nach oben

Current Cardiovascular Imaging Reports

Erschienen in:

01.10.2011

Assessment of Coronary Flow During Stress Testing: Does it Add Diagnostic and Prognostic Value?

verfasst von: Jorge Lowenstein, Cristian Tiano

Erschienen in: Current Cardiovascular Imaging Reports | Ausgabe 5/2011

Einloggen, um Zugang zu erhalten

Abstract

The aim of this review is to focus on the additional diagnostic and prognostic value of Doppler echocardiographic-derived coronary flow reserve over regional wall motion during pharmacological stress echocardiography in different clinical scenarios. Imaging coronary flow dramatically expands the diagnostic and prognostic potential of stress echocardiography and this is probably one of the largest contributions, considering that we are witnessing a more rational and advanced methodology of second-generation stress echocardiography.

Pellikka PA, Nagueh SF, Elhendy AA, et al. American Society of Echocardiography. American Society of Echocardiography recommendations for performance, interpretation, and application of stress echocardiography. J Am Soc Echocardiogr. 2007;20:1021–41.PubMedCrossRef

Sicari R, Nihoyannopoulos P, Evangelista A, et al. European Association of Echocardiography. Stress echocardiography expert consensus statement: European Association of Echocardiography (EAE) (a registered branch of the ESC). Eur J Echocardiogr 2008;9:415–37, Eur Heart J 2009;30:278–89

Gould L, Kirkeeide R, Buchi M. Coronary flow reserve as a physiologic measure of stenosis severity. J Am Coll Cardiol. 1990;15:459–74.PubMedCrossRef

• Lowenstein J, Tiano C, Maquez G, et al. Simultaneous analysis of wall motion and coronary flow reserve of left anterior descending coronary artery by transthoracic Doppler echocardiography during Dipyridamole stress. J Am Soc Echocardiogr 2003;16:607–13. One of the first papers that demonstrates the importance of the dual imaging during dipyridamole stress echo, in relation with the additional information provided by CFR. PubMedCrossRef

Hozumi T, Yoshida K, Ogata Y, et al. Noninvasive assessment of significant left anterior descending coronary artery stenosis by coronary flow velocity reserve with transthoracic color Doppler Ecocardiography. Circulation. 1998;97:1557–62.PubMed

•• Voci P, Pizzuto F, Romeo F. Coronary flow: a new asset for the echo lab? Eur Heart J 2004;25:1867–79. The authors demonstrated that noninvasive imaging of coronary flow and measurement of CFR is no longer a chimera. PubMedCrossRef

•• Rigo F. Coronary flow reserve in stress-echo lab. From pathophysiologic toy to diagnostic tool. Cardiovasc Ultrasound 2005;3:8. This article describes a huge clinical experience with very good supplementary material.

Meimoun P, Tribouilloy C. Non-invasive assessment of coronary flow and coronary flow reserve by transthoracic Doppler echocardiography: a magic tool for the real world. Eur J Echocardiogr. 2008;9:449–57.PubMedCrossRef

Laurer MS. Elements of danger—the case of medical imaging. N Engl J Med. 2009;361:841–3.CrossRef

10.

Rigo F, Richieri M, Pasanisi, et al. Usefulness of coronary flow reserve over regional wall motion when added to dual-imaging dipyridamole echocardiography. Am J Cardiol. 2003;91:269–73.PubMedCrossRef

11.

Nohotomi Y, Takeuchi M, Nagasawa K, Miyata K, Kuwata K. Simultaneous assessment of wall motion and coronary flow velocity in the left anterior descending coronary artery during Dipyridamole stress echocardiography. J Am Soc Echocardiogr. 2003;16:457–63.CrossRef

12.

Chirillo F, Bruni A, De Leo A, et al. Usefulness of Dipyridamole stress echocardiography for predicting graft patency after coronary bypass grafting. Am J Cardiol. 2004;93:24–30.PubMedCrossRef

13.

Ascione L, De Michele M, et al. Incremental diagnostic value of ultrasound assessment of coronary flow reserve with high-dose Dipyridamole in patients with acute coronary syndrome. Int J Cardiol. 2006;106(3):313–18.PubMedCrossRef

14.

