Transcription of Guidelines for Performance, Interpretation, and ...
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Guidelines for Performance, Interpretation, and ...
Guidelines AND STANDARDSG uidelines for Performance, Interpretation, and Application of Stress Echocardiographyin Ischemic Heart Disease: From theAmerican Society of EchocardiographyPatricia A. Pellikka, MD, FASE, Chair, Adelaide Arruda-Olson, MD, PhD, FASE,Farooq A. Chaudhry, MD, FASE,*Ming Hui Chen, MD, MMSc, FASE, Jane E. Marshall, RDCS, FASE,Thomas R. Porter, MD, FASE, and Stephen G. Sawada, MD,Rochester, Minnesota; New York, New York; Boston,Massachusetts; Omaha, Nebraska; Indianapolis, IndianaKeywords:Echocardiography, Stress, Guidelines , Imaging, Ischemic heart disease, Stress test, PediatricsTABLE OF CONTENTSI. Introduction 3II. Methodology 3a. Imaging 3b. Format for Image Display 5c. Use of an Ultrasound Enhancing Agent 7 III. Stress Testing Methods 8a. Exercise Stress Testing 8b. Pharmacologic Stress Testing 9 This document is endorsed by the following ASE International Alliance Partners: Argentine Federation ofCardiology, Argentine Society of Cardiology, ASEAN Society of Echocardiography, Association ofEchocardiographyandCardiovascularImagi ngoftheInteramericanSocietyofCardiology, AustralasianSonographersAssociation, Canadian Society of Echocardiography, Chinese Society of Echocardiography, Cuban Society ofCardiography Echocardiography Section, Department ofCardiovascular Imaging of the Brazilian Society ofCardiology, Indian Academy of Ec
dial effusion, hypertrophic cardiomyopathy, active myocardial ischemia, aortic dissection, or takotsubo/stress cardiomyopathy, and may occasionally obviate the need for stress testing. The presence of any condition that may make stress unsafe (e.g., severe valvular heart disease in a symptomatic patient) should be noted. In such cir-
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