Brochet E, Assayag P, Benamer H, Valère P E
Service de Cardiologie B, CHU Bichat, Paris.
Presse Med. 1995 Dec 9;24(38):1800-5.
Digital stress echocardiography (DSE) with dobutamine infusion has recently emerged as an attractive alternative to exercise stress testing for evaluating coronary artery disease. DSE seems particularly useful in the diagnosis or the assessment of ischemia in patients unable to exercise or when the test is difficult to interpret. DSE has also proved to be useful in patients undergoing preoperative evaluation of cardiac risk. The assessment of residual myocardial viability in patients with previous myocardial infarction is another promising development. After a description of the methodology of dobutamine stress echocardiography, this article reviews the experience obtained to date with this technique in the diagnosis and the evaluation of coronary artery disease.
多巴酚丁胺输注的数字应力超声心动图（DSE）最近已成为评估冠状动脉疾病的运动负荷试验的一种有吸引力的替代方法。DSE在无法运动的患者或试验难以解释时的缺血诊断或评估中似乎特别有用。DSE在接受心脏风险术前评估的患者中也已证明是有用的。评估既往心肌梗死患者的残余心肌活力是另一个有前景的进展。在描述了多巴酚丁胺负荷超声心动图的方法后，本文回顾了迄今为止该技术在冠状动脉疾病诊断和评估中的经验。
