RELATION OF QUANTITATIVE CORONARY LESION MEASUREMENTS TO THE DEVELOPMENT OF EXERCISE-INDUCED ISCHEMIA ASSESSED BY EXERCISE ECHOCARDIOGRAPHY

被引:78
作者
SHEIKH, KH
BENGTSON, JR
HELMY, S
JUAREZ, C
BURGESS, R
BASHORE, TM
KISSLO, J
机构
[1] Department of Medicine/Cardiology, Duke University Medical Center, Durham, NC
关键词
D O I
10.1016/0735-1097(90)90238-K
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To assess the relation of quantitative measures of coronary stenoses to the development of exercise-induced regional wall motion abnormalities, 34 patients with isolated, single vessel coronary artery lesions and normal wall motion at rest underwent exercise echocardiography and quantitative angiography on the same day. Although all 11 patients with a visually estimated stenosis ≥75% had an ischemic response and 10 (91%) of 11 patients with a ≤25% visually estimated stenosis had a normal response by exercise echocardiography, among 12 patients with a visually estimated stenosis of 50%, 6 (50%) had an ischemic response and 6 (50%) had a normal exercise echocardiogram. Quantitative measurements of stenosis severity distinguished patients with ischemic (group 1) from normal (group 2) exercise echocardiographic responses as follows: minimal luminal diameter (mm), group 11.0 ± 0.4 versus group 21.7 ± 0.4, p < 0.0001; minimal cross-sectional area (mm2), group 1 0.9 ± 0.6 versus group 2 2.5 ± 1.1, p < 0.0001; percent diameter stenosis, group 1 68.3 ± 14,2 versus group 2 42.2 ± 12.1, p < 0.0001; and percent area stenosis, group 1 87.5 ± 7.8 versus group 2 64.8 ± 15.9, p < 0.0001. These data validate the utility of exercise echocardiography by demonstrating that 1) coronary stenosis severity measured by quantitative angiography is closely related to wall motion abnormalities detected by exercise echocardiography, and 2) exercise echocardiography can be used as a noninvasive means to assess the physiologic significance of coronary artery lesions. (J Am Coll Cardiol 1990;15:1043-51). © 1990.
引用
收藏
页码:1043 / 1051
页数:9
相关论文
共 50 条
[11]   OBSERVER AGREEMENT IN EVALUATING CORONARY ANGIOGRAMS [J].
DETRE, KM ;
WRIGHT, E ;
MURPHY, ML ;
TAKARO, T .
CIRCULATION, 1975, 52 (06) :979-986
[12]  
FIFER MA, 1986, CARDIAC CATHETERIZAT, P282
[13]   CORONARY ANGIOGRAM INTERPRETATION - INTEROBSERVER VARIABILITY [J].
GALBRAITH, JE ;
MURPHY, ML ;
DESOYZA, N .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1978, 240 (19) :2053-2056
[14]  
GRONDIN CM, 1974, CIRCULATION, V49, P703
[15]  
HARRIS PJ, 1979, CIRCULATION, V60, P1259, DOI 10.1161/01.CIR.60.6.1259
[16]   THE VALUE OF LESION CROSS-SECTIONAL AREA DETERMINED BY QUANTITATIVE CORONARY ANGIOGRAPHY IN ASSESSING THE PHYSIOLOGIC SIGNIFICANCE OF PROXIMAL LEFT ANTERIOR DESCENDING CORONARY ARTERIAL STENOSES [J].
HARRISON, DG ;
WHITE, CW ;
HIRATZKA, LF ;
DOTY, DB ;
BARNES, DH ;
EASTHAM, CL ;
MARCUS, ML .
CIRCULATION, 1984, 69 (06) :1111-1119
[17]   EXERCISE TWO-DIMENSIONAL ECHOCARDIOGRAPHY FOR DIAGNOSIS OF CORONARY-ARTERY DISEASE [J].
HENG, MK ;
SIMARD, M ;
LAKE, R ;
UDHOJI, VH .
AMERICAN JOURNAL OF CARDIOLOGY, 1984, 54 (06) :502-507
[18]   CORRELATION OF CORONARY ARTERIOGRAMS AND LEFT VENTRICULOGRAMS WITH POSTMORTEM STUDIES [J].
HUTCHINS, GM ;
BULKLEY, BH ;
RIDOLFI, RL ;
GRIFFITH, LSC ;
LOHR, FT ;
PIASIO, MA .
CIRCULATION, 1977, 56 (01) :32-37
[19]   COMPARISON OF POSTEXERCISE AND TRANSESOPHAGEAL ATRIAL-PACING TWO-DIMENSIONAL ECHOCARDIOGRAPHY FOR DETECTION OF CORONARY-ARTERY DISEASE [J].
ILICETO, S ;
DAMBROSIO, G ;
SORINO, M ;
PAPA, A ;
AMICO, A ;
RICCI, A ;
RIZZON, P .
AMERICAN JOURNAL OF CARDIOLOGY, 1986, 57 (08) :547-553
[20]   ASSESSMENT OF CORONARY STENOSES BY MYOCARDIAL PERFUSION IMAGING DURING PHARMACOLOGICAL CORONARY VASODILATION .7. VALIDATION OF CORONARY FLOW RESERVE AS A SINGLE INTEGRATED FUNCTIONAL MEASURE OF STENOSIS SEVERITY REFLECTING ALL ITS GEOMETRIC DIMENSIONS [J].
KIRKEEIDE, RL ;
GOULD, KL ;
PARSEL, L .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1986, 7 (01) :103-113