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European Heart Journal 2004 25(17):1477-1479; doi:10.1016/j.ehj.2004.07.006
Copyright © 2004 by the European Society of Cardiology.
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Editorial

Can we quantify ischaemia during Dobutamine stress echocardiography in clinical practice?

E. Merli and George R. Sutherland*

Department of Cardiology, St. George's Hospital, Blackshaw Road, London SW17 0QT, UK

* Correspondence to: George R. Sutherland, Department of Cardiology, St. George's Hospital, Blackshaw Road, London SW17 0QT, UK. Tel.: +44 20 8725 1397 (E-mail: george.sutherland@eurheartj.org).

The first 10% of the full text of this article appears below.

This editorial refers to "Comparison of deformation imaging and velocity imaging for detecting regional inducible ischaemia during Dobutamine stress echocardiography"{dagger} by J.U. Voigt et al. on page 1517

Dobutamine stress echocardiography (DSE) is an accurate non-invasive technique for detecting coronary artery disease and is a test which has significant prognostic value in clinical practice, both in detecting viability and in risk stratification. However, the current clinical implementation of the technique is based solely on the visual detection of ischaemia-induced radial wall motion abnormalities. As such, this approach relies strongly on operator experience and does not attempt to define the distal ischaemic substrate. Reported sensitivities and specificities of DSE for the detection of CAD range between 80% and 85% when performed by experts.1

One of the main limitations of DSE is the subjective nature of visual . . . [Full Text of this Article]


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Related articles in EHJ:

Comparison of deformation imaging and velocity imaging for detecting regional inducible ischaemia during dobutamine stress echocardiography
Jens-Uwe Voigt, Uwe Nixdorff, Ruxandra Bogdan, Bert Exner, Kristin Schmiedehausen, Günther Platsch, Torsten Kuwert, Werner G. Daniel, and Frank A. Flachskampf
EHJ 2004 25: 1517-1525. [Abstract] [FREE Full Text]  



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