Contemporary role of echocardiography in coronary artery disease (a pictorial review)
https://doi.org/10.24835/1607-0771-2022-1-27-43
Abstract
Echocardiography is an actively developing modality that plays a key role in the diagnosis of coronary artery disease (CAD). In recent years, the important changes occurred in the examination protocols and analysis methods of resting and stress echocardiography in patients with CAD. Along with the standard visual analysis of wall motion, the speckle tracking mode is widely used to quantify local and global contractility when the resting or stress echocardiography is performed. Coronary artery imaging is increasingly used to assess blood flow velocities across stenosis at rest, as well as coronary flow reserve during the stress test. The stress echocardiography protocol has been expanded by including several parameters unrelated to left ventricular contractility. To increase the diagnostic value of stress echocardiography, some authors have suggested to combine it with a focused ultrasound examination of the carotid arteries. The described innovations have already found or are finding their place in everyday clinical practice. This article provides an overview of the current state of echocardiography use in patients with CAD.
About the Authors
L. L. Bershtein
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
A. E. Andreeva
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
N. S. Zhukovsky
Mariinsky Hospital
Russian Federation
Russian Federation
P. O. Karchikyan
Pokrovskaya Hospital
Russian Federation
Russian Federation
V. I. Novikov
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
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Review
For citations:
Bershtein L.L., Andreeva A.E., Zhukovsky N.S., Karchikyan P.O., Novikov V.I. Contemporary role of echocardiography in coronary artery disease (a pictorial review). Ultrasound & Functional Diagnostics. 2022;(1):27-43. (In Russ.) https://doi.org/10.24835/1607-0771-2022-1-27-43
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