Abstract
Background Post-treadmill digital echocardiography (post-TME) is the most widely used form of exercise echocardiography, but ischemia can rapidly resolve in the postexercise period; peak upright bicycle digital echocardiography (UBE) has the advantage of providing images at peak exercise that reflect normal physiology. However, the comparative accuracy of the two methods in detecting ischemia in the same patients is unknown. To compare the relative diagnostic value of peak UBE and post-TME in detecting coronary artery disease, both tests were performed in 86 consecutive patients undergoing coronary angiography. Methods Eighty-six patients referred for evaluation of coronary disease underwent peak UBE (starting at 25 W, with 25-W increments every 3 min) and post-TME (Bruce protocol) in a random sequence. Digitized images of peak UBE and post-TME were interpreted in a random and blinded fashion. Results More transient wall motion abnormalities were detected with peak UBE than post-TME (55 vs 42, P
| Original language | English |
|---|---|
| Pages (from-to) | 1434-1443 |
| Number of pages | 10 |
| Journal | Journal of the American Society of Echocardiography |
| Volume | 26 |
| Issue number | 12 |
| DOIs | |
| Publication status | Published - Dec 2013 |
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Keywords
- Coronary artery disease
- Exercise
- Stress echocardiography
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine
Cite this
Head-to-head comparison of peak upright bicycle and post-treadmill echocardiography in detecting coronary artery disease : A randomized, single-blind crossover study. / Caiati, Carlo; Lepera, Mario Erminio; Carretta, Domenico; Santoro, Daniela; Favale, Stefano.
In: Journal of the American Society of Echocardiography, Vol. 26, No. 12, 12.2013, p. 1434-1443.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Head-to-head comparison of peak upright bicycle and post-treadmill echocardiography in detecting coronary artery disease
T2 - A randomized, single-blind crossover study
AU - Caiati, Carlo
AU - Lepera, Mario Erminio
AU - Carretta, Domenico
AU - Santoro, Daniela
AU - Favale, Stefano
PY - 2013/12
Y1 - 2013/12
N2 - Background Post-treadmill digital echocardiography (post-TME) is the most widely used form of exercise echocardiography, but ischemia can rapidly resolve in the postexercise period; peak upright bicycle digital echocardiography (UBE) has the advantage of providing images at peak exercise that reflect normal physiology. However, the comparative accuracy of the two methods in detecting ischemia in the same patients is unknown. To compare the relative diagnostic value of peak UBE and post-TME in detecting coronary artery disease, both tests were performed in 86 consecutive patients undergoing coronary angiography. Methods Eighty-six patients referred for evaluation of coronary disease underwent peak UBE (starting at 25 W, with 25-W increments every 3 min) and post-TME (Bruce protocol) in a random sequence. Digitized images of peak UBE and post-TME were interpreted in a random and blinded fashion. Results More transient wall motion abnormalities were detected with peak UBE than post-TME (55 vs 42, P
AB - Background Post-treadmill digital echocardiography (post-TME) is the most widely used form of exercise echocardiography, but ischemia can rapidly resolve in the postexercise period; peak upright bicycle digital echocardiography (UBE) has the advantage of providing images at peak exercise that reflect normal physiology. However, the comparative accuracy of the two methods in detecting ischemia in the same patients is unknown. To compare the relative diagnostic value of peak UBE and post-TME in detecting coronary artery disease, both tests were performed in 86 consecutive patients undergoing coronary angiography. Methods Eighty-six patients referred for evaluation of coronary disease underwent peak UBE (starting at 25 W, with 25-W increments every 3 min) and post-TME (Bruce protocol) in a random sequence. Digitized images of peak UBE and post-TME were interpreted in a random and blinded fashion. Results More transient wall motion abnormalities were detected with peak UBE than post-TME (55 vs 42, P
KW - Coronary artery disease
KW - Exercise
KW - Stress echocardiography
UR - http://www.scopus.com/inward/record.url?scp=84888430910&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84888430910&partnerID=8YFLogxK
U2 - 10.1016/j.echo.2013.08.007
DO - 10.1016/j.echo.2013.08.007
M3 - Article
C2 - 24055124
AN - SCOPUS:84888430910
VL - 26
SP - 1434
EP - 1443
JO - Journal of the American Society of Echocardiography
JF - Journal of the American Society of Echocardiography
SN - 0894-7317
IS - 12
ER -