2018
Transthoracic Coronary Flow Data at Rest Predict High-Risk Stress Tests
ZAGATINA, Angela, Nadezhda ZHURAVSKAYA, Yuliya VARELDZHYAN, Maxim KAMENSKIKH, Dmitry SHMATOV et. al.Základní údaje
Originální název
Transthoracic Coronary Flow Data at Rest Predict High-Risk Stress Tests
Autoři
ZAGATINA, Angela (643 Rusko), Nadezhda ZHURAVSKAYA (643 Rusko), Yuliya VARELDZHYAN (643 Rusko), Maxim KAMENSKIKH (643 Rusko), Dmitry SHMATOV (643 Rusko), Jozef BENACKA (703 Slovensko), Martin KUCERA (643 Rusko) a Peter KRUŽLIAK (703 Slovensko, garant, domácí)
Vydání
Acta Radiologica, London, SAGE Publications Inc. 2018, 0284-1851
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30212 Surgery
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 1.586
Kód RIV
RIV/00216224:14110/18:00104143
Organizační jednotka
Lékařská fakulta
UT WoS
000432868300007
Klíčová slova anglicky
Transthoracic echocardiography; coronary artery Doppler; Doppler flow aliasing; exercise stress echo
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 11. 2. 2019 15:37, Soňa Böhmová
Anotace
V originále
Background: Several recent studies have reported the opportunity to diagnose significant narrowing of the coronary arteries without stress testing using local flow acceleration. Purpose: To define how often patients with increased coronary flow velocities at rest (>= 0.70 m/s) have a positive exercise echocardiography test. Material and Methods: A total of 150 patients scheduled for exercise echocardiography were studied using transthoracic Doppler echocardiography in order to assess coronary artery flow velocity before exercise. Pulsed wave Doppler registered blood flow velocity placed on the color signal. The maximal diastolic velocity of coronary flow was measured. Results: Of participants, 16% had a velocity of more than 0.70 m/s in the left main/proximal left anterior/proximal left circumflex arteries (LM/pLAD). A significant correlation was observed between the value of the maximal velocity in LM/pLAD and the ejection fraction at the peak of exercise (r approximate to -0.39, P < 0.0001); between the value of the maximal velocity in LM/pLAD and index of wall motion abnormalities (IWMA) at the peak of exercise (r approximate to 0.44, P < 0.0001); and between the value of the maximal velocity in LM/pLAD and dIWMA (r approximate to 0.41, P < 0.0001). Afterwards, severe ischemia in stress echocardiography tests was observed in this group. The average IWMA of these tests was found to be 2.3. Sixty-two angiograms were available for comparison with Doppler data. Conclusion: There is a significant correlation between the value of the maximal velocity in LM/pLAD/pLCx at rest and the severity of wall motion abnormalities during exercise tests.