Doppler echocardiography can have a major role in the evaluation of patients with coronary artery disease. This review deals with the imaging planes in relation to coronary vascular territories and the role of Doppler echocardiography in evaluating patients with acute and chronic ischemic syndromes.
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References
1.
EdwardsWDTajikAJSewardJBStandardized nomenclature and anatomical basis for regional tomographic analysis of the heartMayo Clin Proc1981; 56: 479–497
2.
WeymanAECross-sectional echocardiography.Philadelphia: Lea and Febiger,1981;98–136
3.
National Health Survey. Physician contacts by sociographic and health characteristics. Series 10, no. 161. 1982–1983: 14
4.
GoldmanLCookEFWeinbergMA computer-derived protocol to aid in the diagnosis of emergency room patients with chest painN Engl J Med1982; 307: 588–596
5.
LeeTHRouanGWWeisbergMCSensitivity of routine clinical criteria for diagnosing myocardial infarction within 24 hours of hospitalizationAnn Intern Med1987; 106: 181–186
6.
LeeTHCookEFWeisbergMGAcute chest pain in the emergency room: Identification of low-risk patientsArch Intern Med1985; 145: 65–69
7.
TennantRWiggersCJThe effect of coronary occlusion on myocardial contractionAm J Physiol1935; 112: 351–361
8.
SabiaPAfrooktehATouchstoneDAValue of regional wall motion abnormality in the emergency room diagnosis of acute myocardial infarction: A prospective study using two-dimensional echocardiography. Circulation1991 (in press)
9.
OhJKMillerFAShubCEvaluation of acute chest pain syndromes by two-dimensional echocardiography: Its potential application in the selection of patients for acute reperfusion therapyMayo Clin Proc1987; 62: 59–68
10.
LohIKCharuziYBeederCEarly diagnosis of non-transmural myocardial infarction by two-dimensional echocardiographyAm Heart J1982; 104: 963–968
11.
PeelsKHVisserCAFunke KupperAJRoosJPUsefulness of two-dimensional echocardiography for immediate detection of myocardial infarction in the emergency roomAm J Cardiol1990; 65: 687–691
12.
HegerJJWeymanAEWannLSCross-sectional echocardiography in acute myocardial infarction: Detection and localization of regional left ventricular asynergyCirculation1979; 60: 531–538
13.
HorowitzRSMorganrothJParrottoCImmediate diagnosis of acute myocardial infarction by two-dimensional echocardiographyCirculation1982; 65: 323–329
14.
VisserCALieKIKanGDetection and quantification of acute, isolated myocardial infarction by two-dimensional echocardiographyAm J Cardiol1981; 47: 1020–1025
15.
Gruppo Italiano per 10 Studio della Streptochinasi nell Infarcto Miocardico (GISSI):Effectiveness of intravenous thrombolytic therapy in acute myocardial infarction. Lancet1986;1:397–401
16.
The ISAM Study Group. A prospective trial of intravenous streptokinase in acute myocardial infarction: Mortality, morbidity, and infarct size at 21 days. N Engl J Med1986; 314:1465–1471
17.
Second International Study of Infarct Survival:Randomised trial of intravenous streptokinase, oral aspirin, both, or neither among 17,187 cases of suspected acute myocardial infarction. Lancet1988;2:349–360
18.
SchaperWFrenzelHHortWExperimental coronary artery occlusion. I: Measurement of infarct sizeBasic Res Cardiol1979; 74: 46–53
19.
WalshRAO'RourkeRAThe physical examination in acute uncomplicated, and complicated myocardial infarction In: KarlinerJSGregaratosG eds. Coronary care.New York: Churchill Livingstone,1981;177–188
20.
TouchstoneDANygaardTWKaulSCorrelation between left ventricular risk area and clinical, electrocardiographic, hemodynamic, and angiographic variables during acute myocardial infarctionJ Am Soc Echo1990; 3: 106–117
21.
RossJAssessment of ischemic regional myocardial dysfunction and its reversibilityCirculation1986; 74: 1186–1190
22.
KaulSBoucherCAOkadaRDSources of variability in the radionuclide angiographic assessment of ejection fraction: A comparison of first pass and gated equilibrium techniquesAm J Cardiol1984; 53: 823–828
23.
ForresterJSDiamondGChatterjeeKSwanHJCMedical therapy of acute myocardial infarction by application of hemodynamic subsetsN Engl J Med1976; 295: 1356–1362
24.
KaulSGlasheenWRuddyRDThe importance of defining left ventricular area at risk in vivo during acute myocardial infarction: An experimental evaluation with myocardial contrast two-dimensional echocardiographyCirculation1987; 75: 1249–1260
25.
FeiringAJJohnsonMRKioschosJMThe importance of the determination of the myocardial area at risk in the evaluation of the outcome of acute myocardial infarction in patientsCirculation1987; 75: 980–987
26.
KaulSPandianNGGillamLDContrast echocardiography in acute myocardial ischemia. III. An in vivo comparison of the extent of abnormal wall motion with the area at risk for necrosisJ Am Coll Cardiol1986; 7: 383–392
27.
BudaAJZotzRJPaceDPKrauseLCComparison of two-dimensional echocardiographic wall motion and wall thickening abnormalities in relation to the myocardium at riskAm Heart J1986; 111: 587–592
28.
JaarsmaWVisserCAEenige VanMJPrognostic implications of regional hyperkinesia and remote asynergy of non-infarcted myocardiumAm J Cardiol1986; 58: 394–398
29.
StammRBGibsonRSBishopHLEchocardiographic detection of infarct localized asynergy and remote asynergy during acute myocardial infarction: Correlation with the extent of angiographic diseaseCirculation1983; 67: 233–244
30.
TouchstoneDABellerGANygaardTWEffects of successful intravenous reperfusion therapy on regional myocardial function and geometry in humans: A tomographic assessment using two-dimensional echocardiographyJ Am Coll Cardiol1989; 13: 1506–1513
31.
SchwartzJSCohnJNBacheRJEffects of coronary occlusion on flow in the distribution of a neighboring stenotic coronary artery in the dogAm J Cardiol1983; 52: 89–95
32.
GaschoJALesnefskyAJMahanesMSEffects of acute left anterior descending artery occlusion on regional myocardial blood flow and wall thickening in presence of a circumflex stenosis in dogsJ Am Coll Cardiol1984; 54: 399–406
33.
HomansCCSublettEElspergerKJMechanisms of remote myocardial dysfunction during coronary artery occlusion in the presence of multivessel diseaseCirculation1986; 74: 588–596
34.
PiroloJSHutchinsGMMooreGWInfarct expansion: Pathologic analysis of 204 patients with a single myocardial infarctJ Am Coll Cardiol1986; 7: 349–354
The Consensus Trial Study. Effect of enalarpil on mortality in severe congestive heart failure: Results of the Cooperative North Scandinavian Enalarpil Survival Study (CONSENSUS). N Engl J Med1987;316:1429–1435
37.
HorowitzRSMorganrothJImmediate detection of high-risk patients with acute myocardial infarction using two-dimensional echocardiographic evaluation of left ventricular regional wall motion abnormalitiesAm Heart J1982; 103: 814–822
38.
NishimuraRATajikAJShubCRole of two-dimensional echocardiography in the prediction of in-hospital complications after acute myocardial infarctionJ Am Coll Cardiol1984; 4: 1080–1087
39.
KanGVisserCAKoolenJJDunningAJShort and long term predictive value of admission wall motion score in acute myocardial infarction: A cross-sectional echocardiographic study in 345 patientsBr Heart J1986; 56: 422–427
40.
GibsonRGBishopWCStammRBValue of early two-dimensional echocardiography in patients with acute myocardial infarctionAm J Cardiol1982; 49: 1110–1119
41.
BhatnagarSKMoussaMAAl-YusufARThe role of pre-hospital discharge two-dimensional echocardiography in determining the prognosis of survivors of first myocardial infarctionAm Heart J1985; 109: 472–477
42.
NishimuraRAReederGSMillerFAPrognostic value of pre-discharge two-dimensional echocardiogram after acute mycardial infarctionAm J Cardiol1984; 53: 429–432
43.
SabiaPAbbottRDAfrooktehAThe importance of two-dimensional echocardiographic assessment of left ventricular systolic function in patients presenting to the emergency room with cardiac related symptoms. Circulation1991 (in press)
Dell'italiaLJStarlingMRCrawfordMHRight ventricular infarction: Identification by hemodynamic measurements before and after volume loading and correlation with noninvasive techniquesJ Am Coll Cardiol1984; 4: 931–939
48.
KaulSTeiCHopkinsJMShahPMAssessment of right ventricular function using two-dimensional echocardiographyAm Heart J1984; 107: 526–531
49.
KerenGSherezJRothADiagnosis of ventricular septal rupture from acute myocardial infarction by combined two-dimensinal and pulsed Doppler echocardiographyAm J Cardiol1984; 53: 1202–1203
50.
