Circulation, Vol 88, 405-415, Copyright © 1993 by American Heart Association
SC Smart, S Sawada, T Ryan, D Segar, L Atherton, K Berkovitz, PD Bourdillon and H Feigenbaum
BACKGROUND. Dysfunction after thrombolytic therapy of acute myocardial
infarction (MI) may be reversible. Early after myocardial infarction, both
reversible and irreversible injury may be manifested by regional wall
motion abnormalities. Improved wall thickening during dobutamine infusion
(dobutamine-responsive wall motion) may accurately identify reversibly
injured segments. METHODS AND RESULTS. To determine whether
dobutamine-responsive wall motion accurately detects reversible
postischemic dysfunction irrespective of infarct location, multistage
(baseline, 4 and 12 micrograms.kg-1.min-1, and peak) dobutamine
echocardiography (DE) was performed within 7 days of thrombolytic therapy.
Resting echocardiography was repeated > or = 4 weeks after MI, and
reversible dysfunction was defined as improved wall motion. The accuracy of
dobutamine-responsive wall motion was compared with that of signs of early
reperfusion, non-Q-wave MI, and peak creatine kinase (CK). Sixty-three
patients underwent DE without complications. Follow- up echocardiograms
were done in 51 (81%) of these patients, and wall motion improved in 22
(41%). Dobutamine-responsive wall motion during all stages of DE was very
specific for reversible dysfunction (90% to 93%) but sensitive (86%) only
when hemodynamics were not altered (low dose, 4 micrograms.kg-1.min-1).
Non-Q-wave MI and a low peak CK (< 1000 IU/mL) were also specific (89%
to 93%) but less sensitive (64% [P = .16] and 55% [P < .05],
respectively). Signs of early reperfusion did not identify postischemic
dysfunction. Low-dose dobutamine-responsive wall motion and non-Q-wave MI
independently identified reversible dysfunction, but only
dobutamine-responsive wall motion was sensitive in all infarct locations.
Non-Q-wave MI was sensitive only in anterior infarction. CONCLUSIONS.
Multistage dobutamine echocardiography can be performed safely early after
thrombolytic therapy. Low-dose dobutamine- responsive wall motion
accurately detected reversible dysfunction in all infarct locations.
Dobutamine-responsive wall motion and non-Q-wave infarction may be very
useful for accurately identifying reversible dysfunction early after
thrombolytic therapy for acute MI.
ARTICLES
Low-dose dobutamine echocardiography detects reversible dysfunction after thrombolytic therapy of acute myocardial infarction
Krannert Institute of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis.
This article has been cited by other articles:
 |
|
 |
|
  R. Sicari, P. Nihoyannopoulos, A. Evangelista, J. Kasprzak, P. Lancellotti, D. Poldermans, J.-U. Voigt, J. L. Zamorano, and on behalf of the European Association of Echocardi Stress Echocardiography Expert Consensus Statement--Executive Summary: European Association of Echocardiography (EAE) (a registered branch of the ESC) Eur. Heart J., February 1, 2009; 30(3): 278 - 289. [Full Text] [PDF]
|
|
|
|
 |
|
 R. Sicari, P. Nihoyannopoulos, A. Evangelista, J. Kasprzak, P. Lancellotti, D. Poldermans, J.-U. Voigt, J. L. Zamorano, and on behalf of the European Association of Echocardi Stress echocardiography expert consensus statement: European Association of Echocardiography (EAE) (a registered branch of the ESC) Eur J Echocardiogr, July 1, 2008; 9(4): 415 - 437. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B Norager, M Husic, J E Moller, A Bo Hansen, P A Pellikka, and K Egstrup Changes in the Doppler myocardial performance index during dobutamine echocardiography: association with neurohormonal activation and prognosis after acute myocardial infarction Heart, August 1, 2006; 92(8): 1071 - 1076. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R Montisci, L Chen, M Ruscazio, P Colonna, C Cadeddu, C Caiati, M Montisci, L Meloni, and S Iliceto Non-invasive coronary flow reserve is correlated with microvascular integrity and myocardial viability after primary angioplasty in acute myocardial infarction Heart, August 1, 2006; 92(8): 1113 - 1118. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y Abe, T Muro, Y Sakanoue, R Komatsu, M Otsuka, T Naruko, A Itoh, M Yoshiyama, K Haze, and J Yoshikawa Intravenous myocardial contrast echocardiography predicts regional and global left ventricular remodelling after acute myocardial infarction: comparison with low dose dobutamine stress echocardiography Heart, December 1, 2005; 91(12): 1578 - 1583. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M Kato, K Dote, S Sasaki, K Goto, H Takemoto, S Habara, and D Hasegawa Myocardial performance index for assessment of left ventricular outcome in successfully recanalised anterior myocardial infarction Heart, May 1, 2005; 91(5): 583 - 588. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R I Williams, N Payne, T Phillips, J D'hooge, and A G Fraser Strain rate imaging after dynamic stress provides objective evidence of persistent regional myocardial dysfunction in ischaemic myocardium: regional stunning identified? Heart, February 1, 2005; 91(2): 152 - 160. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S.R. Underwood, J. J Bax, J. v. Dahl, M. Y Henein, A. C van Rossum, E. R Schwarz, J.-L. Vanoverschelde, E. E.v. d. Wall, and W. Wijns Imaging techniques for the assessment of myocardial hibernation: Report of a Study Group of the European Society of Cardiology Eur. Heart J., May 2, 2004; 25(10): 815 - 836. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J H McGowan Hibernating myocardium: high or low risk? Heart, March 1, 2004; 90(3): 237 - 238. [Full Text] [PDF]
|
|
|
|
 |
|
 D. Kim, W. D. Gilson, C. M. Kramer, and F. H. Epstein Myocardial Tissue Tracking with Two-dimensional Cine Displacement-encoded MR Imaging: Development and Initial Evaluation Radiology, March 1, 2004; 230(3): 862 - 871. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T Hozumi, Y Kanzaki, Y Ueda, A Yamamuro, T Takagi, T Akasaka, S Homma, K Yoshida, and J Yoshikawa Coronary flow velocity analysis during short term follow up after coronary reperfusion: use of transthoracic Doppler echocardiography to predict regional wall motion recovery in patients with acute myocardial infarction Heart, October 1, 2003; 89(10): 1163 - 1168. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y Nohtomi, M Takeuchi, K Nagasawa, K Arimura, K Miyata, K Kuwata, T Yamawaki, S Kondo, A Yamada, and S Okamatsu Persistence of systolic coronary flow reversal predicts irreversible dysfunction after reperfused anterior myocardial infarction Heart, April 1, 2003; 89(4): 382 - 388. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F Nijland, O Kamp, P M J Verhorst, W G de Voogt, and C A Visser Early prediction of improvement in ejection fraction after acute myocardial infarction using low dose dobutamine echocardiography Heart, December 1, 2002; 88(6): 592 - 596. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Yetkin, K. Senen, M. Ileri, R. Atak, B. Battaoglu, O. Yetkin, I. Tandogan, H. Turhan, and S. Cehreli Identification of Viable Myocardium in Patients with Chronic Coronary Artery Disease and Myocardial Dysfunction: Comparison of Low-Dose Dobutamine Stress Echocardiography and Echocardiography During Glucose-Insulin-Potassium Infusion Angiology, November 1, 2002; 53(6): 671 - 676. [Abstract] [PDF]
|
|
|
|
 |
|
 M. L. Main, A. Magalski, B. A. Morris, M. M. Coen, D. G. Skolnick, and T. H. Good Combined assessment of microvascular integrity and contractile reserve improves differentiation of stunning and necrosis after acute anterior wall myocardial infarction J. Am. Coll. Cardiol., September 18, 2002; 40(6): 1079 - 1084. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y Ueno, Y Nakamura, M Kinoshita, T Fujita, T Sakamoto, and H Okamura Can coronary flow velocity reserve determined by transthoracic Doppler echocardiography predict the recovery of regional left ventricular function in patients with acute myocardial infarction? Heart, August 1, 2002; 88(2): 137 - 141. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Sciagra, S. Sestini, L. Bolognese, G. Cerisano, P. Buonamici, and A. Pupi Comparison of Dobutamine Echocardiography and 99mTc-Sestamibi Tomography for Prediction of Left Ventricular Ejection Fraction Outcome After Acute Myocardial Infarction Treated with Successful Primary Coronary Angioplasty J. Nucl. Med., January 1, 2002; 43(1): 8 - 14. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Y. Yoo, J. U. Lee, S. H. Kwak, W. M. Im, C. Y. Jeong, S. S. Chung, M. H. Yoon, S. W. Jeong, and J. T. Park Effects of intracoronary calcium chloride on regional oxygen balance and mechanical function in normal and stunned myocardium in dogs Br. J. Anaesth., January 1, 2002; 88(1): 78 - 86. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F Nijland, O Kamp, P M J Verhorst, W G de Voogt, H G Bosch, and C A Visser Myocardial viability: impact on left ventricular dilatation after acute myocardial infarction Heart, January 1, 2002; 87(1): 17 - 22. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. L. Main, A. Magalski, N. K. Chee, M. M. Coen, D. G. Skolnick, and T. H. Good Full-motion pulse inversion power Doppler contrast echocardiography differentiates stunning from necrosis and predicts recovery of left ventricular function after acute myocardial infarction J. Am. Coll. Cardiol., November 1, 2001; 38(5): 1390 - 1394. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Jamal, J. Strotmann, F. Weidemann, T. Kukulski, J. D'hooge, B. Bijnens, F. Van de Werf, I. De Scheerder, and G. R. Sutherland Noninvasive Quantification of the Contractile Reserve of Stunned Myocardium by Ultrasonic Strain Rate and Strain Circulation, August 28, 2001; 104(9): 1059 - 1065. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Teupe, M. Takeuchi, J. Yao, E. Avelar, and N. Pandian Detection of Viable Myocardium by Transvenous Myocardial Contrast Echocardiography Using Harmonic Power Doppler : Canine Model of Acute Coronary Occlusion and Reperfusion Chest, August 1, 2001; 120(2): 567 - 572. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Iglesias-Garriz, F.e. Corral, M. A. Rodriguez, C. Garrote, M. Montes, and E. Sevillano Pre-infarction angina elicits greater myocardial viability on reperfusion after myocardial infarction: a dobutamine stress echocardiographic study J. Am. Coll. Cardiol., June 1, 2001; 37(7): 1846 - 1850. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Yoshinaga, K. Morita, S. Yamada, K. Komuro, C. Katoh, Y. Ito, Y. Kuge, T. Kohya, A. Kitabatake, and N. Tamaki Low-Dose Dobutamine Electrocardiograph-Gated Myocardial SPECT for Identifying Viable Myocardium: Comparison with Dobutamine Stress Echocardiography and PET J. Nucl. Med., June 1, 2001; 42(6): 838 - 844. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. M. Kramer, W. J. Rogers Jr., S. Mankad, T. M. Theobald, D. L. Pakstis, and Y.-L. Hu Contractile reserve and contrast uptake pattern by magnetic resonance imaging and functional recovery after reperfused myocardial infarction J. Am. Coll. Cardiol., November 15, 2000; 36(6): 1835 - 1840. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Bremerich, M. Saeed, H. Arheden, C. B. Higgins, and M. F. Wendland Normal and Infarcted Myocardium: Differentiation with Cellular Uptake of Manganese at MR Imaging in a Rat Model Radiology, August 1, 2000; 216(2): 524 - 530. [Abstract] [Full Text]
|
|
|
|
|
|
F.M Baer, P Theissen, J Crnac, M Schmidt, H.J Deutsch, U Sechtem, H Schicha, and E Erdmann Head to head comparison of dobutamine-transoesophageal echocardiography and dobutamine-magnetic resonance imaging for the prediction of left ventricular functional recovery in patients with chronic coronary artery disease Eur. Heart J., June 2, 2000; 21(12): 981 - 991. [Abstract] [PDF]
|
|
|
|
