Stress Echocardiography / Edition 4

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Over the past twenty years, stress echocardiography has developed into a well-established technique that is versatile, patient friendly, and relatively inexpensive. This new, extensively revised and enlarged edition of Stress Echocardiography documents all of the very significant advances made since the fourth edition. The early chapters place the technique within a historical context and describe its pathophysiological basis. Thereafter, all aspects of stress echocardiography are discussed, clearly and in detail, by the distinguished pioneer, Eugenio Picano, and other contributors carefully selected for their expertise. Both mainstream and emerging applications are explained, and systematic comparisons with competing and complementary cardiac imaging techniques are provided. The text is supported by a CD-ROM and a large number of high-quality illustrations. This book is invaluable not only to cardiologists but also to non-experts, such as technicians and students.

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Editorial Reviews

Doody's Review Service
Reviewer: Ali Morshedi, MD (Ochsner Clinic Foundation)
Description: This book explores the principles of stress echocardiography, explains the various forms of this modality, and its use in different subgroups of patients. The first edition, a single-author 100-page book, was published in 1991. This fourth edition is 500 pages and includes contributions from authors from 11 countries.
Purpose: The book argues that stress echocardiography is reliable, safe, and economical. Showing that stress echocardiography has the capability of not only improving the diagnostic standard but also saving money is a worthy objective. This goal was achieved not only by comparing the results of stress echocardiography with nuclear imaging and coronary angiography, but also by showing how one can improve the results of the test by directing one's attention to key features in performing the test and analyzing the results.
Audience: This book is principally aimed at cardiologists, fellows-in-training, and echocardiographers. It guides the reader from the most basic elements of stress echocardiography to the most advanced and technical levels. It is written and organized so that readers with different backgrounds can enjoy it and benefit from it. The contributing authors are extensively published and recognized authorities in this field. The principal author, Dr. Picano, is a senior medical researcher of the Italian National Council and Editor-in-Chief of Biomed Central Netjournal cardiovascular ultrasound.
Features: In 39 chapters, the book explains the principles of stress echocardiography, describes the various forms of this procedure, introduces the newest technology (tissue harmonic, tissue Doppler, and strain rate), and finally discusses the use of this modality in subsets of patients (women, dilated cardiomyopathy, hypertrophic cardiomyopathy, etc). It liberally uses figures, tables and images to enhance the reader's understanding of the subject. The text is fluent and well organized. Many current educational materials combine text and multimedia devices such as CD-ROMs to enhance the reader's understanding. A companion CD-ROM would, for example, have been an excellent way to demonstrate an actual wall motion abnormality on a motion clip. Unfortunately, this book comes with no such accompaniment.
Assessment: This excellent book covers every aspect of stress echocardiography and provides its readers with an in-depth knowledge of the field, improves their understanding and enhances their ability to interpret the results.

3 Stars from Doody
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Product Details

  • ISBN-13: 9783540001621
  • Publisher: Springer-Verlag New York, LLC
  • Publication date: 8/28/2003
  • Edition description: 4th ed.
  • Edition number: 4
  • Pages: 480
  • Product dimensions: 6.50 (w) x 9.55 (h) x 1.40 (d)

Meet the Author

The author is Director of the Pisa Institute of Clinical Physiology of the Italian National Research Council. He is/waspresent or past editorial board member or guest editor of Circulation, Journal American College of Cardiology, European Journal Echocardiography, Journal of American Society of Echocardiography. He is founder and editor-in-chief of the Biomed Central, ISI-tracked, journal Cardiovascular Ultrasound.

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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
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