Stress echocardiography has evolved over the past 20 years to the point that it is now a leading examination in patients with known or suspected heart disease. The history of stress echocardiography parallels the history of echocardiography itself. The technological advance from M-mode to two-dimensional examinations was a major factor in the development of stress echocardiography. The advent of digital recording has accelerated the acceptance of stress echocardiography, especially in the United States. The convenience in analyzing the images side-by-side has facilitated the interpretation greatly. There are many practical reasons for the increasing popularity of stress echocardiography. Besides providing clinically important information the convenience and cost effectiveness of the examination makes it highly competitive with other stress imaging examinations. The clinical applications for stress echocardiography are also increasing. The examination is being used for diagnostic, prognostic and viability determinations. There are many advances in applications and technology which are promising. Studies using this examination for prognosis are increasingly encouraging. Stress echocardiography, especially using pharmacologic stress, is playing a greater role in viability determination. There are several technological advances which may improve the stress echocardiographic examination. Contrast echocardiography is now being investigated as a means of defining endocardial borders. There are techniques for identifying the endocardial borders automatically. Doppler techniques for tissue recordings represent a new and attractive way of enhancing and analyzing wall thickness and motion. Digital recordings offer opportunities for assisting analysis of wall motion. For all of these technological clinical and socioeconomic reasons the future of stress echocardiography is indeed bright.
|Original language||English (US)|
|Number of pages||6|
|State||Published - Dec 1 1995|
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine