意大利超声心动图实验室中的负荷超声心动图：意大利超声心动图与心血管成像学会的一项调查
Stress Echocardiography in Italian Echocardiographic Laboratories: A Survey of the Italian Society of Echocardiography and Cardiovascular Imaging.
作者信息
Ciampi Quirino, Pepi Mauro, Antonini-Canterin Francesco, Barbieri Andrea, Barchitta Agata, Faganello Giorgio, Miceli Sofia, Parato Vito Maurizio, Tota Antonio, Trocino Giuseppe, Abbate Massimiliana, Accadia Maria, Alemanni Rossella, Angelini Andrea, Anglano Francesco, Anselmi Maurizio, Aquila Iolanda, Aramu Simona, Avogadri Enrico, Azzaro Giuseppe, Badano Luigi, Balducci Anna, Ballocca Flavia, Barbarossa Alessandro, Barbati Giovanni, Barletta Valentina, Barone Daniele, Becherini Francesco, Benfari Giovanni, Beraldi Monica, Bergandi Gianluigi, Bilardo Giuseppe, Binno Simone Maurizio, Bolognesi Massimo, Bongiovi Stefano, Bragato Renato Maria, Braggion Gabriele, Brancaleoni Rossella, Bursi Francesca, Dessalvi Christian Cadeddu, Cameli Matteo, Canu Antonella, Capitelli Mariano, Capra Anna Clara Maria, Carbonara Rosa, Carbone Maria, Carbonella Marco, Carrabba Nazario, Casavecchia Grazia, Casula Margherita, Chesi Elena, Cicco Sebastiano, Citro Rodolfo, Cocchia Rosangela, Colombo Barbara Maria, Colonna Paolo, Conte Maddalena, Corrado Giovanni, Cortesi Pietro, Cortigiani Lauro, Costantino Marco Fabio, Cozza Fabiana, Cucchini Umberto, D'Angelo Myriam, Da Ros Santina, D'Andrea Fabrizio, D'Andrea Antonello, D'Auria Francesca, De Caridi Giovanni, De Feo Stefania, De Matteis Giovanni Maria, De Vecchi Simona, Del Giudice Carmen, Dell'Angela Luca, Paoli Lucrezia Delli, Dentamaro Ilaria, Destefanis Paola, Di Bella Gianluca, Di Fulvio Maria, Di Gaetano Renato, Di Giannuario Giovanna, Di Gioia Angelo, Di Martino Luigi Flavio Massimiliano, Di Muro Carmine, Di Nora Concetta, Di Salvo Giovanni, Dodi Claudio, Dogliani Sarah, Donati Federica, Dottori Melissa, Epifani Giuseppe, Fabiani Iacopo, Ferrara Francesca, Ferrara Luigi, Ferrua Stefania, Filice Gemma, Fiorino Maria, Forno Davide, Garini Alberto, Giarratana Gioachino Agostino, Gigantino Giuseppe, Giorgi Mauro, Giubertoni Elisa, Greco Cosimo Angelo, Grigolato Michele, Marra Walter Grosso, Holzl Anna, Iaiza Alessandra, Iannaccone Andrea, Ilardi Federica, Imbalzano Egidio, Inciardi Riccardo M, Inserra Corinna Antonia, Iori Emilio, Izzo Annibale, La Rosa Giuseppe, Labanti Graziana, Lanzone Alberto Maria, Lanzoni Laura, Lapetina Ornella, Leiballi Elisa, Librera Mariateresa, Conte Carmenita Lo, Monaco Maria Lo, Lombardo Antonella, Luciani Michelangelo, Lusardi Paola, Magnante Antonio, Malagoli Alessandro, Malatesta Gelsomina, Mancusi Costantino, Manes Maria Teresa, Manganelli Fiore, Mantovani Francesca, Manuppelli Vincenzo, Marchese Valeria, Marinacci Lina, Mattioli Roberto, Maurizio Civelli, Mazza Giuseppe Antonio, Mazza Stefano, Melis Marco, Meloni Giulia, Merli Elisa, Milan Alberto, Minardi Giovanni, Monaco Antonella, Monte Ines, Montresor Graziano, Moreo Antonella, Mori Fabio, Morini Sofia, Moro Claudio, Morrone Doralisa, Negri Francesco, Nipote Carmelo, Nisi Fulvio, Nocco Silvio, Novello Luigi, Nunziata Luigi, Perini Alessandro Paoletti, Parodi Antonello, Pasanisi Emilio Maria, Pastorini Guido, Pavasini Rita, Pavoni Daisy, Pedone Chiara, Pelliccia Francesco, Pelliciari Giovanni, Pelloni Elisa, Pergola Valeria, Perillo Giovanni, Petruccelli Enrica, Pezzullo Chiara, Piacentini Gerardo, Picardi Elisa, Pinna Giovanni, Pizzarelli Massimiliano, Pizzuti Alfredo, Poggi Matteo Maria, Posteraro Alfredo, Privitera Carmen, Rampazzo Debora, Ratti Carlo, Rettegno Sara, Ricci Fabrizio, Ricci Caterina, Rolando Cristina, Rossi Stefania, Rovera Chiara, Ruggieri Roberta, Russo Maria Giovanna, Sacchi Nicola, Saladino Antonino, Sani Francesca, Sartori Chiara, Scarabeo Virginia, Sciacqua Angela, Scillone Antonio, Scopelliti Pasquale Antonio, Scorza Alfredo, Scozzafava Angela, Serafini Francesco, Serra Walter, Severino Sergio, Simeone Beatrice, Sirico Domenico, Solari Marco, Spadaro Gian Luca, Stefani Laura, Strangio Antonio, Surace Francesca Chiara, Tamborini Gloria, Tarquinio Nicola, Tassone Eliezer Joseph, Tavarozzi Isabella, Tchana Bertrand, Tedesco Giuseppe, Tinto Monica, Torzillo Daniela, Totaro Antonio, Triolo Oreste Fabio, Troisi Federica, Tusa Maurizio, Vancheri Federico, Varasano Vincenzo, Venezia Amedeo, Vermi Anna Chiara, Villari Bruno, Zampi Giordano, Zannoni Jessica, Zito Concetta, Zugaro Antonello, Picano Eugenio, Carerj Scipione
机构信息
Cardiology Division, Fatebenefratelli Hospital, Benevento, Italy.
Cardiology Division, Centro Cardiologico Monzino, IRCCS, Milano, Italy.
出版信息
J Cardiovasc Echogr. 2023 Jul-Sep;33(3):125-132. doi: 10.4103/jcecho.jcecho_48_23. Epub 2023 Nov 20.
BACKGROUND
The Italian Society of Echography and Cardiovascular Imaging (SIECVI) conducted a national survey to understand the volumes of activity, modalities and stressors used during stress echocardiography (SE) in Italy.
METHODS
We analyzed echocardiography laboratory activities over a month (November 2022). Data were retrieved through an electronic survey based on a structured questionnaire, uploaded on the SIECVI website.
RESULTS
Data were obtained from 228 echocardiographic laboratories, and SE examinations were performed in 179 centers (80.6%): 87 centers (47.5%) were in the northern regions of Italy, 33 centers (18.4%) were in the central regions, and 61 (34.1%) in the southern regions. We annotated a total of 4057 SE. We divided the SE centers into three groups, according to the numbers of SE performed: <10 SE (low-volume activity, 40 centers), between 10 and 39 SE (moderate volume activity, 102 centers) and ≥40 SE (high volume activity, 37 centers). Dipyridamole was used in 139 centers (77.6%); exercise in 120 centers (67.0%); dobutamine in 153 centers (85.4%); pacing in 37 centers (21.1%); and adenosine in 7 centers (4.0%). We found a significant difference between the stressors used and volume of activity of the centers, with a progressive increase in the prevalence of number of stressors from low to high volume activity ( = 0.033). The traditional evaluation of regional wall motion of the left ventricle was performed in all centers, with combined assessment of coronary flow velocity reserve (CFVR) in 90 centers (50.3%): there was a significant difference in the centers with different volume of SE activity: the incidence of analysis of CFVR was significantly higher in high volume centers compared to low - moderate - volume (32.5%, 41.0% and 73.0%, respectively, < 0.001). The lung ultrasound (LUS) was assessed in 67 centers (37.4%). Furthermore for LUS, we found a significant difference in the centers with different volume of SE activity: significantly higher in high volume centers compared to low - moderate - volume (25.0%, 35.3% and 56.8%, respectively, < 0.001).
CONCLUSIONS
This nationwide survey demonstrated that SE was significantly widespread and practiced throughout Italy. In addition to the traditional indication to coronary artery disease based on regional wall motion analysis, other indications are emerging with an increase in the use of LUS and CFVR, especially in high-volume centers.
背景
意大利超声心动图与心血管成像学会（SIECVI）开展了一项全国性调查，以了解意大利负荷超声心动图（SE）期间的活动量、方式及压力源。
方法
我们分析了一个月（2022年11月）内的超声心动图实验室活动。数据通过基于结构化问卷的电子调查获取，该问卷上传至SIECVI网站。
结果
从228个超声心动图实验室获取了数据，179个中心（80.6%）进行了SE检查：87个中心（47.5%）位于意大利北部地区，33个中心（18.4%）位于中部地区，61个中心（34.1%）位于南部地区。我们共记录了4057例SE。根据SE检查数量，我们将SE中心分为三组：<10例SE（低活动量，40个中心）、10至39例SE（中等活动量，102个中心）和≥40例SE（高活动量，37个中心）。139个中心（77.6%）使用双嘧达莫；120个中心（67.0%）采用运动；153个中心（85.4%）使用多巴酚丁胺；37个中心（21.1%）采用起搏；7个中心（4.0%）使用腺苷。我们发现各中心使用的压力源与活动量之间存在显著差异，压力源数量的患病率从低活动量到高活动量逐渐增加（P = 0.033）。所有中心均对左心室区域壁运动进行传统评估，90个中心（50.3%）联合评估冠状动脉血流储备（CFVR）：不同SE活动量的中心存在显著差异：高活动量中心CFVR分析的发生率显著高于低 - 中等活动量中心（分别为32.5%、41.0%和73.0%，P < 0.001）。67个中心（37.4%）评估了肺部超声（LUS）。此外，对于LUS，我们发现不同SE活动量的中心存在显著差异：高活动量中心显著高于低 - 中等活动量中心（分别为25.0%、35.3%和56.8%，P < 0.001）。
结论
这项全国性调查表明，SE在意大利广泛开展且应用。除了基于区域壁运动分析对冠状动脉疾病的传统指征外，随着LUS和CFVR使用的增加，其他指征也在出现，尤其是在高活动量中心。
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