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Titolo:
DIAGNOSTIC-VALUE OF DOBUTAMINE ECHOCARDIO GRAPHY IN EVERYDAY PRACTICE
Autore:
DAYOUB G; ANDREFOUET X; PERINETTI M; AMAYA J; NONY P; DESSEIGNE P; RORIZ R; DELAHAYE F; DELAYE J;
Indirizzi:
HOP CARDIOVASC & PNEUMOL LOUIS PRADEL,BP LYON MONCHAT F-69394 LYON 03FRANCE
Titolo Testata:
Annales de cardiologie et d'angeiologie
fascicolo: 9, volume: 45, anno: 1996,
pagine: 489 - 494
SICI:
0003-3928(1996)45:9<489:DODEGI>2.0.ZU;2-T
Fonte:
ISI
Lingua:
FRE
Soggetto:
CORONARY-ARTERY DISEASE; ACUTE MYOCARDIAL-INFARCTION; TWO-DIMENSIONAL ECHOCARDIOGRAPHY; STRESS ECHOCARDIOGRAPHY; SCINTIGRAPHY; INFUSION; EXERCISE; ACCURACY; EXTENT; LOCATION;
Keywords:
STRESS ECHOCARDIOGRAPHY; DOBUTAMINE; STRESS ECG; CORONARY ARTERY DISEASE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
24
Recensione:
Indirizzi per estratti:
Citazione:
G. Dayoub et al., "DIAGNOSTIC-VALUE OF DOBUTAMINE ECHOCARDIO GRAPHY IN EVERYDAY PRACTICE", Annales de cardiologie et d'angeiologie, 45(9), 1996, pp. 489-494

Abstract

In order to evaluate the place of dobutamine echocardiography in everyday practice, this test and a stress ECG were performed ih 34 patients referred for diagnostic or assessment coronary angiography. Dobutamine, administered in 3-minute stages from 5 to 30 mu g/kg/min, was welltolerated. The anti-ischaemic treatment was continued in 26 patients before dobutamine echocardiography and in 15 patients before the stress ECG. The electrocardiographic, echocardiographic and angiographic documents were each analysed by 2 independent observers. Dobutamine echocardiography was considered to be positive in the presence of the development of a new abnormality of segmental kinetics or when abnormalityof segmental kinetics was identified outside of the territory of infarction. With reference to coronary angiography, the sensitivity of stress ECG and dobutamine echocardiography was 46% and 42%, respectively,and the specificity was 75% and 88%, respectively ; the sensitivity of each test was low, probably because of fake tests. The combination of the two tests improved the sensitivity (69%) without altering the specificity (75%). Dobutamine echocardiography could usefully complete anegative stress ICG whenever a false-negative result is suspected to avoir wrongly reassuring some patients and to allow appropriate management.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 16:26:21