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European Heart Journal Advance Access originally published online on June 6, 2007
European Heart Journal 2007 28(12):1407-1408; doi:10.1093/eurheartj/ehm166
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Straining to detect ischaemia

Thomas H. Marwick

Department of Medicine, University of Queensland, Princess Alexandra Hospital, Ipswich Road, Brisbane, Queensland 4102, Australia

Corresponding author. Tel: +61 7 3240 5340; fax: +61 7 3240 5399. E-mail address: t.marwick@uq.edu.au

This editorial refers to ‘Assessment of the contractile reserve in patients with intermediate coronary lesions: a strain rate imaging study validated by invasive myocardial fractional flow reserve’ by F. Weidemann et al., on page 1425

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

While stress echocardiography is a ‘mainstream’ test for the diagnosis and prognostic evaluation of coronary artery disease, the limitations of qualitative assessment of wall motion (WM) scoring are widely recognized.1 Strain rate imaging might provide a quantitative strategy that could reduce the need for expert interpretation and improve concordance between observers.

The validation of functional testing has traditionally been performed against stenosis severity at coronary angiography. Among many problems with this approach, the difficulty in defining physiologic significance from stenosis severity is perhaps the greatest. Stenoses > 75% severity are usually flow-limiting under conditions of . . . [Full Text of this Article]


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Related articles in EHJ:

Assessment of the contractile reserve in patients with intermediate coronary lesions: a strain rate imaging study validated by invasive myocardial fractional flow reserve
Frank Weidemann, Philip Jung, Caroline Hoyer, Jens Broscheit, Wolfram Voelker, Georg Ertl, Stefan Störk, Christiane E. Angermann, and Joerg M. Strotmann
EHJ 2007 28: 1425-1432. [Abstract] [Full Text]