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Titolo:
Evaluation of stress echocardiography safety in Spain and Portugal
Autore:
Garcia, MAR; Iglesias-Garriz, I; Fernandez, FC; Coloma, CG; Alonso-Orcajo, N; Branco, L; Picano, E;
Indirizzi:
Hosp Leon, Serv Cardiol, Leon 24071, Spain Hosp Leon Leon Spain 24071Hosp Leon, Serv Cardiol, Leon 24071, Spain Hosp Santa Marta, Lisbon, Portugal Hosp Santa Marta Lisbon PortugalHosp Santa Marta, Lisbon, Portugal Inst Fisiol Clin, Pisa, Italy Inst Fisiol Clin Pisa ItalyInst Fisiol Clin, Pisa, Italy
Titolo Testata:
REVISTA ESPANOLA DE CARDIOLOGIA
fascicolo: 8, volume: 54, anno: 2001,
pagine: 941 - 948
SICI:
0300-8932(200108)54:8<941:EOSESI>2.0.ZU;2-T
Fonte:
ISI
Lingua:
SPA
Soggetto:
CORONARY-ARTERY DISEASE; PROGNOSTIC VALUE; CHEST PAIN; DOBUTAMINE; EXPERIENCE; ACCURACY;
Keywords:
echocardiogaphy; stress; inotropic agents; dypiridamole;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Garcia, MAR Hosp Leon, Serv Cardiol, Altos Nava S-N, Leon 24071, Spain Hosp Leon Altos Nava S-N Leon Spain 24071 , Leon 24071, Spain
Citazione:
M.A.R. Garcia et al., "Evaluation of stress echocardiography safety in Spain and Portugal", REV ESP CAR, 54(8), 2001, pp. 941-948

Abstract

Introduction. There are few studies that evaluate the safety of stress echocardiography with discordant results. They are done in well-trained centers with highly selected populations leading to selection bias. Objective. To assess the safety of the different modalities of stress echocardiography in Spain and Portugal. Method. Severe complications were retrospectively analyzed during the stress echocardiography performed in 29 hospitals in Portugal and Spain, from the beginning of their activity to September, 1999. In this period 22,105 stress echocardiograms were permormed: 10,975 exercise echos, 2,969 low dose dobutamine echos, 6,832 high dose dobutamine echocardiograms, 1,276 dypiridamole echocardiograms, 41 paced echocardiograms and 12 with adenosine. A complication was defined as severe when it was life-threatening or led to hospital admission. Results. We registered 26 complications, one death, 3 ventricular fibrillations, 10 sustained ventricular tachycardias, 2 complete atrioventricular blocks, 6 acute myocardial infarctions, 2 ruptures of the free wall or ventricular septal defects, 1 transient ischemic attack and 1 severe symptomatichypotension. We had one severe complication for every 2,743 exercise stress, 1 every 1,231 dypiridamole, 1 every 325 high dose dobutamine without anycomplications with low dose dobutamine stress. We found a relationship between experience in dobutamine stress echocardiography and the frequency of complications. Three complications appeared once the test was finished. Conclusions. The stress echocardiography is a safe technique, but not harmless. The exercise stress echo is the safest of all the modalties of stressechocardiography. There is a relation between experience and the number ofcomplications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 01:59:41