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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

the left ventricle is shown on the left-hand side of the screen. With exercise, the LV cavity dilates (right quadrants) and there are regional wall motion abnormalities in the LAD territory (also seen in Video 1, available online at www.onlinejase.com). Journal of the American Society of Echocardiography Volume 33 Number 1 Pellikka et al 3

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