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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 Echoc

g. Perfusion Imaging Assessment with Ultrasound Enhancing Agent 14 V. Quantitative Analysis Methods 15 VI. Accuracy 19 a. Blood Pressure Response to Stress 19 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.

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