•• Rigo F, Sicari R, Gherardi S, et al. The additive prognostic value of wall motion abnormalities and coronary flow reserve during dipyridamole stress echo. Eur Heart J 2008;29:79–88. This article describes pathophysiological and prognostic heterogeneity behind normal wall motion response during pharmacological stress echo. PubMedCrossRef

15.

Rigo F, Cortigiani L, Pasanisi E, et al. The additional prognostic value of coronary flow reserve on left anterior descending artery in patients with negative stress echo by wall motion criteria. A transthoracic vasodilator stress echo study. Am Heart J. 2006;151(1):124–30.PubMedCrossRef

16.

Lowenstein J, Montaña O, Quiroz MC, et al. Difference between nonischemic and ischemic dilated cardiomyopathy based on the assessment of coronary flow reserve in the distal left anterior descending coronary artery by transthoracic doppler echocardiography. Euroecho 6, Athens 2002, (Abstract)

17.

Rigo F, Gherardi S, Galderisi M, et al. The prognostic impact of coronary flow reserve assessed by Doppler echocardiography in nonischemic dilated cardiomyopathy. Eur Heart J. 2006;27:1319–23.PubMedCrossRef

18.

Rigo F, Gherardi S, Galderisi M, et al. Independent prognostic value of contractile and coronary flow reserve determined by dipyridamole stress echocardiography in patients with idiopathic dilated cardiomyopathy. Am J Cardiol. 2007;99:1154–8.PubMedCrossRef

19.

Sicari R, Rigo F, Cortigiani L, et al. Additive prognostic value of coronary flow reserve in patients with chest pain syndrome and normal or near-normal coronary arteries. Am J Cardiol. 2009;103:626–31.PubMedCrossRef

20.

Ahmari SA, Bunch TJ, Modesto K, et al. Impact of individual and cumulative coronary risk factors on coronary flow reserve assessed by dobutamine stress echocardiography. Am J Cardiol. 2008;10:1694–9.CrossRef

21.

Cortigiani L, Rigo F, Gherardi S, et al. Additional prognostic value of coronary flow reserve in diabetic and nondiabetic patients with negative dipyridamole stress echocardiography by wall motion criteria. J Am Coll Cardiol. 2007;50:1354–61.PubMedCrossRef

22.

Tona F, Caforio AL, Montisci R, et al. Coronary flow velocity pattern and coronary flow reserve by contrast-enhanced transthoracic echocardiography predict long-term outcome in heart transplantation. Circulation. 2006;114(1 Suppl):I49–55.PubMed

23.

• Cortigiani L, Rigo F, Gherardi S, et al. Prognostic implications of coronary flow reserve on left anterior descending coronary artery in hypertrophic cardiomyopathy. Am J Cardiol 2008;102:1728–23. New and interesting approach that demonstrates the importance of CFR value on the prognosis of hypertrophic cardiomyopathy. CrossRef

24.

Krzanowski M, Bodzoń W, Brzostek T, Nizankowski R, Szczeklik A. Value of transthoracic echocardiography for the detection of high-grade coronary artery stenosis: prospective evaluation in 50 consecutive patients scheduled for coronary angiography. J Am Soc Echocardiogr. 2000;13:1091–9.PubMedCrossRef

25.

Caiati C, Zedda N, Cadeddu M, et al. Detection, location, and severity assessment of left anterior descending coronary artery stenoses by means of contrast-enhanced transthoracic harmonic echo Doppler. Eur Heart J. 2009;30:1797–806.PubMedCrossRef

26.

Daimon M, Watanabe H, Yamagishi H, et al. Physiologic assessment of coronary artery stenosis without stress tests: noninvasive analysis of phasic flow characteristics by transthoracic Doppler echocardiography. J Am Soc Echocardiogr. 2005;18:949–55.PubMedCrossRef

27.

Tiano C, Berensztein S, Liotta S, y col. Eco estrés sin estrés, cuánta información adiciona el análisis del flujo basal en la arteria descendente anterior para el diagnóstico de enfermedad coronaria. XXXIII Congreso Argentino de Cardiología 2006;74(Supl 3):137 (abstract)

28.

Watanabe N, Akasaka T, Yamaura Y, et al. Noninvasive detection of total occlusion of the left anterior descending coronary artery with transthoracic Doppler echocardiography. J Am Coll Cardiol. 2001;38:1328–32.PubMedCrossRef

29.

