Department of Cardiology, Sunshine Coast University Hospital, Brisbane, Qld, Australia.
Department of Cardiology, Sunshine Coast University Hospital, Brisbane, Qld, Australia; University of the Sunshine Coast, Brisbane, Qld, Australia.
Heart Lung Circ. 2019 Sep;28(9):1376-1383. doi: 10.1016/j.hlc.2019.02.188. Epub 2019 Mar 8.
Stress echocardiography is an established cardiac imaging modality for the detection and quantification of severity of coronary artery disease. In recent years, there has also been an increasing use of stress echocardiography in the assessment of non-ischaemic cardiac disease given its ability to assess functional capacity and haemodynamic changes with exercise which can help guide therapy and inform prognosis. The emerging use of strain, myocardial contrast and three-dimensional (3D) echocardiography further assists in improving diagnostic accuracy particularly in patients with coronary artery disease. This paper summarises the protocols, indications and clinical applications of stress echocardiography in both ischaemic and non-ischaemic cardiac disease.
应激超声心动图是一种成熟的心脏影像学方法，可用于检测和量化冠状动脉疾病的严重程度。近年来，由于应激超声心动图能够评估运动时的功能能力和血流动力学变化，从而有助于指导治疗和预测预后，因此在非缺血性心脏病的评估中也越来越多地被应用。应变、心肌对比和三维（3D）超声心动图的新兴应用进一步提高了诊断准确性，特别是在冠心病患者中。本文总结了应激超声心动图在缺血性和非缺血性心脏病中的方案、适应证和临床应用。
