TAILIEUCHUNG - Ebook Dynamic echocardiography: Part 2

(BQ) Part 2 book "Dynamic echocardiography" presents the following contents: Coronary artery disease, mechanical complications of myocardial infarction, pericardial disease and intracardiac masses, myocardial diseases, heart failure filling pressures diastology, cardiac resynchr onization therapy, new technology, cases from around the world. | Section VI Coronary Artery Disease VI Chapter 41 Stress Echocardiography in Chest Pain Syndromes Hector R. Villarraga MD FASE Ischemic heart disease IHD remains the leading cause of death in the United States and is the principal contributor to the nation s morbidity and health care expenditures. Cigarette smoking physical inactivity obesity hypertension and metabolic syndrome also contribute to the high IHD incidence rates among both women and men. More than a quarter of a million women die each year in the United States from IHD and its related conditions and current projections indicate that this number will continue to rise with our aging The evaluation of IHD in women presents a unique and sometimes difficult challenge for clinicians because of the greater symptom burden and lower prevalence of angiograph-ically significant coronary artery disease CAD in women compared with There are gender differences in the type frequency and quality of symptoms of In a patient with a chest pain syndrome the history including the presence or absence of conventional risk factors the physical examination and the electrocardiogram ECG are important factors to consider. A noninvasive diagnostic stress test frequently is selected to evaluate for the presence of significant CAD to discriminate between significant and nonsignificant disease and to predict prognosis. Diagnostics Exercise Electrocardiographic Evaluation The evidence suggests that one should not rely on the exercise ECG alone for diagnostic purposes in the detection of CAD because it is imprecise and has lower accuracy than other diagnostic methods especially in women. Even when exercise stress test risk scores such as the Duke treadmill score are incorporated into the diagnostic method exercise electrocardiography remains inferior to diagnostic imaging tests such as exercise Exercise Echocardiography Exercise echocardiography combines treadmill or bicycle exercise with .

Đã phát hiện trình chặn quảng cáo AdBlock
Trang web này phụ thuộc vào doanh thu từ số lần hiển thị quảng cáo để tồn tại. Vui lòng tắt trình chặn quảng cáo của bạn hoặc tạm dừng tính năng chặn quảng cáo cho trang web này.