Stress Echocardiography

by Eugenio Picano (Editor)

Overview

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.

Product Details

ISBN-13:	9783031310621
Publisher:	Springer-Verlag New York, LLC
Publication date:	10/19/2023
Sold by:	Barnes & Noble
Format:	eBook
File size:	136 MB
Note:	This product may take a few minutes to download.

About the Author

Eugenio Picano, MD, PhD, obtained his Degree in medicine in 1981, to which a Cardiology fellowship, and a PhD in Cardiovascular Pathophysiology in Pisa University followed. Research Director in the Biomedicine Department of the National Research Council until June 2023. A clinical cardiologist with a strong background in cardiovascular imaging and multidisciplinary research, he has published 520 papers in peer-reviewed journals (h-index= 98 by Google Scholar as per January 30, 2023). He is recognized for contributions in stress echocardiography, medical radiation effects on doctors and patients, extravascular lung water detection by lung ultrasound and non-invasive biopsy of atherosclerotic plaque by tissue characterization techniques. 

Table of Contents

1	Stress Echocardiography: A Historical Perspective (or How I Ate My Father)	1
2	Anatomical and Functional Targets of Stress Testing	17
3	Symptoms and Signs of Myocardial Ischemia	27
4	Rational Basis of Stress Echocardiography	37
5	Echocardiographic Signs of Ischemia	45
6	Segmentation of the Left Ventricle	57
7	Right Ventricular Ischemia in Stress Echocardiography	67
8	Pathogenetic Mechanisms of Stress	75
9	Stress Echocardiography: Instructions for Use	91
10	Exercise Echocardiography	103
11	Dobutamine Stress Echocardiography	115
12	Dipyridamole Stress Echocardiography	133
13	Adenosine Stress Echocardiography	155
14	Pacing Stress Echocardiography	165
15	Ergonovine Stress Echocardiography for the Diagnosis of Vasospastic Angina	173
16	Hyperventilation Test	183
17	Grading of Ischemic Response	189
18	Diagnostic Results and Indications	199
19	Echocardiographic Recognition of Myocardial Viability	213
20	Diagnostic Flowcharts	231
21	Prognosis	239
22	Tissue Harmonic Imaging, Anatomical M-Mode, and Three-Dimensional Imaging in Stress Echocardiography	253
23	New Technologies in Stress Echocardiography: Tissue Doppler and Strain Rate Imaging	263
24	New Technologies in Stress Testing: Acoustic Quantification and Color Kinesis	275
25	Tissue Characterization	291
26	Transesophageal Echocardiography for Evaluation of Coronary Artery Disease	299
27	Myocardial Contrast Stress Echocardiography	311
28	Special Subsets of Angiographically Defined Patients: Normal Coronary Arteries, Single-Vessel Disease, Left Main Coronary Artery Disease, Major Noncardiac Vascular Surgery, Patients Undergoing Coronary Revascularization	329
29	Special Subsets of Electrocardiographically Defined Patients: Left Bundle Branch Block, Right Bundle Branch Block, Atrial Fibrillation	339
30	Special Subsets of Clinically Defined Patients: Elderly, Women, Outpatients, Diabetics, Chest Pain Unit Patients	345
31	Microvascular Disease: Syndrome X, Hypertrophic Cardiomyopathy, and Arterial Hypertension	355
32	Stress Echocardiography in Dilated Cardiomyopathy	369
33	Stress Echocardiography After Cardiac Transplantation	377
34	Stress Doppler Echocardiography in Valvular Heart Disease	387
35	Stress Echocardiography Versus Cardiac Magnetic Resonance Imaging	403
36	Stress Echocardiography and Nuclear Imaging	419
37	Coronary Flow Reserve	437
38	Endothelial Function in the Stress Echocardiography Laboratory	455
39	Ulysses' Syndrome	469
	Subject Index	477

Editorial Reviews

From reviews of the previous editions:

"Dr. Picano, one of the pioneers of stress echo, describes the pathophysiological basis of the technique extremely well. In addition, both the advantages and the limitations of the method are covered in a clear and comprehensive way. The book will be useful to cardiologists and even 'non-experts' such as echo technicians and students" (CARDIOVASCULAR RESEARCH)

"A narrative and enjoyable styleà An extremely valuable and important book for those who practice stress echo and are interested in clinical and scientific aspects of the method." (DER INTERNIST)

From the reviews of the fourth edition:

"The book is written for physicians and sonographers practising stress echocardiography and for beginners … . The book provides an up-to-date, extensive and comprehensive coverage of various means of performing stress echocardiography, the implications that each suggest with diagnostic flow charts, the new technological developments with their applications …. . At present it is the only existing book covering all aspects of stress echocardiography. This book is a pleasure to read and reflects the tremendous contribution of dr. Picano in this field." (Bharati Shivalkar, Acta Cardiologica, Vol. 59 (4), 2004)

From the Publisher