Stress-echocardiography has emerged as an important tool in cardiac functional imaging, thanks to its real-time imaging, high temporal resolution, high safety and very low cost. When stress-echocardiography is performed using ultrasound contrast media for endocardial border delineation in suboptimal cases, subjectivity is minimized, and with the use of coronary flow reserve measurements (left anterior descending coronary artery, stress/rest ratio reduced or normal, i.e. <>2.0) diagnostic sensitivity is increased.
The true competitor of any type of functional imaging, including stress-echocardiography, is nowadays coronary computed tomography angiography, which is a direct diagnostic method, the non-invasive assessment of coronary anatomy, and apparently the holy grail for any cardiologist. While the new 2019 Guidelines on chronic coronary syndrome of the European Society of Cardiology reflect the changing landscape of cardiac functional imaging in today’s clinical practice, they cannot clarify which type of test, functional or anatomic, should be first chosen in different clinical scenarios of suspected chronic coronary syndromes.
Therefore, we present a special issue regarding the prognostic value of stress-echocardiography and echocardiography in general, for the treatment of chronic coronary syndromes.
Prof. Nicola Gaibazzi
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Contemporary role of echocardiography in the management of heart failure with reduced ejection fraction
Takeshi Kitai, Taiji Okada, and Yutaka Furukawa
- Rest contrast echocardiography unmasks hidden wall motion abnormalities in patients with chest pain. A case series and review of pertinent literatureSergio Suma, Domenico Tuttolomondo, Nicola GaibazziRev. Cardiovasc. Med. 2022, 23(3), 86; https://doi.org/10.31083/j.rcm2303086(This article belongs to the Special Issue Prognostic value of echocardiography and stress-echocardiography)22Download103Views
- Association of B-type natriuretic peptide with rapid progression in patients with aortic stenosisKangning Han, Dongmei Shi, Lixia Yang, Meng Xie, ... Yujie ZhouRev. Cardiovasc. Med. 2022, 23(2), 75; https://doi.org/10.31083/j.rcm2302075(This article belongs to the Special Issue Prognostic value of echocardiography and stress-echocardiography)41Download182Views