Exercise cross-sectional echocardiography in ischemic heart disease

L. S. Wann, J. V. Faris, R. H. Childress, J. C. Dillon, A. E. Weyman, Harvey Feigenbaum

Research output: Contribution to journalArticle

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Abstract

The authors performed cross-sectional echocardiograms at rest, during supine bicycle exercise, and after sublingual nitroglycerin administration in 28 patients suspected of having ischemic heart disease. Technically adequate exercise cross-sectional echocardiograms were obtained in 20 patients (71%). Ten patients had new areas of reversible segmental dysnergy, and all 10 had significant stenoses of coronary arteries supplying areas of the heart corresponding to the location of reversible dysynergy. Six of these 10 patients also underwent exercise thallium-201 perfusion scanning, and all six had reversible perfusion defects in the area that demonstrated reversible dysynergy on exercise cross-sectional echocardiography. At least two of the remaining 10 patients who did not have reversible segmental dysynergy on exercise cross-sectional echocardiography probably experienced myocardial ischemia that we did not detect. The authors conclude that exercise cross-sectional echocardiography is technically difficult but feasible. The mechanical consequences of exercise-induced regional myocardial ischemia can be detected noninvasively by real-time, two-dimensional, cross-sectional echocardiography.

Original languageEnglish
Pages (from-to)1300-1308
Number of pages9
JournalCirculation
Volume60
Issue number6
StatePublished - 1979
Externally publishedYes

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Myocardial Ischemia
Echocardiography
Exercise
Perfusion
Sublingual Administration
Thallium
Coronary Stenosis
Nitroglycerin

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

Cite this

Wann, L. S., Faris, J. V., Childress, R. H., Dillon, J. C., Weyman, A. E., & Feigenbaum, H. (1979). Exercise cross-sectional echocardiography in ischemic heart disease. Circulation, 60(6), 1300-1308.

Exercise cross-sectional echocardiography in ischemic heart disease. / Wann, L. S.; Faris, J. V.; Childress, R. H.; Dillon, J. C.; Weyman, A. E.; Feigenbaum, Harvey.

In: Circulation, Vol. 60, No. 6, 1979, p. 1300-1308.

Research output: Contribution to journalArticle

Wann, LS, Faris, JV, Childress, RH, Dillon, JC, Weyman, AE & Feigenbaum, H 1979, 'Exercise cross-sectional echocardiography in ischemic heart disease', Circulation, vol. 60, no. 6, pp. 1300-1308.
Wann LS, Faris JV, Childress RH, Dillon JC, Weyman AE, Feigenbaum H. Exercise cross-sectional echocardiography in ischemic heart disease. Circulation. 1979;60(6):1300-1308.
Wann, L. S. ; Faris, J. V. ; Childress, R. H. ; Dillon, J. C. ; Weyman, A. E. ; Feigenbaum, Harvey. / Exercise cross-sectional echocardiography in ischemic heart disease. In: Circulation. 1979 ; Vol. 60, No. 6. pp. 1300-1308.
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