J 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

Štítky

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.