Shah Benoy N, MacNab Anita, Lynch Jane, Hampson Reinette, Senior Roxy, Steeds Richard P
Wessex Cardiac CentreUniversity Hospital Southampton, Southampton, UK.
University Hospital of South ManchesterManchester, UK.
Echo Res Pract. 2018 Mar;5(1):E1-E6. doi: 10.1530/ERP-17-0032. Epub 2018 Jan 22.
Stress echocardiography is a widely utilised test in patients with known or suspected coronary artery disease (CAD), valvular heart disease and cardiomyopathies. Its advantages include the ubiquitous availability of echocardiography, lack of ionising radiation, choice of physiological or pharmacological stressors, good diagnostic accuracy and robust supporting evidence base. SE has evolved significantly as a technique over the past three decades and has benefitted considerably from improvements in overall image quality (superior resolution), machine technology (e.g. digital cine-loop acquisition and side-by-side image display) and development of second-generation ultrasound contrast agents that have improved reader confidence and diagnostic accuracy. The purpose of this article is to review the breadth of SE in contemporary clinical cardiology and discuss the recently launched British Society of Echocardiography (BSE) Stress Echocardiography accreditation scheme.
负荷超声心动图是一种广泛应用于已知或疑似冠状动脉疾病（CAD）、心脏瓣膜病和心肌病患者的检查方法。其优点包括超声心动图设备普及、无电离辐射、可选择生理性或药物性应激源、诊断准确性高以及有充分的支持证据。在过去三十年中，负荷超声心动图作为一项技术有了显著发展，整体图像质量（更高分辨率）的提高、机器技术（如数字电影环采集和并排图像显示）的进步以及第二代超声造影剂的研发使读者信心和诊断准确性都有了很大提升，这让负荷超声心动图受益匪浅。本文旨在回顾负荷超声心动图在当代临床心脏病学中的广泛应用，并讨论最近推出的英国超声心动图学会（BSE）负荷超声心动图认证计划。
