[Echocardiography during transesophageal atrial pacing. Its applicability and diagnostic value].
OBJECTIVE
Atrial pacing has been proposed as an alternative method to the isotonic exercise, to induce ischemia, and, joined to two-dimensional echocardiography, as one of the main modalities in stress echo. In order to analyse its applicability and diagnostic value in assessing coronary artery disease this study was undertaken.


METHODS
52 patients referred to coronarography for suspicion or evaluation of ischemic disease, were submitted to this technique.


RESULTS
The study was completed in 44 patients (applicability rate of 84,7%). The results obtained showed a sensitivity, specificity and diagnostic accuracy for the regional wall motion abnormalities echocardiographically detected, of 88%, 68% and 79%, respectively. When electrocardiographic changes or presence of angina during atrial pacing were added to echocardiographic data, sensitivity increased to 96%. In 41 patients in which a conventional stress test was available, sensitivity was 55% electrocardiographically, 33% clinically and 68% globally.


CONCLUSIONS
It is concluded that transthoracic two-dimensional echocardiography during atrial pacing is a safe, highly sensitive method for coronary artery disease detection. The limitations of the method for its routine clinical application are also analysed.
Seccion de Cardiología, Hospital Universitario Virgen de la Arrixaca, Murcia.
J
J
Salas Nieto
J
J
López Candel
M
M
Villegas García
J
J
García García
G
G
de la Morena Valenzuela
F
F
Picó Aracil
J V
JV
Campos Peris
J A
JA
Ruipérez Abizanda
D000328:Adult; D000368:Aged; D002304:Cardiac Pacing, Artificial / Q000379:methods* / Q000706:statistics & numerical data; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis; D004452:Echocardiography / Q000379:methods* / Q000706:statistics & numerical data; D004947:Esophagus; D005069:Evaluation Studies as Topic; D005080:Exercise Test; D005260:Female; D006325:Heart Atria; D006801:Humans; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity; D013909:Thorax
Ecocardiografía durante la estimulación auricular transesofágica. Aplicabilidad y valor diagnóstico.