| Description |
1 online resource (xxx, 672 pages) : illustrations (black and white, and colour) |
| Contents |
Intro -- Introduction -- Contents -- Contributors -- Part I: The Signs -- 1: Step A for Regional Wall Motion Abnormality in Stress Echocardiography -- 1.1 Classic and Alternative Ischemic Cascades -- 1.2 Left Ventricular Myocardium Segmentation Models -- 1.3 Assignment of Segments to Coronary Arterial Territories -- 1.4 Tips and Tricks -- 1.5 Matching Between Transthoracic and Transesophageal Segments -- 1.6 Methodology for Assessment of Regional Wall Motion Abnormalities -- 1.7 Response Patterns -- 1.8 Diagnostic Results and Accuracy -- 1.9 False-Negative Results -- 1.10 False-Positive Results -- 1.11 Towards Quantitative SE -- 1.12 Clinical Guidelines and Recommendations -- References -- 2: Step B for B-Lines in Stress Echocardiography -- 2.1 History and Pathophysiology -- 2.2 The Main Signs of Pulmonary Congestion: B-Lines -- 2.3 Methodology: The 4-Site Simplified Scan -- 2.4 LUS Response Patterns -- 2.5 Coronary Anatomy and Functional Correlates -- 2.6 Outcome Data and Implications for Therapy -- 2.7 Tips and Tricks -- 2.8 Clinical Guidelines and Recommendations -- References -- 3: Step C for Cardiac Reserve in Stress Echocardiography -- 3.1 Pathophysiology: From Cardiac Molecules to Ventricular Volumes -- 3.2 Methodology -- 3.3 The Main Signs of Normal and Abnormal Contractile Reserve -- 3.4 Coronary Anatomic, Functional, and Prognostic Correlates -- 3.5 Tips and Tricks -- 3.6 Clinical Guidelines and Recommendations -- References -- 4: Step D for Doppler-Based Coronary Flow Velocity Reserve in Stress Echocardiography -- 4.1 Pathophysiology -- 4.2 Methodology -- 4.3 Response Patterns -- 4.4 Coronary Anatomy and Functional Correlates -- 4.5 Outcome Data -- 4.6 Tips and Tricks -- 4.7 The Value of Resting CFV -- 4.8 Clinical Guidelines and Recommendations -- References |
|
5: Step E for EKG-Based Heart Rate Reserve in Stress Echocardiography -- 5.1 Cardiac Autonomic Function -- 5.2 How to Measure Heart Rate Reserve -- 5.3 Heart Rate Reserve Response Patterns -- 5.4 Anatomic and Functional Correlates -- 5.5 Outcome Data -- 5.6 Tips and Tricks -- 5.7 Clinical Guidelines -- References -- 6: Step F for Mitral Regurgitant Flow in Stress Echocardiography -- 6.1 Mitral Regurgitation as a Disease and as a Syndrome -- 6.2 How to Measure MR -- 6.3 Response Patterns During Stress -- 6.4 Anatomic and Functional Correlates -- 6.5 Outcome Data -- 6.6 Tips and Tricks -- 6.7 Clinical Guidelines and Recommendations -- References -- 7: Step G for Gradients in Stress Echocardiography -- 7.1 Preload, Contractility, and Dynamic Gradients -- 7.2 Methodology -- 7.3 The Main Signs of Obstruction and Response Patterns -- 7.4 Tips and Tricks -- 7.5 Clinical Guidelines and Recommendations -- References -- 8: Step L for Left Atrium Stress Echocardiography -- 8.1 The Physiology of the Left Atrium -- 8.2 How to Measure LAV and Function -- 8.3 Response Patterns in SE -- 8.4 Coronary Anatomic and Functional Correlates -- 8.5 Outcome Data -- 8.6 Tips and Tricks -- 8.7 Clinical Guidelines and Recommendations -- References -- 9: Step P for Pulmonary Hemodynamics in Stress Echocardiography -- 9.1 Physiology of Pulmonary Circulation -- 9.2 How to Measure Pulmonary Artery Pressure -- 9.3 Response Patterns of Pulmonary Hemodynamics During Exercise -- 9.4 Functional Correlates of PH -- 9.5 Outcome Data -- 9.6 Tips and Tricks -- 9.7 Clinical Guidelines and Recommendations -- References -- 10: Step R for Right Ventricular Function in Stress Echocardiography -- 10.1 Right Ventricle Anatomy and Function -- 10.2 How to Measure Global RV Function -- 10.3 Right Ventricular Response Patterns During Stress |
