Diagnostic value of criteria for myocardial ischemia during stress-echocardiography with dobutamine in patients with atypical angina

Bartosh F.L.; Bogomazova E.N.; Nikonova I.V.

doi:https://doi.org/

Bartosh F.L.

FGBU "Federal'nyĭ tsentr serdechno-sosudistoĭ khirurgii" Minzdravsotsrazvitiia Rossii, Penza

Bogomazova E.N.

FGBU "Federal'nyĭ tsentr serdechno-sosudistoĭ khirurgii" Minzdrava Rossii, Penza

Nikonova I.V.

FGBU "Federal'nyĭ tsentr serdechno-sosudistoĭ khirurgii" Minzdravsotsrazvitiia Rossii, Penza

Diagnostic value of criteria for myocardial ischemia during stress-echocardiography with dobutamine in patients with atypical angina

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Bartosh F.L., Bogomazova E.N., Nikonova I.V.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2013;6(5): 27‑31

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Bartosh FL, Bogomazova EN, Nikonova IV. Diagnostic value of criteria for myocardial ischemia during stress-echocardiography with dobutamine in patients with atypical angina. Russian Journal of Cardiology and Cardiovascular Surgery. 2013;6(5):27‑31. (In Russ.)

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)

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Abstract:

Diagnostic criteria of myocardial ischemia according to ECG, standard and stress echocardiography (EchoCG) were comparatively analyzed. Stress-EchoCG with dobutamine was carried out to 36 patients with atypical angina. These patients also underwent coronary angiography whereupon according to received data they were retrospectively divided into 2 groups: with one-vessel (n=15) and two-vessel (n=16) coronary affection. It is estimated that tissue Doppler indices (Pss and Δt) have approximately the same sensitivity as onset of new dyskinetic zones according to gray-scale two-dimension EchoCG data (87%, 87% and 85% accordingly); specificity of S and SR indices is higher than onset of new dyskinetic zones (94%, 94% and 84% accordingly). It is shown that diagnostic criteria of left ventricular myocardial ischemia present earlier in patients with two-vessel coronary heart disease and are more evident compared to patients with one-vessel coronary affection.

Keywords:

coronary heart disease

stress-echocardiography

local dyskinesia of left ventricle

strain

strain rate

Authors:

Bartosh F.L.

FGBU "Federal'nyĭ tsentr serdechno-sosudistoĭ khirurgii" Minzdravsotsrazvitiia Rossii, Penza

Bogomazova E.N.

FGBU "Federal'nyĭ tsentr serdechno-sosudistoĭ khirurgii" Minzdrava Rossii, Penza

Nikonova I.V.

FGBU "Federal'nyĭ tsentr serdechno-sosudistoĭ khirurgii" Minzdravsotsrazvitiia Rossii, Penza

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