Over the past twenty years, stress echocardiography has developed into a well-established technique that is versatile, patient friendly, and relatively inexpensive. This new, extensively revised and enlarged edition of Stress Echocardiography documents all of the very significant advances made since the fourth edition. The early chapters place the technique within a historical context and describe its pathophysiological basis. Thereafter, all aspects of stress echocardiography are discussed, clearly and in detail, by the distinguished pioneer, Eugenio Picano, and other contributors carefully selected for their expertise. Both mainstream and emerging applications are explained, and systematic comparisons with competing and complementary cardiac imaging techniques are provided. The text is supported by a large number of high-quality illustrations. This book is invaluable not only to cardiologists but also to non-experts, such as technicians and students.
Author(s): Eugenio Picano (auth.), Eugenio Picano MD, PhD (eds.)
Edition: 5
Publisher: Springer-Verlag Berlin Heidelberg
Year: 2009
Language: English
Pages: 612
City: Berlin
Tags: Cardiology; Ultrasound
Front Matter....Pages i-xxi
Stress Echocardiography: A Historical and Societal Perspective....Pages 3-18
Anatomical and Functional Targets of Stress Testing....Pages 19-29
Symptoms and Signs of Myocardial Ischemia....Pages 31-42
Rational Basis of Stress Echocardiography....Pages 43-55
Pathogenetic Mechanisms of Stress....Pages 57-73
Echocardiographic Signs of Ischemia....Pages 75-89
Segmentation of the Left Ventricle....Pages 91-104
Dynamic and Pharmacologic Right Heart Stress Echocardiography: Right Ventricular Function, Right Coronary Artery Flow, Pulmonary Pressure, and Alveolar–Capillary Membrane Testing in the Echocardiography Laboratory....Pages 105-123
Coronary Flow Reserve....Pages 125-144
Technology and Training Requirements....Pages 145-155
Exercise Echocardiography....Pages 159-174
Dobutamine Stress Echocardiography....Pages 175-188
Dipyridamole Stress Echocardiography....Pages 189-206
Adenosine Stress Echocardiography....Pages 207-219
Pacing Stress Echocardiography....Pages 221-228
Ergonovine Stress Echocardiography for the Diagnosis of Vasospastic Angina....Pages 229-239
Hyperventilation Test....Pages 241-246
Grading of Ischemic Response....Pages 247-258
Diagnostic Results and Indications....Pages 259-272
Myocardial Viability....Pages 273-294
Diagnostic Flowcharts....Pages 295-302
Prognosis....Pages 303-315
New Ultrasound Technologies for Quantitative Assessment of Left Ventricular Function....Pages 319-342
Contrast Stress Echocardiography....Pages 343-359
Diastolic Stress Echocardiography....Pages 361-373
Endothelial Function in the Stress Echocardiography Laboratory....Pages 375-392
Special Subsets of Angiographically Defined Patients: Normal Coronary Arteries, Single-Vessel Disease,Left Main Coronary Artery Disease, Patients Undergoing Coronary Revascularization....Pages 395-403
Special Subsets of Electrocardiographically Defined Patients: Left Bundle Branch Block, Right Bundle Branch Block, Atrial Fibrillation....Pages 405-411
Special Subsets of Clinically Defined Patients: Elderly, Women, Outpatients, Chest Pain Unit, Noncardiac Vascular Surgery....Pages 413-427
Microvascular Disease....Pages 429-446
Hypertension....Pages 447-455
Diabetes....Pages 457-464
Stress Echocardiography in Dilated Cardiomyopathy....Pages 465-477
Stress Echocardiography in Hypertrophic Cardiomyopathy....Pages 479-486
Stress Echocardiography After Cardiac Transplantation....Pages 487-497
The Emerging Role of Exercise Testing and Stress Echocardiography in Valvular Heart Disease....Pages 499-521
Stress Echocardiography in Children....Pages 523-535
Stress Echocardiography Versus Stress Perfusion Scintigraphy....Pages 539-551
Stress Echocardiography Versus Cardiac CT....Pages 553-567
Stress Echocardiography Versus Stress CMR....Pages 569-583
Appropriateness in the Stress Echocardiography Laboratory....Pages 585-596
Back Matter....Pages 597-612
