Myocardial work and left ventricular contractile reserve during stress echocardiography: An angiographic validation.
Journal
Echocardiography (Mount Kisco, N.Y.)
ISSN: 1540-8175
Titre abrégé: Echocardiography
Pays: United States
ID NLM: 8511187
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
revised:
30
07
2021
received:
11
03
2021
accepted:
15
08
2021
pubmed:
13
9
2021
medline:
7
1
2022
entrez:
12
9
2021
Statut:
ppublish
Résumé
This study sought to determine the contractile reserve (CR) response to exercise stress echocardiography (ESE) quantified by the novel parameter, non-invasive myocardial work (MW), in subjects with angiographically proven coronary artery disease (CAD). CR was measured by the relative change in ejection fraction (EF), global longitudinal strain (GLS) and MW indices from rest to peak exercise in 304 patients referred for clinically indicated ESE. Positive ESE patients proceeded to coronary angiography and further risk stratified based on either percutaneous or surgical intervention. CR Multivessel disease requiring surgical revascularization have the greatest reduction in CR. MW may potentially improve detection of ischemia and further risk stratification during ESE to maximize the benefits of revascularization.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1711-1721Informations de copyright
© 2021 Wiley Periodicals LLC.
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