertrans.cn/880/879579/879579.mp4
丛书名称Developments in Cardiovascular Medicine
图书封面Titlebook: Stress Echocardiography; Its Role in the Diag Thomas H. Marwick Book 1994 Springer Science+Business Media Dordrecht 1994 coronary artery di
描述W. F. ARMSTRONG While stress echocardiography is not the first technique to be applied to patients for the diagnosis of coronary artery disease, it represents an impor­ tant clinical tool, likely to become of increasing pertinence in today‘s era of cost containment and mandated cost-effectiveness of diagnosis. It may be the most rapidly expanding area of clinical echocardiography today. Stress echocardiography as we know it today represents the natural con­ clusion and merger of observations made over fifty years ago. In 1935 Tenn­ ant and Wiggers demonstrated that the immediate result of a coronary oc­ clusion, was an instantaneous abnormality of wall motion [1]. As viewed from the surface of the heart in an open chest dog preparation, cyanosis and obvious paradoxical bulging of the left ventricular wall was noted. At a similar time Masters and co-workers, using fairly rudimentary exercise de­ vices, described the response of the human cardiovascular system to sustained exercise (Figure 1) [2]. These two observations diverged for four decades while clinical investigation was pursued along the two parallel lines.
出版日期Book 1994
关键词coronary artery disease; coronary heart disease; diagnosis; echocardiography; electrocardiography; imagin
版次1
doihttps://doi.org/10.1007/978-94-011-0782-2
isbn_softcover978-94-010-4335-9
isbn_ebook978-94-011-0782-2Series ISSN 0166-9842
issn_series 0166-9842
copyrightSpringer Science+Business Media Dordrecht 1994
The information of publication is updating

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Exercise Echocardiography,timal combination of stress with echocardiography. This chapter will examine methodological aspects and the accuracy of this test in the detection of coronary disease. Comparisons with the stress ECG and other stress-imaging combinations will be addressed in subsequent chapters.
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978-94-010-4335-9Springer Science+Business Media Dordrecht 1994
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Stress Echocardiography with Vasoactive Agents,, but it may be combined with reduction in coronary supply due to vasospasm or coronary steal. This “supply-side” ischemia may be replicated during stress testing, either using dipyridamole as a convenient form of pharmacologic stress, or using ergotamine to specifically investigate the presence of a vasoactive mechanism of ischemia.
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Prognostic Value of Stress Echocardiography,er, 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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