RecusaniFRaisaroASgalambroAVentricular septal rupture after myocardial infarction: Diagnosis by two-dimensional and pulsed Doppler echocardiographyAm J Cardiol1984; 54: 277–281
51.
MiyatakeKOkamatoMKinoshitaNDoppler echocardiographic features of ventricular septal rupture in myocardial infarctionJ Am Coll Cardiol1985; 5: 182–187
PandianNGIsnerJMMclnerneyKPNoninvasive assessment of the complicated myocardial infarction: Use of Doppler and two-dimensional echocardiography to differentiate ventricular septal rupture from rupture of mitral apparatusEchocardiography1985; 2: 329–347
54.
DrobacMGilbertBHowardRVentricular septal defect after myocardial infarction: Diagnosis by two-dimensional contrast echocardiographyCirculation1983; 67: 335–341
55.
MooreCANygaardTWKaiserDLPostinfarction ventricular septal rupture: The importance of location of infarction and right ventricular function in determining survivalCirculation1986; 74: 45–55
56.
ComePCRileyMFWeintraubREchocardiographic detection of complete and partial papillary muscle rupture during acute myocardial infarctionAm J Cardiol1985; 56: 787–789
57.
EisenbergPRBarzilaiBPerezJENoninvasive detection by Doppler echocardiography of combined ventricular septal rupture and mitral regurgitation in acute myocardial infarctionJ Am Coll Cardiol1984; 4: 617–620
58.
HermoniYEngelPJTwo-dimensional echocardiography in cardiac ruptureAm J Cardiol1986; 57: 180–181
59.
ArmstrongWFSchiltBRHelperDJDiastolic collapse of the right ventricle with tamponade: An echocardiographic studyCirculation1982; 65: 1491–1496
60.
WilliamsGJPartridgeJBRight ventricular diastolic collapse: An echocardiographic sign of tamponadeBr Heart J1983; 49: 292
61.
SinghSWannLSSchuchardGHRight ventricular and right atrial collapse in patients with cardiac tamponade: A combined echocardiographic and hemodynamic studyCirculation1984; 70: 966–971
62.
GillamLDGuyerDEGibsonTCHemodynamic compression of the right atrium: A new echocardiographic sign of cardiac tamponadeCirculation1983; 68: 294–301
63.
KronzonICohenMLWinerHEDiastolic atrial compression: A sensitive echocardiographic sign of cardiac tamponadeJ Am Coll Cardiol1983; 2: 770–775
64.
SegarKBWannSKlopfensteinMSEchocardiography in the diagnosis of cardiac tamponadeEchocardiography1987; 4: 29–33
65.
AppletonCPHatleLKPoppRLCardiac tamponade and pericardial effusion: Respiratory evaluation in transvalvular flow velocities studied by Doppler echocardiographyJ Am Coll Cardiol1988; 11: 1020–1035
66.
CatherwoodEMintzGSKotlerMNTwo-dimensional echocardiographic recognition of left ventricular pseudoaneurysmCirculation1980; 62: 294–303
67.
GatewoodRPJrNandaNCDifferentiation of left ventricular pseudoaneurysm with two-dimensional echocardiographyAm J Cardiol1980; 46: 869–878
68.
KaulSJosephsonMATeiCAtypical echocardiographic and angiographic presentation of post-operative pseudoaneurysmJ Am Coll Cardiol1983; 2: 780–784
69.
VisserCAKanGDavidGKEchocardiographic-cineangiographic correlation in detecting left ventricular aneurysm: A prospective study of 422 patientsAm J Cardiol1982; 50: 337–341
BaurHRDanielJANelsonRRDetection of left ventricular aneurysm on two-dimensional echocardiographyAm J Cardiol1982; 50: 191–196
72.
VisserCAKanGMeltzerRSIncidence, timing, and prognostic value of left ventricular aneurysm formation after myocardial infarction: A prospective, serial echocardiographic study in 158 patientsAm J Cardiol1986; 57: 729–732
73.
RogersEWGlassmanRDFeigenbaumHAneurysm of the posterior interventricular septum with post-infarction ventricular septal defectChest1980; 78: 741–746
74.
AsingerRWMikellFLElspergerJHodgesMIncidence of left ventricular thrombosis after acute transmural myocardial infarctionN Engl J Med1981; 305: 297–302
StrattonJRLightyGWJrPearlmanASRitchieJLDetection of left ventricular thrombus by two-dimensional echocardiography: Sensitivity, specificity and causes of uncertaintyCirculation1982; 66: 156–166
77.
VisserCAKanGDavidGKLieKIDurrerDTwo-dimensional echocardiography in the diagnosis of left ventricular thrombusChest1983; 83: 228–232
78.
StarlingMRCrawfordMHSoresenSGGroverFLComparative value of invasive and noninvasive techniques for identifying left ventricular mural thrombiAm Heart J1983; 106: 1143–1149
79.
VisserCAKanGMeltzerRSEmbolic potential of left ventricular thrombus after myocardial infarction: A two-dimensional echocardiographic study of 119 patientsJ Am Coll Cardiol1985; 5: 1276–1280
80.
HauglandJMAsingerRWMikellFLEmbolic potential of left ventricular thrombi detected by two-dimensional echocardiographyCirculation1984; 70: 588–598
81.
MeltzerRSVisserCAKanGRoelandtJTwo-dimensional echocardiographic appearance of left ventricular thrombi with systemic emboli after myocardial infarctionAm J Cardiol1984; 53: 1511–1513
LloretRLCortadaXBradfordJClassification of left ventricular thrombi by their history of systemic embolization using pattern recognition of two-dimensional echocardiogramsAm Heart J1985; 110: 761–765
84.
MeltzerRSVisserCAFusterVIntracardiac thrombi and systemic embolizationAnn Intern Med1986; 104: 689–698
85.
ManietARParameswaranRGoldbergHSpontaneous disappearance of left ventricular thrombiJ Cardiovasc Ultra-sonography1984; 3: 161
86.
CharuziYBeederCMarshallLAImprovement in regional and global left ventricular function after intracoronary thrombolysis: Assessment with two-dimensional echocardiographyAm J Cardiol1984; 53: 662–665
87.
WidemskyPCervenkaVVisekVFirst month course of left ventricular asynergy after intracoronary thrombolysis in acute myocardial infarction: A longitudinal echocardiographic studyEur Heart J1985; 6: 759–765
88.
TopolEJWeissJLBrinkerJARegional wall motion improvement after coronary thrombolysis in recombinant tissue plasminogen activator: Importance of coronary angioplastyJ Am Coll Cardiol1985; 6: 426–433
89.
PrestiCFGentileRArmstrongWFImprovement in regional wall motion after percutaneous transluminal coronary angioplasty during acute myocardial infarction: Utility of two-dimensional echocardiographyAm Heart J1988; 115: 1149–1155
90.
StahlI.DAversanoTRBeckerLCSelective enhancement of function of stunned myocardium by increased flowCirculation1986; 74: 843–851
91.
SklenarJGlasheenWPJayaweeraARKaulSDifferentiation between ischemic and stunned myocardium using two-dimensional echocardiography: An experimental evaluationJ Am Coll Cardiol1991; 16:172A (abstract)
92.
NixonJVBrownCNSmithermanTCIdentification of transient and persistent segmental wall motion abnormalities in patients with unstable angina by two-dimensional echocardiographyCirculation1982; 65: 1497–1503
93.
RogersEWFeigenbaumHWeymanAEPossible detection of atherosclerotic coronary calcification by two-dimensional echocardiographyCirculation1980; 62: 1046–1053
94.
WeymanAEFeigenbaumHDillonJCNoninvasive visualization of the left main coronary artery by cross-sectional echocardiographyCirculation1976; 54: 169–174
95.
ChenCCMorganrothJOgawaSMardelliTJDetecting left main coronary artery disease by apical, cross-sectional echocardiographyCirculation1980; 62: 288–293
96.
PrestiCFFeigenbaumHArmstrongWFDigital two-dimensional echocardiographic evaluation of the proximal left anterior descending coronary arteryAm J Cardiol1987; 60: 1254–1259
97.
IlicetoSMarangelliVMemmolaCRizzonPTransesophageal echocardiography evaluation of coronary blood flow velocity in baseline conditions and during dipyridamole-induced coronary vasodilationCirculation1991; 83: 61–69
98.
CrawfordMHWhiteDHAmonKWEchocardiographic evaluation of left ventricular size and performance during handgrip and supine and upright bicycle exerciseCirculation1979; 59: 1188–1196
99.
PicanoELattanziFMasiniMHigh dose dipyridamole echocardiography test in effort angina pectorisJ Am Coll Cardiol1986; 8: 848–854
100.
WannLSFarisJVChildressRHExercise cross-sectional echocardiography in ischemic heart diseaseCirculation1979; 60: 1300–1308
MaurerGNandaNCTwo-dimensional echocardiographic evaluation of exercise-induced left and right ventricular asynergy: Correlation with thallium scanningAm J Cardiol1981; 48: 720–727
LimacherMCQuinonesMAPolinerLRDetection of coronary artery disease with exercise two-dimensional echocardiographyCirculation1983; 67: 1211–1218
105.