|
10.4 Coronary Anatomic and Functional Correlates of Regional RV Function -- 10.5 Outcome Data -- 10.6 Tips and Tricks -- 10.7 Clinical Guidelines and Recommendations -- References -- 11: ABCDE Protocol for Stress Echocardiography in Chronic Coronary Syndromes -- 11.1 From Coronary Stenosis to Patient Vulnerability -- 11.2 How to Do ABCDE-SE -- 11.3 Response Patterns of ABCDE-SE -- 11.4 Coronary Anatomic and Functional Correlates -- 11.5 Outcome Data -- 11.6 Tips and Tricks -- 11.7 Recommendations: A Paradigm Shift -- References -- 12: The ABCDE-FGLPR Protocol for Stress Echocardiography Beyond Coronary Artery Disease -- 12.1 Beyond Coronary Artery Disease -- 12.2 How to Do the New Steps: FGLPR -- 12.3 Tips and Tricks -- 12.4 Recommendations and Guidelines -- References -- Part II: Training and Technology -- 13: Strain and Real-Time Three-Dimensional Stress Echocardiography -- 13.1 Toward Quantitative Stress Echocardiography -- 13.2 Anatomic Basis of Myocardial Contraction -- 13.3 Spatial and Temporal Heterogeneity of Left Ventricular Contraction -- 13.4 Speckle Tracking Technique -- 13.5 The Possible Role of Stress Speckle Tracking Echocardiography -- 13.6 Three-Dimensional Echocardiography -- 13.7 Pitfalls -- 13.8 Clinical Guidelines -- References -- 14: Contrast Stress Echocardiography -- 14.1 Historical Background and Pathophysiological Basis -- 14.2 Contrast Agents -- 14.3 Contrast Administration -- 14.4 Contrast Imaging Modalities -- 14.5 Clinical Applications 1: Enhancement of Left Ventricular Endocardial Borders -- 14.6 Clinical Applications 2: Quantitative Volumetric SE -- 14.7 Clinical Applications 3: Enhancement of Color Doppler Imaging of the Mid-Distal Left Anterior Descending Artery -- 14.8 Clinical Applications 4: MCE for Myocardial Perfusion Imaging -- 14.9 Pitfalls -- 14.10 Safety and Cost |
|
14.11 Clinical Indications and Recommendations -- References -- 15: Artificial Intelligence and Robotic Stress Echocardiography -- 15.1 The Need for Artificial Intelligence in Stress Echocardiography -- 15.2 From Eyeballing to Quantification -- 15.3 Exposing Information Missed by the Eye -- 15.4 Hybrid Imaging -- 15.5 Data Handling: Network Analysis -- 15.6 Robotic Stress Echocardiography -- 15.7 Recommendations and Vision -- References -- 16: Technology and Training Requirements in Stress Echocardiography -- 16.1 Introduction -- 16.2 General Test Protocol -- 16.3 Imaging Equipment and Techniques -- 16.4 Training Requirements -- 16.5 Pitfalls -- 16.6 Clinical Guidelines -- References -- Part III: The Stresses: How, When, and Why -- 17: Exercise Echocardiography -- 17.1 Historical Background -- 17.2 Pathophysiology -- 17.3 Exercise Techniques -- 17.4 Safety and Feasibility -- 17.5 Diagnostic Results for Detection of Coronary Artery Disease and Myocardial Viability -- 17.6 Prognostic Value -- 17.7 Exercise Echocardiography Outside Coronary Artery Disease -- 17.8 Pitfalls -- 17.9 Clinical Guidelines -- References -- 18: Dobutamine Stress Echocardiography -- 18.1 Historical Background -- 18.2 Pharmacology and Pathophysiology -- 18.3 Methodology, Protocol, and Performance of DSE -- 18.4 Myocardial Response and Testing Interpretation -- 18.5 Feasibility and Safety -- 18.6 Diagnostic Results for Detection of Coronary Artery Disease -- 18.7 Dobutamine as a Test of Coronary Vasospasm by Serendipity -- 18.8 Identification of Myocardial Viability -- 18.9 Prognostic Value -- 18.10 Pitfalls and Specific Considerations -- 18.11 Contraindications -- 18.12 Guidelines and Recommendations -- References -- 19: Dipyridamole Stress Echocardiography -- 19.1 Background -- 19.2 Pharmacology -- 19.3 Pathophysiology |
