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Atrial pacing in the detection and evaluation of coronary artery disease

S Iliceto, M Sorino, G D'Ambrosio

    European Heart Journal
    |December 1, 1986
    PubMed

    Insights

    Atrial pacing with echocardiography offers a safe and effective stress test for diagnosing coronary artery disease and predicting cardiac events in myocardial infarction patients. This method improves upon traditional electrocardiography-based pacing tests.

    Area of Science:

    • Cardiology
    • Diagnostic Imaging
    • Cardiovascular Stress Testing

    Background:

    • Atrial pacing is being re-evaluated as a stress test for coronary artery disease (CAD).
    • It can serve as a reliable alternative to physical exercise stress, especially with cardiac imaging.
    • Traditional pacing tests have limitations like invasivity and poor electrocardiographic sensitivity.

    Purpose of the Study:

    • To assess the utility of atrial pacing combined with two-dimensional echocardiography as a stress test.
    • To detect significant coronary artery disease.
    • To identify patients with myocardial infarction and multivessel disease.
    • To evaluate the impact of coronary artery bypass surgery.

    Main Methods:

    • Utilized two-dimensional echocardiography during atrial pacing as a novel stress test.
    • Applied the test in patients with recent myocardial infarction for prognostic information.
    • Assessed patients for significant coronary artery disease and multivessel disease.

    Main Results:

    • Atrial pacing with echocardiography effectively detects significant coronary artery disease.
    • Patients with recent myocardial infarction showing ST depression during pacing have a higher risk of major cardiac events.
    • The technique proved useful in identifying multivessel disease and assessing surgical outcomes.

    Conclusions:

    • Two-dimensional echocardiography during atrial pacing is a reliable and safe stress test for CAD detection.
    • This method provides valuable prognostic information in patients post-myocardial infarction.
    • It overcomes limitations of traditional pacing tests, offering improved sensitivity and safety.

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