VisserCAVander WiekenRLKanGComparison of two-dimensional echocardiography with radionuclide angiography during dynamic execise for the detection of coronary artery diseaseAm Heart J1983; 106: 528–534
106.
GintzonLEConantRBrizendineMExercise two-dimensional echocardiography: A new method of segmental wall motion analysisAm J Cardiol1984; 53: 805–811
107.
JaarsmaWVisserCAFunke KupperAJUsefulness of two-dimensional exercise echocardiography shortly after myocardial infarctionAm J Cardiol1986; 57: 86–90
108.
ArmstrongWFO'DonnelJDillonJCComplimentary value of two-dimensional echocardiography to routine treadmill exercise testingAnn Intern Med1986; 105: 829–835
109.
SawadaSGSegarDSRyanTEchocardiographic detection of coronary artery disease during dobutamine infusionCirculation1991; 83: 1605–1614
110.
GibsonRSWatsonDDCraddockGBPrediction of cardiac events after uncomplicated myocardial infarction: A prospective study comparing predischarge exercise thallium-201 scintigraphy and coronary arteriographyCirculation1983; 68: 321–336
111.
GibsonRSBellerGAGheorghiadeMThe prevalence and clinical significance of residual myocardial ischemia 2 weeks after uncomplicated non Q wave infarction: A prospective natural history studyCirculation1986; 73: 1186–1198
112.
ApplegateRJDell'italiaLJCrawfordMHUsefulness of two-dimensional echocardiography during low-level exercise testing early after uncomplicated acute myocardial infarctionAm J Cardiol1987; 60: 10–14
113.
RyanTArmstrongWFO'DonnellJAFeigenbaumHRisk-stratification after acute myocardial infarction by means of exercise two-dimensional echocardiographyAm Heart J1987; 114: 1305–1316
114.
KaulSA look at 15 years of planar thallium-201 imagingAm Heart J1989; 118: 581–601
115.
ShinaATajikAJSmithWCPrognostic significance of regional wall motion abnormality in patients with prior myocardial infarction: A prospective correlative study of two-dimensional echocardiography and angiographyMayo Clin Proc1986;61:254–262
116.
RahimtoolaSMA perspective on the three large multicenter randomized clinical trials of coronary bypass surgery for chronic stable anginaCirculation1985; 72(suppl V): 123–135
117.
BurchGEDePasqualeNPPhillipsJHThe syndrome of papillary muscle dysfunctionArch Intern Med1963; 112: 112–117
118.
StoneGWGriffinBShahPKPrevalence of unsuspected mitral regurgitation and left ventricular diastolic dysfunction in patients with coronary artery disease and acute pulmonary edema associated with normal or depressed left ventricular systolic functionAm J Cardiol1991; 67: 37–4
119.
GodleyRWWannSRogersEWIncomplete mitral leaflet closure in patients with papillary muscle dysfunction. Circulation1981;63:565–571
120.
KaulSPearlmanJDTouchstoneDAEsquivalLPrevalence and mechanisms of mitral regurgitation in the absence of intrinsic abnormalities of the mitral leaflets. Am Heart J1989;118:963–972
121.
KaulSSpotnitzWDGlasheenWPTouchstoneDAMechanism of ischemic mitral regurgitation: An experimental evaluation. Circulation1991 (in press)
122.
KaulSHopkinsJMShahPMChronic effects of myocardial infarction on right ventricular function: A noninvasive assessment. J Am Coll Cardiol1983;4:607–615
123.
HainesDEBellerGAWatsonDDA prospective clinical, scintigraphic, angiographic, and functional evaluation of patients after inferior myocardial infarction with and without right ventricular dysfunction. J Am Coll Cardiol1985;6:995–1003
124.
MooreCASmuckerMLKaulSMyocardial contrast echocardiography in humans. I. Safety—a comparison with routine coronary arteriography. J Am Coll Cardiol1986;8: 1006–1072
125.
KellerMWGlasheenWPSmuckerMLMyocardial contrast echocardiography in humans. II. Assessment of coronary blood flow reserve. J Am Coll Cardiol1988;12: 924–935
126.
WicklineSAThomasLJIIIMillerJGSensitive detection of the effects of reperfusion on myocardium by ultrasonic tissue characterization with integrated back-scatter. Circulation1986;74:389–400
