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Published on: November 29, 2018
Stress echocardiography in contemporary clinical cardiology: practical considerations and accreditation
Benoy N Shah1, Anita MacNab2, Jane Lynch2
1Wessex Cardiac CentreUniversity Hospital Southampton, Southampton, UK.
Insights
Stress echocardiography (SE) is a key diagnostic tool for heart conditions like coronary artery disease. Advances in imaging and contrast agents have enhanced its accuracy and clinical utility.
Area of Science:
- Cardiology
- Diagnostic Imaging
- Echocardiography
Background:
- Stress echocardiography (SE) is a vital test for diagnosing coronary artery disease (CAD), valvular heart disease, and cardiomyopathies.
- Its advantages include widespread availability, no ionizing radiation, flexible stress methods, and strong evidence.
- SE has advanced significantly due to improved echocardiography resolution, machine technology, and contrast agents.
Discussion:
- This article reviews the current applications of SE in clinical cardiology.
- It also discusses the recently introduced British Society of Echocardiography (BSE) accreditation scheme for SE.
- The review highlights the evolution and benefits of SE in patient management.
Key Insights:
- SE offers high diagnostic accuracy for various cardiac conditions.
- Technological advancements have substantially improved SE's performance and reliability.
- The BSE accreditation scheme aims to standardize and enhance SE practice.
Outlook:
- Continued advancements in ultrasound technology will further refine SE.
- Increased adoption of accreditation schemes like BSE's will ensure consistent quality.
- SE will remain a cornerstone of non-invasive cardiac diagnostics.
Abstract:
Stress echocardiography is a widely utilised test in patients with known or suspected coronary artery disease (CAD), valvular heart disease and cardiomyopathies. Its advantages include the ubiquitous availability of echocardiography, lack of ionising radiation, choice of physiological or pharmacological stressors, good diagnostic accuracy and robust supporting evidence base. SE has evolved significantly as a technique over the past three decades and has benefitted considerably from improvements in overall image quality (superior resolution), machine technology (e.g. digital cine-loop acquisition and side-by-side image display) and development of second-generation ultrasound contrast agents that have improved reader confidence and diagnostic accuracy. The purpose of this article is to review the breadth of SE in contemporary clinical cardiology and discuss the recently launched British Society of Echocardiography (BSE) Stress Echocardiography accreditation scheme.
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