• Meimoun P, Sayah S, Tcheuffa JC, et al. Transthoracic coronary flow velocity reserve assessment: comparison between adenosine and dobutamine. J Am Soc Echocardiogr 2006;19:1220–8. Interesting study that describes, with practical implications, the similarities and differences between the two drugs. PubMedCrossRef

30.

Lowenstein J, Forte, Tiano C, et al. Adenosine test in low dose and fast injection for the assessment of coronary flow reserve by transthoracic Doppler echocardiography. Eur J Echocardiogr. 2005;6 suppl 1:80577–3. Euroecho 9, (abstract).

31.

Sicari R, Rigo F, Gherardi S, et al. The prognostic value of Doppler echocardiographic-derived coronary flow reserve is not affected by concomitant antiischemic therapy at the time of testing. Am Heart J. 2008;156:573–9.PubMedCrossRef

32.

Lowenstein J, Presti S, Tiano C. Existe correlación entre el grado de restricción de la reserva coronaria diastólica de la arteria descendente anterior media por eco-Doppler transtorácico y la severidad de las lesiones angiográficas? Rev Argent Cardiol. 2001;69:85–93.

33.

Rigo F, Sicari R, Gherardi S. Prognostic value of coronary flow reserve in medically treated patients with left anterior descending coronary disease with stenosis 51% to 75% in diameter. Am J Cardiol. 2007;100:1527–31.PubMedCrossRef

34.

Meimoun P, Benali T, Elmkies F, et al. Prognostic value of transthoracic coronary flow reserve in medically treated patients with proximal left anterior descending artery stenosis of intermediate severity. Eur J Echocardiogr. 2009;10:127–32.PubMedCrossRef

35.

Cortigiani L, Rigo F, Sicari R, et al. Prognostic correlates of combined coronary flow reserve assessment on left anterior descending and right coronary artery in patients with negative stress echocardiography by wall motion criteria. Heart. 2009;95:1423–8.PubMedCrossRef

36.

Forte E, Rousse G, Lowenstein J. Target heart rate to determine the normal value of coronary flow reserve during dobutamine stress echocardiography. Cardiovascular Ultrasound. 2011;9:10.PubMedCrossRef

37.

• Takeuchi M, Miyazaki C, Yoshitani H, et al. Which is the better method in detecting significant left anterior descending coronary artery stenosis during contrast-enhanced dobutamine stress echocardiography: coronary flow velocity reserve or wall-motion assessment? J Am Soc Echocardiogr 2003;16:614–21. The article describes at first time, with details the possibility of measure CFR in the LAD during DOBSE. PubMedCrossRef

38.

Ahmari S, Modesto K, Bunch J, et al. Doppler derived coronary flow reserve during dobutamine stress echocardiography further improves detection of myocardial ischemia. Eur J Echocardiogr. 2006;7:134–40.PubMedCrossRef

39.

Florenciano-Sánchez R, de la Morena-Valenzuela G, Villegas-García M, et al. Noninvasive assessment of coronary flow velocity reserve in left anterior descending artery adds diagnostic value to both clinical variables and dobutamine echocardiography: a study based on clinical practice. Eur J Echocardiogr. 2005;6:251–9.PubMedCrossRef

40.

Takeuchi M, Yoshitani H, Miyazaki C, et al. Relation between changes in coronary flow velocity and in wall motion for assessing contractile reserve during dobutamine stress echocardiography. J Am Soc Echocardiogr. 2002;15:1290–6.PubMedCrossRef

41.

Lowenstein J, Caniggia C, Garcia A, et al. Additional prognostic value of coronary flow reserve in left anterior descending artery in patients with normal contractile response during pharmacological stress echocardiography. Eur J Echocardiogr 2010;11(suppl 2): Euroecho 2010. Copenhaguen abstract

42.

Voci P, Mariano E, Pizzuto F, Puddu PE, Romeo F. Coronary recanalization in anterior myocardial infarction: the open perforator hypothesis. J Am Coll Cardiol. 2002;40:1205–13.PubMedCrossRef

43.

Lee S, Otsuji Y, Minagoe S, et al. Noninvasive evaluation of coronary reperfusion by transthoracic Doppler echocardiography in patients with anterior acute myocardial infarction before coronary intervention. Circulation. 2003;108:2763–8.PubMedCrossRef

44.

