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The Changing Paradigm of Stress Echocardiography: Risk Stratification, Prognosis, and Future Directions
- Source :
- Hospital Practice. 38:26-39
- Publication Year :
- 2010
- Publisher :
- Informa UK Limited, 2010.
-
Abstract
- The use of stress echocardiography has undergone considerable evolution in the past 3 decades. Although stress echocardiography was first introduced as a noninvasive diagnostic tool for determining the presence or absence of coronary artery disease (CAD), it later served a prognostic role as well. The importance of stress echocardiography in risk stratification and prognosis is substantially undervalued by clinicians. The identification of patients at risk for future cardiac events has become a primary objective in noninvasive evaluation of patients with suspected or known CAD. In particular, the ability of stress echocardiography to identify patients at low (1%), intermediate (1%-5%), or high (5%) risk for future cardiac events is essential to decision making in patient management. Moreover, previous studies have conclusively demonstrated the incremental prognostic value of stress echocardiography over clinical and treadmill exercise data in predicting future cardiac events. This article presents a primarily single-center experience of retrospective and observational studies that address the current role of stress echocardiography and summarize its use for risk stratification, prognosis, and determining clinical outcomes, as well as cost-effective integration of such information in patient management decision making.
- Subjects :
- Male
medicine.medical_specialty
Cost-Benefit Analysis
Ventricular Dysfunction, Right
Physical Exertion
Myocardial Infarction
MEDLINE
Observation
Coronary Artery Disease
Risk Assessment
Coronary artery disease
Internal medicine
medicine
Stress Echocardiography
Humans
In patient
Intensive care medicine
Aged
Retrospective Studies
business.industry
Retrospective cohort study
General Medicine
Middle Aged
Prognosis
medicine.disease
Treatment Outcome
Echocardiography
Risk stratification
Exercise Test
Cardiology
Atrial Function, Left
Female
Observational study
Myocardial infarction diagnosis
business
Subjects
Details
- ISSN :
- 23771003 and 21548331
- Volume :
- 38
- Database :
- OpenAIRE
- Journal :
- Hospital Practice
- Accession number :
- edsair.doi.dedup.....44aec0202f95da6f062d6ce8973f0121