Open AccessDobutamine stress echocardiography for the diagnosis and management of coronary artery disease
Author(s) -
Tanimoto Masato,
Pai Ramdas G.,
Jintapakorn Woravut,
Shah Pravin M.
Publication year - 1995
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960180506
Subject(s) - medicine , dobutamine , cardiology , coronary artery disease , myocardial infarction , hibernating myocardium , revascularization , clinical significance , stress echocardiography , hemodynamics
Abstract Infusion of dobutamine in low and high doses in combination with echocardiography can be used for the assessment of myocardial viability and functional significance of coronary artery disease. Improvement of contractile function of hypokinetic or akinetic ventricular wall segment with low‐dose dobutamine has a high predictive value for the detection of hibernating and stunned myocardium. High‐dose dobutamine stress is of value for noninvasive diagnosis of coronary disease, assessment of its clinical significance, risk stratification of patients after myocardial infarction, preoperative evaluation of patients undergoing major noncardiac surgery, and assessment of the efficacy of coronary revascularization. It has an excellent safety record even in the immediate postmyocardial infarction period.