[Stress ultrasonography with dobutamine in the diagnosis of coronary disease].
Digital stress echocardiography (DSE) with dobutamine infusion has recently emerged as an attractive alternative to exercise stress testing for evaluating coronary artery disease. DSE seems particularly useful in the diagnosis or the assessment of ischemia in patients unable to exercise or when the test is difficult to interpret. DSE has also proved to be useful in patients undergoing preoperative evaluation of cardiac risk. The assessment of residual myocardial viability in patients with previous myocardial infarction is another promising development. After a description of the methodology of dobutamine stress echocardiography, this article reviews the experience obtained to date with this technique in the diagnosis and the evaluation of coronary artery disease.
Service de Cardiologie B, CHU Bichat, Paris.
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Brochet
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Assayag
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Benamer
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PE
Valère
D002316:Cardiotonic Agents; D003327:Coronary Disease / Q000000981:diagnostic imaging*; D004280:Dobutamine; D004452:Echocardiography / Q000379:methods*; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000209:etiology; D011379:Prognosis; D013312:Stress, Physiological
D002316:Cardiotonic Agents; D004280:Dobutamine
L'échographie de stress sous dobutamine dans le diagnostic de la maladie coronaire.