Diagnosis of coronary atherosclerosis using stress echocardiography with bicycle exercise


Cite item

Full Text

Abstract

Aim. To determine sensitivity and specificity of stress echocardiography (SEC) in diagnosis of stenosing
atherosclerosis of coronary arteries (CA), especially in patients recovered from Q-myocardial infarction.
Material and methods. The above sensitivity and specificity were studied in 75 patients (70 males and
5 females; mean age 53.7 ± 7 years) with coronary atherosclerosis (CS).
Results. The sensitivity of impaired local contractility index (IL CI) in univessel lesion was 77.8%, in
multivessel lesion - 90.4%, specificity - 85.7%. Sensitivity of other parameters studied was for development
of an anginal episode 65.4%, increment of ejection fraction under 5% - 63.9%, increased
end systolic volume - 61.1 %, depression of ST segment - 48.1 %, increased end diastolic volume
38.9%. A total of 3 parameters had 100% sensitivity: impossible a > 5% rise of EF in response to exercise,
an increase of end systolic and diastolic volumes, anginal attack (85.7%), ST depression
(78.6%).
Conclusion. Hemodynamic parameters must be assessed in the course of SECG for objectiviiation of
the result and improvement of its specificity.

References

  1. ACC/AHA guidelines for the clinical application of echocardiography: Executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Clinical Application of Echocardiography). Developed in collaboration with the American Society of Echocardiography. J. Am. Coll. Cardiol. 1997; 29: 862-879.
  2. Cortigiani L., Lombardi M., Landi P. et al. Risk stratification bv pharmacological stress echocardiography in a primary care cardiology center. Eur. Heart J. 1998; 19: 1673-1680.
  3. Pasierski Т., Szwed H., Malczewska B. et al. Advantages of exercise echocardiography in comparison to dobutamine echocardiography in the diagnosis of coronary artery disease in hypertensive subjects. J. Hum. Hypertens. 2001; 15(11): 805- 809.
  4. Marangelli V., fliceto S., Piccinni G. et al. Detection of coronary artery disease by digital stress echocardiography: comparison of exercise, transesophageal atrial pacing and dipyridamole echocardiography. J. Am. Coll. Cardiol. 1994; 24 (1): 117-124.
  5. Roger V. L., Pellikka P. A., Oh J. K. et al. Stress echocardiography. Part I. Exercise echocardiography: techniques, implementation, clinical applications, and correlation. Mayo Clin. Proc. 1995; 80 (1): 5-15.
  6. Feigenbaum H. Stress echocardiography. Cardiovasc. Imag. 1992; 4 (1): 13-18.
  7. Ботвин И. М., Кострова В. В., Атьков О. Ю. Нагрузочная эхокардиография. I: методологические основы. Визуализация в клинике 1997; 10: 54-60.
  8. Armstrong W. F., O'Donnell J., Ryan Т., Feigenbaum H. Effect of prior myocardial infarction and extent and location of coronary disease on accuracy of exercise echocardiography. J. Am. Coll. Cardiol. 1987; 10: 531-538.
  9. Beleslin B. D., Ostojic M., Stepanovic J. et al. Stress echocardiography in the detection of myocardial ischemia. Head-tohead comparison of exercise, dobutamine, and dipyridamole tests. Circulation 1994; 90: 1168-1176.
  10. Crouse L. J., Harbrecht J. J., Vacek J. L. et al. Exercise echocardiography as a screening test for coronary artery disease and correlation with coronary arteriography. Am. J. Cardiol. 1991; 67: 1213-1218.
  11. Hecht H. S., DeBord L., Shaw R. et al. Digital supine bicycle stress echocardiography: a new technique for evaluating coronary artery disease. J. Am. Coll. Cardiol. 1993; 21: 950-956.
  12. Marwick Т. Н., Nemec J. J., Pashkow F. J. et al. Accuracy and limitations of exercise echocardiography in a routine clinical setting. J. Am. Coll. Cardiol. 1992; 19: 74-81.
  13. Quinones M. A., Verani M. S., Halchln R. M. et al. Exercise echocardiography versus 201T1 single-photon emission computed tomography in evaluation of coronary artery disease. Analysis of 292 patients. Circulation 1992;.85: 1026-1031.
  14. Roger V. L., Pellikka P. A., Oh J. K. et al. Identification of multivessel coronary artery disease by exercise echocardiography. J. Am. Coll. Cardiol. 1994; 24: 109-114.
  15. Ryan Т., Segar D. S., Sawada S. G. et al. Detection of coronary artery disease with upright bicycle exercise echocardiography. J. Am. Soc. Echocardiogr. 1993; 6: 186-197.

Copyright (c) 2004 Duplyakov D.V., Emelyanenko V.M., Svetlakova L.P., Goleva S.V., Sysuenkova E.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
 

Address of the Editorial Office:

  • Novij Zykovskij proezd, 3, 40, Moscow, 125167

Correspondence address:

  • Alabyan Street, 13/1, Moscow, 127055, Russian Federation

Managing Editor:

  • Tel.: +7 (926) 905-41-26
  • E-mail: e.gorbacheva@ter-arkhiv.ru

 

© 2018-2021 "Consilium Medicum" Publishing house


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies