Diagnosi di malattia coronarica mediante ecocardiografia transesofagea multiplanare e pacing atriale.

Translated title of the contribution: Diagnosis of coronary disease using multiplane transesophageal echocardiography and atrial pacing

C. D. Memmola, V. F. Napoli, S. Oliva, P. Colonna, E. Massari, M. S. Brigiani, S. Iliceto, P. Rizzon

Research output: Contribution to journalArticle

Abstract

The diagnostic value of echo-pacing has been previously report. Recently, monoplanar transesophageal echocardiography (TEE) has been used to improve the reliability of this stress procedure. Therefore, in 40 consecutive patients undergoing coronary angiography for suspected coronary artery disease (CAD) we tested the accuracy of atrial pacing (TAP) during multiplane TEE as a stress procedure. TAP was performed during TEE using a circular, adhesive electrode installed at the tip of the echoscope and connected to the pulse generator. In all patients TAP was firstly attempted by positioning the TEE probe in the esophagus and, if not successful, in the stomach. Left ventricular wall motion was monitored by means of 4, 2 chamber and long axis views from the esophagus and short axis scan from the stomach, in baseline conditions, at peak pacing and immediately after maximal heart rate. The test was considered positive if wall motion abnormalities developed during TAP. Stable capture of the atrium was obtained in 28 patients from the esophagus and in 6 patients from the stomach. Thus, TEE-TAP was performed in 34/40 patients (feasibility 85%). Wall motion abnormalities were detected during TAP in 20/24 with and in 2/10 patients without CAD. Thus, sensitivity and specificity of TEE-TAP were 83% and 80% respectively. The sensitivity of the test in single and multivessel disease resulted 72% and 92%. The 12 lead electrocardiogram during TAP showed a sensitivity of 66% and a specificity of 40% (p <0.01 vs TEE-TAP). In conclusion, TEE-TAP is a new approach for CAD evaluation providing a complete and accurate imaging of left ventricular wall motion.

Original languageItalian
Pages (from-to)293-298
Number of pages6
JournalCardiologia
Volume42
Issue number3
Publication statusPublished - Mar 1997

Fingerprint

Transesophageal Echocardiography
Coronary Disease
Esophagus
Coronary Artery Disease
Stomach
Coronary Angiography
Adhesives
Electrocardiography
Electrodes
Heart Rate
Sensitivity and Specificity

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Memmola, C. D., Napoli, V. F., Oliva, S., Colonna, P., Massari, E., Brigiani, M. S., ... Rizzon, P. (1997). Diagnosi di malattia coronarica mediante ecocardiografia transesofagea multiplanare e pacing atriale. Cardiologia, 42(3), 293-298.

Diagnosi di malattia coronarica mediante ecocardiografia transesofagea multiplanare e pacing atriale. / Memmola, C. D.; Napoli, V. F.; Oliva, S.; Colonna, P.; Massari, E.; Brigiani, M. S.; Iliceto, S.; Rizzon, P.

In: Cardiologia, Vol. 42, No. 3, 03.1997, p. 293-298.

Research output: Contribution to journalArticle

Memmola, CD, Napoli, VF, Oliva, S, Colonna, P, Massari, E, Brigiani, MS, Iliceto, S & Rizzon, P 1997, 'Diagnosi di malattia coronarica mediante ecocardiografia transesofagea multiplanare e pacing atriale.', Cardiologia, vol. 42, no. 3, pp. 293-298.
Memmola CD, Napoli VF, Oliva S, Colonna P, Massari E, Brigiani MS et al. Diagnosi di malattia coronarica mediante ecocardiografia transesofagea multiplanare e pacing atriale. Cardiologia. 1997 Mar;42(3):293-298.
Memmola, C. D. ; Napoli, V. F. ; Oliva, S. ; Colonna, P. ; Massari, E. ; Brigiani, M. S. ; Iliceto, S. ; Rizzon, P. / Diagnosi di malattia coronarica mediante ecocardiografia transesofagea multiplanare e pacing atriale. In: Cardiologia. 1997 ; Vol. 42, No. 3. pp. 293-298.
@article{860c616eb1694523b2216301bd0ec041,
title = "Diagnosi di malattia coronarica mediante ecocardiografia transesofagea multiplanare e pacing atriale.",
abstract = "The diagnostic value of echo-pacing has been previously report. Recently, monoplanar transesophageal echocardiography (TEE) has been used to improve the reliability of this stress procedure. Therefore, in 40 consecutive patients undergoing coronary angiography for suspected coronary artery disease (CAD) we tested the accuracy of atrial pacing (TAP) during multiplane TEE as a stress procedure. TAP was performed during TEE using a circular, adhesive electrode installed at the tip of the echoscope and connected to the pulse generator. In all patients TAP was firstly attempted by positioning the TEE probe in the esophagus and, if not successful, in the stomach. Left ventricular wall motion was monitored by means of 4, 2 chamber and long axis views from the esophagus and short axis scan from the stomach, in baseline conditions, at peak pacing and immediately after maximal heart rate. The test was considered positive if wall motion abnormalities developed during TAP. Stable capture of the atrium was obtained in 28 patients from the esophagus and in 6 patients from the stomach. Thus, TEE-TAP was performed in 34/40 patients (feasibility 85{\%}). Wall motion abnormalities were detected during TAP in 20/24 with and in 2/10 patients without CAD. Thus, sensitivity and specificity of TEE-TAP were 83{\%} and 80{\%} respectively. The sensitivity of the test in single and multivessel disease resulted 72{\%} and 92{\%}. The 12 lead electrocardiogram during TAP showed a sensitivity of 66{\%} and a specificity of 40{\%} (p <0.01 vs TEE-TAP). In conclusion, TEE-TAP is a new approach for CAD evaluation providing a complete and accurate imaging of left ventricular wall motion.",
author = "Memmola, {C. D.} and Napoli, {V. F.} and S. Oliva and P. Colonna and E. Massari and Brigiani, {M. S.} and S. Iliceto and P. Rizzon",
year = "1997",
month = "3",
language = "Italian",
volume = "42",
pages = "293--298",
journal = "Cardiologia (Rome, Italy)",
issn = "0393-1978",
publisher = "Societa Italiana di Cardiologia",
number = "3",

