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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Stress echocardiogram risk stratification in adults

Stress echocardiogram risk stratification in adults
High risk
  • Severe resting LV dysfunction (EF <35%)
  • Extensive new rest wall motion abnormality (≥5 of 16 segments of LV)
  • Moderate-sized rest wall motion abnormality (3 to 4 segments) with remote ischemia
  • Echocardiographic wall motion abnormality (>3 segments) developing at low ischemic threshold (dobutamine dose ≤10 micrograms/kg/minute or a heart rate <120 beats/minute)
  • Stress echocardiographic evidence of extensive ischemia (4 to 5 segments of LV) or ischemia in multiple coronary territories or peak wall motion score >1.7
  • Severe exercise LV dysfunction (exercise EF <35%) or decrease in global LV contractility from rest to stress due to ischemia
  • Dilatation of the LV cavity with stress with associated ischemic wall motion abnormalities
Intermediate risk
  • Mild to moderate resting LV dysfunction (EF 35 to 49%) with no ischemia
  • Moderate-sized resting wall motion abnormality (3 to 4 segments) with no ischemia
  • Limited resting wall motion abnormality (≤2 segments) with limited (≤2 segments) peri-infarction ischemia
  • Normal resting wall motion with limited ischemia (≤2 segments) at high stress level
Low risk
  • Normal resting wall motion with no ischemia
  • Limited resting wall motion abnormality (≤2 segments) with no ischemia
LV: left ventricle; EF: ejection fraction.
Adapted from:
  1. Gibbons RJ, Chatterjee K, Daley J, et al. ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Chronic Stable Angina). J Am Coll Cardiol 1999; 33:2092.
  2. Yao SS, Bangalore S, Chaudhry FA. Prognostic implications of stress echocardiography and impact on patient outcomes: an effective gatekeeper for coronary angiography and revascularization. J Am Soc Echocardiogr 2010; 23:832.
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