|
|
K. Takehana, M. Ruiz, F. D. Petruzella, D. D. Watson, G. A. Beller, and D. K. Glover Response to incremental doses of dobutamine early after reperfusion is predictive of the degree of myocardial salvage in dogs with experimental acute myocardial infarction J. Am. Coll. Cardiol., June 1, 2000; 35(7): 1960 - 1968. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N.E. Mezilis, F.I. Parthenakis, M.K. Kanakaraki, M.E. Marketou, H.E. Mavrakis, and P.E. Vardas Dobutamine- vs exercise-induced ST segment elevation early after Q wave myocardial infarction. Prediction of functional recovery after revascularization Eur. Heart J., May 2, 2000; 21(10): 814 - 822. [Abstract] [PDF]
|
|
|
|
|
|
E. C. Madu Transesophageal Dobutamine Stress Echocardiography in the Evaluation of Myocardial Ischemia in Morbidly Obese Subjects Chest, March 1, 2000; 117(3): 657 - 661. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R Senior and A Lahiri Dobutamine echocardiography predicts functional outcome after revascularisation in patients with dysfunctional myocardium irrespective of the perfusion pattern on resting thallium-201 imaging Heart, December 1, 1999; 82(6): 668 - 673. [Abstract] [Full Text]
|
|
|
|
|
|
J.-L. Monin, J.e. Garot, M. Scherrer-Crosbie, J. Rosso, A.-M. Duval-Moulin, P. Dupouy, E. Teiger, A. Castaigne, J.-C. Cachin, J.-L. Dubois-Rande, et al. Prediction of functional recovery of viable myocardium after delayed revascularization in postinfarction patients: Accuracy of dobutamine stress echocardiography and influence of long-term vessel patency J. Am. Coll. Cardiol., October 1, 1999; 34(4): 1012 - 1019. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Salustri, M. Ciavatti, F. Seccareccia, and A. Palamara Prediction of cardiac events after uncomplicated acute myocardial infarction by clinical variables and dobutamine stress test J. Am. Coll. Cardiol., August 1, 1999; 34(2): 435 - 440. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Kawamoto, K. Yoshida, T. Akasaka, T. Hozumi, T. Takagi, S. Kaji, and Y. Ueda Can Coronary Blood Flow Velocity Pattern After Primary Percutaneous Transluminal Coronary Angiography Predict Recovery of Regional Left Ventricular Function in Patients With Acute Myocardial Infarction? Circulation, July 27, 1999; 100(4): 339 - 345. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F Leclercq, P Messner-Pellenc, Q Descours, J-P Daures, J-L Pasquie, F-X Hager, J-M Davy, and R Grolleau-Raoux Combined assessment of reflow and collateral blood flow by myocardial contrast echocardiography after acute reperfused myocardial infarction Heart, July 1, 1999; 82(1): 62 - 67. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Senior, S. Kaul, and A. Lahiri Myocardial viability on echocardiography predicts long-term survival after revascularization in patients with ischemic congestive heart failure J. Am. Coll. Cardiol., June 1, 1999; 33(7): 1848 - 1854. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Barilla, G. De Vincentis, E. Mangieri, M. Ciavolella, G. Pannitteri, F. Scopinaro, G. Critelli, and P. P. Campa Recovery of contractility of viable myocardium during inotropic stimulation is not dependent on an increase of myocardial blood flow in the absence of collateral filling J. Am. Coll. Cardiol., March 1, 1999; 33(3): 697 - 704. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Picano, R. Sicari, P. Landi, L. Cortigiani, R. Bigi, C. Coletta, A. Galati, J. Heyman, R. Mattioli, M. Previtali, et al. Prognostic Value of Myocardial Viability in Medically Treated Patients With Global Left Ventricular Dysfunction Early After an Acute Uncomplicated Myocardial Infarction : A Dobutamine Stress Echocardiographic Study Circulation, September 15, 1998; 98(11): 1078 - 1084. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Previtali, R. Fetiveau, L. Lanzarini, C. Cavalotti, and C. Klersy Prognostic value of myocardial viability and ischemia detected by dobutamine stress echocardiography early after acute myocardial infarction treated with thrombolysis J. Am. Coll. Cardiol., August 1, 1998; 32(2): 380 - 386. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Geskin, C. M. Kramer, W. J. Rogers, T. M. Theobald, D. Pakstis, Y.-L. Hu, and N. Reichek Quantitative Assessment of Myocardial Viability After Infarction by Dobutamine Magnetic Resonance Tagging Circulation, July 21, 1998; 98(3): 217 - 223. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Mobilia, P. Zanco, A. Desideri, G. Neri, F. Alitto, G. Suzzi, F. Chierichetti, L. Celegon, G. Ferlin, and R. Buchberger T wave normalization in infarct-related electrocardiographic leads during exercise testing for detection of residual viability: comparison with positron emission tomography J. Am. Coll. Cardiol., July 1, 1998; 32(1): 75 - 82. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. J Duncker, R. Schulz, R. Ferrari, D. Garcia-Dorado, C. Guarnieri, G. Heusch, and P. D Verdouw "Myocardial stunning": remaining questions Cardiovasc Res, June 1, 1998; 38(3): 549 - 558. [Full Text] [PDF]
|
|
|
|
|
|
R. Belardinelli, D. Georgiou, L. Ginzton, G. Cianci, and A. Purcaro Effects of Moderate Exercise Training on Thallium Uptake and Contractile Response to Low-Dose Dobutamine of Dysfunctional Myocardium in Patients With Ischemic Cardiomyopathy Circulation, February 17, 1998; 97(6): 553 - 561. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Bolognese, G. Cerisano, P. Buonamici, A. Santini, G. M. Santoro, D. Antoniucci, and P. F. Fazzini Influence of Infarct-Zone Viability on Left Ventricular Remodeling After Acute Myocardial Infarction Circulation, November 18, 1997; 96(10): 3353 - 3359. [Abstract] [Full Text]
|
|
|
|
|
|
M. F. Meza, S. Ramee, T. Collins, D. Stapleton, R. V. Milani, J. P. Murgo, and J. Cheirif Knowledge of Perfusion and Contractile Reserve Improves the Predictive Value of Recovery of Regional Myocardial Function Postrevascularization : A Study Using the Combination of Myocardial Contrast Echocardiography and Dobutamine Echocardiography Circulation, November 18, 1997; 96(10): 3459 - 3465. [Abstract] [Full Text]
|
|
|
|
|
|
S. C. Smart, T. Knickelbine, T. R. Stoiber, M. Carlos, J. C. Wynsen, and K. B. Sagar Safety and Accuracy of Dobutamine-Atropine Stress Echocardiography for the Detection of Residual Stenosis of the Infarct-Related Artery and Multivessel Disease During the First Week After Acute Myocardial Infarction Circulation, March 18, 1997; 95(6): 1394 - 1401. [Abstract] [Full Text]
|
|
|
|
|
|
M. E. Carlos, S. C. Smart, J. C. Wynsen, and K. B. Sagar Dobutamine Stress Echocardiography for Risk Stratification After Myocardial Infarction Circulation, March 18, 1997; 95(6): 1402 - 1410. [Abstract] [Full Text]
|
|
|
|
|
|
M. D. Cheitlin, J. S. Alpert, W. F. Armstrong, G. P. Aurigemma, G. A. Beller, F. Z. Bierman, T. W. Davidson, J. L. Davis, P. S. Douglas, L. D. Gillam, et al. ACC/AHA Guidelines for the Clinical Application of Echocardiography : A Report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (Committee on Clinical Application of Echocardiography) Developed in Collaboration With the American Society of Echocardiography Circulation, March 18, 1997; 95(6): 1686 - 1744. [Full Text]
|
|
|
|
|
|
A. Kranidis, T. Bouki, K. Kostopoulos, P. Anthopoulos, K. Kappos, J. Antonellis, M. Bonou, A. Sideris, D. Ralli, A. Tavernarakis, et al. Stress Echocardiography Using Adenosine Combined with Nitroglycerin- Dobutamine in the Detection of Viable Myocardium in Patients with Previous Myocardial Infarction Angiology, February 1, 1997; 48(2): 127 - 133. [Abstract] [PDF]
|
|
|
|
|
|
S. H. Rahimtoola Hibernating Myocardium Has Reduced Blood Flow at Rest That Increases With Low-Dose Dobutamine Circulation, December 15, 1996; 94(12): 3055 - 3061. [Full Text]
|
|
|
|
|
|
