A Reminder That Stress Echocardiography Is Useful in Diagnosing Myocardial Ischemia in Nonobstructive Coronary Artery Disease: Case Series.
anginal chest pain
cardiac stress test
coronary artery angiogram
dobutamine stress echocardiography
microvascular angina
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
accepted:
06
09
2021
entrez:
18
10
2021
pubmed:
19
10
2021
medline:
19
10
2021
Statut:
epublish
Résumé
Identification of ischemia remains critical when assessing individuals presenting with atypical symptoms or in patients with known coronary artery disease (CAD). Several imaging modalities are currently available to attain this diagnostic goal. Unfortunately, not all case presentations are straightforward, particularly when microvascular dysfunction (MVD) is the cause of symptoms in the absence of identifiable epicardial luminal stenosis. Specifically, in such cases, current imaging guidelines do not include stress echocardiography (SE) as a recommended tool when assessing these patients. We present three cases that highlight the utility of SE for identifying MVD and provide mechanistic explanations. We believe that SE should not be completely discarded as an inadequate testing modality; we highlight the potential utility of this imaging modality not only in diagnosing CAD and pre-surgical evaluation of patients but also in identifying patients with MVD.
Identifiants
pubmed: 34659974
doi: 10.7759/cureus.17763
pmc: PMC8493938
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e17763Informations de copyright
Copyright © 2021, Baweja et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Circulation. 2005 Sep 6;112(10):1444-50
pubmed: 16129798
BMC Cardiovasc Disord. 2021 Apr 15;21(1):185
pubmed: 33858347
Circulation. 2016 Mar 29;133(13):1272-89
pubmed: 27022039
Am J Med. 2019 Jun;132(6):692-697
pubmed: 30684452
Circ Cardiovasc Imaging. 2018 Oct;11(10):e007483
pubmed: 30354474
Circulation. 1993 Jan;87(1):76-9
pubmed: 8419026
Circulation. 2009 May 19;119(19):2561-7
pubmed: 19414635
BMC Med Imaging. 2021 Jan 6;21(1):5
pubmed: 33407208
Am Heart J. 2013 Jul;166(1):38-44
pubmed: 23816019
Circulation. 2003 Apr 29;107(16):2120-6
pubmed: 12682001
J Emerg Med. 2018 Feb;54(2):156-164
pubmed: 29274930
JACC Cardiovasc Imaging. 2020 Jul;13(7):1577-1590
pubmed: 31607665
JAMA. 2014 Nov 5;312(17):1754-63
pubmed: 25369489
Eur Heart J. 2010 Jun;31(11):1319-27
pubmed: 20215125
Eur J Echocardiogr. 2008 Jul;9(4):415-37
pubmed: 18579481
JAMA Cardiol. 2016 Dec 1;1(9):1038-1042
pubmed: 27846640
Circ Cardiovasc Imaging. 2011 Nov;4(6):628-35
pubmed: 21946702
Eur Heart J. 2013 Oct;34(38):2949-3003
pubmed: 23996286
Eur Heart J. 2020 Jan 14;41(3):407-477
pubmed: 31504439
Eur Heart J. 2002 May;23(10):821-9
pubmed: 12009723
J Am Soc Echocardiogr. 2007 Sep;20(9):1021-41
pubmed: 17765820
Curr Probl Cardiol. 2007 Feb;32(2):51-96
pubmed: 17208647