DOBUTAMINE STRESS ECHOCARDIOGRAPHY FOR THE DIAGNOSIS AND MANAGEMENT OF CORONARY-ARTERY DISEASE

被引：12

作者：

TANIMOTO, M

PAI, RG

JINTAPAKORN, W

SHAH, PM

机构：

[1] LOMA LINDA UNIV, MED CTR, DEPT CARDIOL, LOMA LINDA, CA USA

[2] JERRY L PETTIS MEM VET ADM MED CTR, LOMA LINDA, CA USA

来源：

CLINICAL CARDIOLOGY | 1995年 / 18卷 / 05期

关键词：

DOBUTAMINE; STRESS TEST; ECHOCARDIOGRAPHY;

D O I：

10.1002/clc.4960180506

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

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页码：252 / 260

页数：9

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