}

TY - JOUR

T1 - Diagnosi di malattia coronarica mediante ecocardiografia transesofagea multiplanare e pacing atriale.

AU - Memmola, C. D.

AU - Napoli, V. F.

AU - Oliva, S.

AU - Colonna, P.

AU - Massari, E.

AU - Brigiani, M. S.

AU - Iliceto, S.

AU - Rizzon, P.

PY - 1997/3

Y1 - 1997/3

N2 - The diagnostic value of echo-pacing has been previously report. Recently, monoplanar transesophageal echocardiography (TEE) has been used to improve the reliability of this stress procedure. Therefore, in 40 consecutive patients undergoing coronary angiography for suspected coronary artery disease (CAD) we tested the accuracy of atrial pacing (TAP) during multiplane TEE as a stress procedure. TAP was performed during TEE using a circular, adhesive electrode installed at the tip of the echoscope and connected to the pulse generator. In all patients TAP was firstly attempted by positioning the TEE probe in the esophagus and, if not successful, in the stomach. Left ventricular wall motion was monitored by means of 4, 2 chamber and long axis views from the esophagus and short axis scan from the stomach, in baseline conditions, at peak pacing and immediately after maximal heart rate. The test was considered positive if wall motion abnormalities developed during TAP. Stable capture of the atrium was obtained in 28 patients from the esophagus and in 6 patients from the stomach. Thus, TEE-TAP was performed in 34/40 patients (feasibility 85%). Wall motion abnormalities were detected during TAP in 20/24 with and in 2/10 patients without CAD. Thus, sensitivity and specificity of TEE-TAP were 83% and 80% respectively. The sensitivity of the test in single and multivessel disease resulted 72% and 92%. The 12 lead electrocardiogram during TAP showed a sensitivity of 66% and a specificity of 40% (p <0.01 vs TEE-TAP). In conclusion, TEE-TAP is a new approach for CAD evaluation providing a complete and accurate imaging of left ventricular wall motion.

AB - The diagnostic value of echo-pacing has been previously report. Recently, monoplanar transesophageal echocardiography (TEE) has been used to improve the reliability of this stress procedure. Therefore, in 40 consecutive patients undergoing coronary angiography for suspected coronary artery disease (CAD) we tested the accuracy of atrial pacing (TAP) during multiplane TEE as a stress procedure. TAP was performed during TEE using a circular, adhesive electrode installed at the tip of the echoscope and connected to the pulse generator. In all patients TAP was firstly attempted by positioning the TEE probe in the esophagus and, if not successful, in the stomach. Left ventricular wall motion was monitored by means of 4, 2 chamber and long axis views from the esophagus and short axis scan from the stomach, in baseline conditions, at peak pacing and immediately after maximal heart rate. The test was considered positive if wall motion abnormalities developed during TAP. Stable capture of the atrium was obtained in 28 patients from the esophagus and in 6 patients from the stomach. Thus, TEE-TAP was performed in 34/40 patients (feasibility 85%). Wall motion abnormalities were detected during TAP in 20/24 with and in 2/10 patients without CAD. Thus, sensitivity and specificity of TEE-TAP were 83% and 80% respectively. The sensitivity of the test in single and multivessel disease resulted 72% and 92%. The 12 lead electrocardiogram during TAP showed a sensitivity of 66% and a specificity of 40% (p <0.01 vs TEE-TAP). In conclusion, TEE-TAP is a new approach for CAD evaluation providing a complete and accurate imaging of left ventricular wall motion.

UR - http://www.scopus.com/inward/record.url?scp=0031088543&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031088543&partnerID=8YFLogxK

M3 - Articolo

C2 - 9172936

AN - SCOPUS:0031088543

VL - 42

SP - 293

EP - 298

JO - Cardiologia (Rome, Italy)

JF - Cardiologia (Rome, Italy)

SN - 0393-1978

IS - 3

ER -