|
19.4 Methodology and Response Patterns -- 19.5 Feasibility and Safety -- 19.6 Diagnostic Results for Detection of Coronary Artery Disease -- 19.7 Myocardial Viability -- 19.8 Ischemia with Nonobstructive Coronary Arteries -- 19.9 Prognostic Value -- 19.10 The Added Value of ABCDE Protocol -- 19.11 Indications and Contraindications -- 19.12 Pitfalls -- 19.13 Clinical Guidelines -- References -- 20: Adenosine, Regadenoson Stress Echocardiography -- 20.1 Background -- 20.2 Pharmacology and Pathophysiology -- 20.2.1 Adenosine Receptors -- 20.2.2 The Pharmacological Goal for Vasodilator for SE -- 20.2.3 Pharmacologic Comparison of Vasodilator Agents (Adenosine, Dipyridamole, and Regadenoson) -- 20.2.4 Hemodynamic Effect Adenosine -- 20.3 Methodology -- 20.4 Tolerability and Safety -- 20.5 Indications, Contraindications, and Influencing Factors -- 20.6 The Main Stress Markers of Coronary Artery Disease and Their Diagnostic Accuracy -- 20.7 Prognostic Value of Adenosine SE -- 20.8 Practical Aspects: Cost and Availability -- 20.9 Clinical Guidelines -- References -- 21: Pacing Stress Echocardiography -- 21.1 Historical Background -- 21.2 Pathophysiology -- 21.3 Methodology -- 21.4 Clinical Results and Comparison with Other SE Tests -- 21.5 Pitfalls -- 21.6 Clinical Indications -- References -- 22: Ergonovine Stress Echocardiography for the Diagnosis of Vasospastic Angina -- 22.1 Coronary Vasospasm of Large and Small Vessels -- 22.2 Basic Considerations -- 22.3 Protocol -- 22.4 Noninvasive Diagnosis of Coronary Artery Spasm: Clinical Data -- 22.5 Special Safety Considerations -- 22.6 Clinical and Prognostic Impact -- 22.7 Pitfalls -- 22.8 Clinical Guidelines -- References -- 23: Hyperventilation, Handgrip, Cold Pressor Stress Echocardiography -- 23.1 Hyperventilation Test -- 23.2 Handgrip SE -- 23.3 Cold Pressor SE |
| Summary |
This is the seventh edition of a long-selling book (first edition 1991) that was translated into Italian, French, Chinese, Portuguese, Spanish, English. In the last ten years, stress echocardiography has exploded in its breadth and variety of applications. From a one-fits-all approach (wall motion by 2D-echo in the patient with known or suspected coronary artery disease), the field has progressed to an omnivorous, next-generation laboratory employing a variety of technologies (from M-Mode to 2D, from pulsed, continuous, color and tissue Doppler to lung ultrasound) on patients covering the entire spectrum of severity (from elite athletes to patients with end-stage heart failure) and ages (from children with congenital heart disease to the elderly with aortic stenosis). This new edition is enriched with over 300 figures, 150 tables and video-clips. In a societal and economic climate of increasing pressure for appropriate, justified and optimized imaging, stress echocardiography offers the great advantages of being radiation-free, relatively low cost, with minimal environmental impact, and with a staggering versatility: we can get more (information) with less (cost and risk). The volume will be a tremendous aid to current best practices for all health operators who intend to use stress echocardiography and ultrasound for diagnosis and guidance of optimal management in their patients |
| Bibliography |
Includes bibliographical references and index |
| Notes |
Print version record |
| Subject |
Stress echocardiography.
|
|
Echocardiography, Stress
|
|
Stress echocardiography.
|
| Form |
Electronic book
|
| Author |
Picano, Eugenio, 1958- editor.
|
| ISBN |
9783031310621 |
|
3031310624 |
|
