Isoproterenol infusion stress two-dimensional echocardiography in diagnosis of coronary artery disease in elderly patients. Comparison with the other stress testing methods.:Comparison with the Other Stress Testing Methods

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概要

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• Since a dynamic exercise stress test cannot always be performed adequately in elderly patients, an alternative method is needed for evaluation of coronary reserve. We studied two-dimensional echocardiographic (2-DE) and electrocardiographic (ECG) responses to infusion of isoproterenol (ISP) at a rate of 0.02μg/Kg/min in 40 elderly patients with chest pain. The results were compared with exercise ECG (EX-EGG) tests and exercise radionuclide angiocardiography (EX-RNA) in 13 of these patients. No serious complications were encountered in the ISP test. The diagnostic sensitivity for coronary artery disease (CAD) was 71% for ISP-2-DE, 71% for ISP-ECG, 86% for EX-ECG and 71% for EX-RNA. The specificity for CAD was 83% for ISP-2-DE, 33% for ISP-ECG, 50% for EX-ECG and 100% for EX-RNA. In conclusion, the ISP-2-DE test is a safe, easily available and useful method for the assessment of coronary artery disease in elderly patients.

• International Heart Journal刊行会の論文

著者

• Matsumoto Ryuma

  Department Of Cardiology Juntendo University School Of Medicine

• Takeda Tohoru

  Department of Radiology, Institute of Clinical Medicine, University of Tsukuba

• Iida Keiji

  Department Of Cardiology Tsukuba Memorial Hospital

• Fujita Takanori

  Departments Of Medicine And Radiology Institute Of Clinical Medicine University Of Tsukuba

• Ito Iwao

  Department Of Internal Medicine Institute Of Clinical Medicine Institute Of Basic Medicine Tsukuba U

• Sugishita Yasuro

  Department Of Intensive Care Anesthesiology Surgery And Internal Medicine Univ.of Tsukuba

• Takeda Tohoru

  Department Of Nuclear Medicine University Of Tsukuba

• Iida Kaname

  Department Of Internal Medicine Institute Of Clinical Medicine University Of Tsukuba

• Ajisaka Ryuichi

  Department Of Cardiology Graduate School Of Comprehensive Human Sciences University Of Tsukuba

• AKISADA Masayoshi

  Department of Radiology, Institute of Clinical Medicine, University of Tsukuba

• IIDA Kaname

  Department of Internal Medicine, Institute of Clinical Medicine, University of Tsukuba

• FUJITA TAKANORI

  Department of Chemical Engineering, Faculty of Engineering, Kagoshima University

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