Dobutamine stress echocardiography for assessment of cardiac risk before noncardiac surgery

Dobutamine stress echocardiography for assessment of cardiac risk before noncardiac surgery

Two-dimensional echocardiography performed during incremental infusion of dobutamine has been shown to be a safe and accurate method for detection of coronary artery disease in patients who are unable to undergo conventional exercise testing. 1,2 A significant proportion of these patients are referr...

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Bibliographic Details
Published in:The American journal of cardiology Vol. 68; no. 9; pp. 976 - 977
Main Authors: Lane, Richard T., Sawada, Stephen G., Segar, Douglas S., Ryan, Thomas, Lalka, Stephen G., Williams, Roxanne, Brown, Stephen E., Armstrong, William F., Feigenbaum, Harvey
Format: Journal Article
Language:English
Published: New York, NY Elsevier Inc 01-10-1991
Elsevier
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cardiology. Vascular system
Coronary Disease - diagnostic imaging
Coronary Disease - physiopathology
Coronary heart disease
Dobutamine
Echocardiography - methods
Electrocardiography
Female
Heart
Humans
Male
Medical sciences
Middle Aged
Preoperative Care - methods
Radiography
Retrospective Studies
Risk Factors
Sonography
Human
Pharmacologic test
Echocardiography
Surgery
Risk factor
Cardiovascular disease
β-Adrenergic receptor agonist
Diagnosis
Coronary heart disease
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Summary:Two-dimensional echocardiography performed during incremental infusion of dobutamine has been shown to be a safe and accurate method for detection of coronary artery disease in patients who are unable to undergo conventional exercise testing. 1,2 A significant proportion of these patients are referred for evaluation before undergoing noncardiac surgery, such as abdominal aortic aneurysm resection, lower extremity revascularization procedures and hip replacement. Little is known about the value of dobutamine stress echocardiography for assessment of preoperative cardiac risk. This portable and relatively low cost technique provides rapid results and, thus, has potential advantages over alternative technologies, such as dipyridamole thallium scintigraphy, which have established prognostic value. 3–5 This retrospective study reports on the results of dobutamine stress echocardiography performed for preoperative cardiac risk assessment.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0002-9149
1879-1913
DOI:10.1016/0002-9149(91)90424-J