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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.

b. Microvascular Disease 20 c. Impact of Perfusion Imaging 20 d. Coronary Flow Reserve 20 e. Three-Dimensional Stress Echocardiography 20 VII. Risk Stratification and Prognosis 21 a. Extent and Severity of Wall Motion Abnormalities 21 b. Transient Ischemic LV Dilatation 21 c. RV Ischemia 21 d. Stress Echocardiography in Patients with Dyspnea 22 e.

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