P. Perrone-Filardi, L. Pace, M. Prastaro, F. Squame, S. Betocchi, A. Soricelli, F. Piscione, C. Indolfi, T. Crisci, M. Salvatore, et al. Assessment of Myocardial Viability in Patients With Chronic Coronary Artery Disease: Rest–4-Hour–24-Hour 201Tl Tomography Versus Dobutamine Echocardiography Circulation, December 1, 1996; 94(11): 2712 - 2719. [Abstract] [Full Text]
|
|
|
|
|
|
J. Sklenar, G. Camarano, N. C. Goodman, S. Ismail, A. R. Jayaweera, and S. Kaul Contractile Versus Microvascular Reserve for the Determination of the Extent of Myocardial Salvage After Reperfusion: The Effect of Residual Coronary Stenosis Circulation, September 15, 1996; 94(6): 1430 - 1440. [Abstract] [Full Text]
|
|
|
|
|
|
S. Kaul There May Be More to Myocardial Viability Than Meets the Eye! Circulation, November 15, 1995; 92(10): 2790 - 2793. [Full Text]
|
|
|
|
|
|
J.-L. J. Vanoverschelde, B. L. Gerber, A.-M. D'Hondt, M. De Kock, R. Dion, W. Wijns, and J. A. Melin Preoperative Selection of Patients With Severely Impaired Left Ventricular Function for Coronary Revascularization : Role of Low-Dose Dobutamine Echocardiography and Exercise-Redistribution-Reinjection Thallium SPECT Circulation, November 1, 1995; 92(9): 37 - 44. [Abstract] [Full Text]
|
|
|
|
|
|
V. Sansoy, D. K. Glover, D. D. Watson, M. Ruiz, W. H. Smith, J. P. Simanis, and G. A. Beller Comparison of Thallium-201 Resting Redistribution With Technetium-99m–Sestamibi Uptake and Functional Response to Dobutamine for Assessment of Myocardial Viability Circulation, August 15, 1995; 92(4): 994 - 1004. [Abstract] [Full Text]
|
|
|
|
|
|
G. M. Pohost Is 31P-NMR Spectroscopic Imaging a Viable Approach to Assess Myocardial Viability? Circulation, July 1, 1995; 92(1): 9 - 10. [Full Text]
|
|
|
|
|
|
T. Yabe, K. Mitsunami, T. Inubushi, and M. Kinoshita Quantitative Measurements of Cardiac Phosphorus Metabolites in Coronary Artery Disease by 31P Magnetic Resonance Spectroscopy Circulation, July 1, 1995; 92(1): 15 - 23. [Abstract] [Full Text]
|
|
|
|
 |
|
 W. D. Gao, D. Atar, P. H. Backx, and E. Marban Relationship Between Intracellular Calcium and Contractile Force in Stunned Myocardium : Direct Evidence for Decreased Myofilament Ca2+ Responsiveness and Altered Diastolic Function in Intact Ventricular Muscle Circ. Res., June 1, 1995; 76(6): 1036 - 1048. [Abstract] [Full Text]
|
|
|
|
|
|
M. Arnese, J. H. Cornel, A. Salustri, A. P.W.M. Maat, A. Elhendy, A. E.M. Reijs, F. J. Ten Cate, D. Keane, A. H.M.M. Balk, J. R.T.C. Roelandt, et al. Prediction of Improvement of Regional Left Ventricular Function After Surgical Revascularization : A Comparison of Low-Dose Dobutamine Echocardiography With 201Tl Single-Photon Emission Computed Tomography Circulation, June 1, 1995; 91(11): 2748 - 2752. [Abstract] [Full Text]
|
|
|
|
|
|
P. Perrone-Filardi, L. Pace, M. Prastaro, F. Piscione, S. Betocchi, F. Squame, P. Vezzuto, A. Soricelli, C. Indolfi, M. Salvatore, et al. Dobutamine Echocardiography Predicts Improvement of Hypoperfused Dysfunctional Myocardium After Revascularization in Patients With Coronary Artery Disease Circulation, May 15, 1995; 91(10): 2556 - 2565. [Abstract] [Full Text]
|
|
|
|
|
|
J. A. Panza, V. Dilsizian, J. M. Laurienzo, R. V. Curiel, and P. T. Katsiyiannis Relation Between Thallium Uptake and Contractile Response to Dobutamine : Implications Regarding Myocardial Viability in Patients With Chronic Coronary Artery Disease and Left Ventricular Dysfunction Circulation, February 15, 1995; 91(4): 990 - 998. [Abstract] [Full Text]
|
|
|
|
|
|
I. Afridi, N. S. Kleiman, A. E. Raizner, and W. A. Zoghbi Dobutamine Echocardiography in Myocardial Hibernation : Optimal Dose and Accuracy in Predicting Recovery of Ventricular Function After Coronary Angioplasty Circulation, February 1, 1995; 91(3): 663 - 670. [Abstract] [Full Text]
|
|
|
|
 |
|
 E. C. Madu, W. Ahmar, J. Arthur, and T. D. Fraker Jr Clinical Utility of Digital Dobutamine Stress Echocardiography in the Noninvasive Evaluation of Coronary Artery Disease Arch Intern Med, May 23, 1994; 154(10): 1065 - 1072. [Abstract] [PDF]
|
|