Stress-Echocardiography with Dipyridamole and Atrial Pacing in Diagnosis of Late Coronary Shunts Stenosis
Abstract
The aim of the study was to evaluate diagnostic accuracy of stress-echocardiography (stress-еchoCG) with combination of high doze dipyridamole and atrial pacing in diagnosis of late coronary shunts stenosis. 46 men aged from 42 to 63 (48,2 ± 1,8 years), 36 patients undergone mammarocoronary shunting, 10 patients undergone auto venous shunting. Stress-EchoCG with combination of high doze dipyridamole and atrial pacing suggested shunts lesions in 45 patients, in 7 cases previously intact coronary arteries, approved with coronary angiography. Coronary angiographies reviled no coronary lesions in 1 (3 %) patient, in 23 (50 %) patients > 70 % shunts restenosis, in 22 (47 %) coronary stenosis from 40 up to 70 %. Accuracy, sensitivity and specificity of stress-EchoCG with combination of stress-agents in coronary shunts restenosis, as well as stenosis of previously intact coronary arteries were 100 %.
About the Authors
A. V. Talanova
Functional Diagnostics of Main Clinical Hospital of Interior of Russia
Russian Federation
Russian Federation
D. A. Lezhnev
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
N. N. Mikheev
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
References
1. Беккер М. С. Математическая статистика и ее роль в медицине и здравоохранении. Кисловодск: Коллегия, 2018. 217 с.
2. Бойцов С. А., Зайратьянц О. В., Андреев Е. М., Самородская И. В. Сравнение показателей смертности от ишемической болезни сердца среди мужчин и женщин старше 50 лет в России и США // Российский кардиологический журнал 2017. Т. 146. № 6. С.100-107.
3. Bates R. E., Omer M., Abdelmoneim S. S., Arruda-Olson A. M. et al. Impact of stress testing for coronary artery disease screening in asymptomatic patients with diabetes mellitus: a community based study in Olmsted County, Minnesota // Mayo Clin. Proc. 2016. V. 91. P. 1535-1544.
4. Halperin J. L., Levine G. N., Al-Khatib S. M. et al. Further evolution of the ACC/AHA clinical practice guideline recommendation classification system: a report of the American сollege of сardiology / American Heart Association Task Force on Clinical practice guidelines // J. Am. Coll. Cardiol. 2016. V. 67. P. 1572-1574.
5. Lang R. M., Badano L. P., Mor-Avi V. et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American society of echocardiography and the European association of cardiovascular imaging // J. Am. Soc. Echocardiogr. 2015. V. 28. № 1. P. 1-39.
6. Pellikka P. A., Arruda-Olson A. M., Faroog A. et al. Guidelines for performance, interpretation, and application of stress echocardiography in the ischemic heart disease: from the American Society of echocardiography // J. Am. Soc. Echocardiogr. 2019. V. 33. № 1. P. 1-41.
7. Picano E. Stress Echocardiography. N. Y.: Springle, 2015. p. 459.
8. Yao S., Bangalore S., Ahuja A. Stress echocardiography: risk stratification, prognosis, patient outcomes and cost-effectiveness // Minerva Cardioangiol. 2017. № 2. Р. 65-71.
Review
For citations:
Talanova A.V., Lezhnev D.A., Mikheev N.N. Stress-Echocardiography with Dipyridamole and Atrial Pacing in Diagnosis of Late Coronary Shunts Stenosis. Radiology - Practice. 2020;(4):8-15. (In Russ.)
Views:
336
Email this article 