Nohtomi Y, Takeuchi M, Nagasawa K, et al. Heart 2003;89:382–388 Persistence of systolic coronary flow reversal predicts irreversible dysfunction after reperfused anterior Myocardial infarction. Heart. 2003;89:382–88.PubMedCrossRef

45.

• Løgstrup BB, Høfsten DE, Christophersen TB, et al. Association between coronary flow reserve, left ventricular systolic function, and myocardial viability in acute myocardial infarction. Eur J Echocardiogr 2010;11:665–70. The paper highlights the relationship between CFR and viability after AMI. PubMedCrossRef

46.

Rigo F, Varga Z, Di Pede F, et al. Early assessment of coronary flow reserve by TTDE predicts late remodeling in reperfused anterior myocardial infarction. J Am Soc Echocardiogr. 2004;17:750–5.PubMedCrossRef

47.

Pizzuto F, Voci P y col, Roma J Am Coll Cardiol 2001;388:155–62. Assessment of flow velocity reserve by transthoracic Doppler echocardiography and venous adenosine infusion before and after left anterior descending coronary artery stending. J Am Coll Cardiol 2001;388:155–62

48.

•• Hyodo E, Hirata K, Hirose M, et al. Detection of restenosis after percutaneous coronary intervention in three major coronary arteries by transthoracic Doppler echocardiography. J Am Soc Echocardiogr 2010;23:553–9. Outstanding work that demonstrates that CFR measurement by TTDE is a very simple and useful method for diagnosing restenosis not only in the LAD lesions but also in the RCA and LCX lesions. PubMedCrossRef

49.

Pizzuto F, Voci P, Mariano E, et al. Evaluation of flow in the left anterior descending coronary artery but not in the left internal mammary artery graft predicts significant stenosis of the arterial conduit. J Am Coll Cardiol. 2005;45:424–32.PubMedCrossRef

50.

• Rigo F, Ciampi Q, Ossena G, et al. Prognostic value of left and right coronary flow reserve assessment in nonischemic dilated cardiomyopathy by transthoracic Doppler echocardiography. J Card Fail 2011;17:39–46. The article describes in depth the prognostic value of CFR in two coronary territories in patients with NIDCM confirmed. PubMedCrossRef

Titel: Assessment of Coronary Flow During Stress Testing: Does it Add Diagnostic and Prognostic Value?
verfasst von: Jorge Lowenstein
Cristian Tiano
Publikationsdatum: 01.10.2011
Verlag: Current Science Inc.
Erschienen in: Current Cardiovascular Imaging Reports / Ausgabe 5/2011
Print ISSN: 1941-9066
Elektronische ISSN: 1941-9074
DOI: https://doi.org/10.1007/s12410-011-9101-9

Neu im Fachgebiet Kardiologie

19.04.2024 | Vorhofflimmern | Nachrichten

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Assessment of Coronary Flow During Stress Testing: Does it Add Diagnostic and Prognostic Value?

Abstract

Neu im Fachgebiet Kardiologie

Parodontalbehandlung verbessert Prognose bei Katheterablation

Antihypertensiva schützen auch alte Menschen noch vor Demenz

Sind Betablocker auch für ältere herzschwache Personen nützlich?

Stillende Frauen haben geringeres kardiovaskuläres Risiko

Update Kardiologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2011

Assessment of the Right Ventricle in Adults: What Have the Guidelines Taught Us?

Chamber and Vessel Quantification in Pediatric Echocardiography: What Do the Guidelines Teach Us?

Use of Echocardiographic Variables in Addition to E/e’ to Improve Prediction of Elevated Left Ventricular Filling Pressures

Transcatheter Aortic Valve Implantation Three-Dimensional Echo Monitoring and Guidance

Prognostic Value of CT Coronary Angiography in Diabetes

New Scores for the Assessment of Mitral Stenosis Using Real-Time Three-Dimensional Echocardiography

Neu im Fachgebiet Kardiologie

Parodontalbehandlung verbessert Prognose bei Katheterablation

Antihypertensiva schützen auch alte Menschen noch vor Demenz

Sind Betablocker auch für ältere herzschwache Personen nützlich?

Stillende Frauen haben geringeres kardiovaskuläres Risiko

Update Kardiologie