Stress Echocardiography: Its Role in the Diagnosis and Evaluation of Coronary Artery Disease Cover

Stress Echocardiography: Its Role in the Diagnosis and Evaluation of Coronary Artery Disease

ISBN/ASIN: 9789401043359,9789401107822 | 1994 | English | pdf | 182/190 pages | 5.18 Mb
Publisher: Springer Netherlands | Author: Thomas H. Marwick (auth.) | Edition: 1

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.

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Stress Echocardiography: Its Role in the Diagnosis and Evaluation of Coronary Artery Disease

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