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47 Result(s)
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Eugenio Picano
Emergency Medicine
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Chapter
Stress Echocardiography in Pulmonary Hypertension
Pulmonary hypertension can be precapillary or postcapillary. This distinction is only possible by invasive means, although echocardiography is the essential technique for identification, quantification, and mo...
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Economic Sustainability of Cardiac Imaging
No cardiac imaging examinations are free, and they all imply a financial cost and a risk. Referring to the 2012 Medicare fee schedule for selected cardiovascular tests, for a cardiac imaging test, compared wit...
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Stress Echocardiography in Athletes and Extreme Physiology
Transthoracic echocardiography is the initial test in athletes. Exercise echocardiography is the test of choice when an exercise test is warranted. Nevertheless, ultrasound has limitations in these subjects an...
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Environmental Sustainability of Cardiac Imaging
There is increasing awareness of the impact of climate change and air pollution on public health. The environmental impact of medical imaging can vary 100-fold between one test and the other. One echocardiogra...
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ABCDE Protocol for Stress Echocardiography in Chronic Coronary Syndromes
Five parameters converge conceptually, logistically, and methodologically in the ABCDE protocol of stress echocardiography, assessing the many vulnerabilities of the patient above and beyond the critical coron...
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Artificial Intelligence and Robotic Stress Echocardiography
Echocardiography with artificial intelligence will close the gap between experts and beginners potentially allowing unsupervised diagnosis. For individual echocardiography laboratories, increased precision and...
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Exercise Echocardiography
Exercise is the only physiologic stressor and by far the safest. In patients with chest pain or dyspnea as the presenting symptom, it combines the advantages of nonimaging exercise testing (exercise tolerance,...
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Dipyridamole Stress Echocardiography
Dipyridamole stress acts through stimulation of adenosine A2A receptors, present in endothelial and smooth muscle cells of coronary arterioles and on afferent nerve endings in the carotid body, heart, and skel...
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Step A for Regional Wall Motion Abnormality in Stress Echocardiography
According to the 2019 European Society of Cardiology guidelines for the diagnosis of chronic coronary syndromes, stress echocardiography based on regional wall motion abnormality is recommended instead of exer...
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Diastolic Stress Echocardiography
Any evaluation of patients with known or suspected heart failure with preserved ejection fraction starts from resting transthoracic echocardiography to include assessment of systolic pulmonary arterial pressur...
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Stress Echocardiography After Cardiac Transplantation
In patients with heart transplantation, pharmacological SE is usually preferred because of the cardiac denervation leading to a blunted chronotropic response to physical exercise. Acute rejection is characteri...
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Pediatric Stress Echocardiography
Guidelines recommend that diagnostic imaging procedures should be performed in a regional Adult Congenital Heart Disease Center with adequate experience in congenital heart disease. The indication of stress ec...
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Radiologic Sustainability of Cardiac Imaging
The radiation dose and related downstream cancer risk should be included in the risk-benefit balance of any medical diagnostic or therapeutic imaging procedure. Cancer is the main risk of radiation exposure fo...
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The Road to Stress Echo 2030
With the stress echo 2020 study, a new standard of practice in stress imaging was developed and disseminated: the ABCDE-FGLPR protocol for functional testing within and beyond coronary artery disease. The comp...
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Contrast Stress Echocardiography
The currently available ultrasound-enhancing agents are approved for left ventricle opacification and Doppler enhancement. The current recommendation for stress echo is mainly focused on contrast enhancement o...
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Technology and Training Requirements in Stress Echocardiography
Stress echocardiography based on regional wall motion abnormalities is relatively simple and widely available. However, skill in interpretation cannot be acquired in a few days and the acquisition of competenc...
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Chapter
Adenosine, Regadenoson Stress Echocardiography
Vasodilator stress can be achieved with first-generation dipyridamole, second-generation adenosine, and third-generation regadenoson stress. Dipyridamole acts through the accumulation of endogenous adenosine; ...
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Book
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Chapter
Dobutamine Stress Echocardiography
Dobutamine stress acts through stimulation of beta-1 adrenoreceptors, increasing heart rate twofold, systolic blood pressure twofold, and contractility threefold with a substantial increase in myocardial oxyge...
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Step B for B-Lines in Stress Echocardiography
B-lines (also known as ultrasound lung comets) detectable by lung ultrasound arise from the pleural line, extend towards the edge of the screen, and move synchronously with respiration. They are different at f...
