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Pathogenetic Mechanisms of Stress

  • Chapter
Stress Echocardiography

Abstract

For a rational use of stress tests and an appropriate interpretation of their results, it may be useful to adopt a pathogenetic classification, taking into account the diagnostic end point of the test. Tests inducing vasospasm (ergonovine infusion and hyperventilation) explore the functional component. Tests trying to unmask coronary stenosis (exercise, dipyridamole, adenosine, dobutamine, pacing) mostly explore the ceiling of coronary reserve as defined by organic factors (Fig. 1). Some of these stressors (such as exercise) may also induce variations in coronary tone which can be superimposed onto the organic factors, thus blurring the correlation between coronary anatomy and test positivity.

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Authors and Affiliations

  1. Institute of Clinical Physiology, National Research Council, Via Moruzzi, 1, 56124, Pisa, Italy

    Eugenio Picano MD, PhD, FESC (Senior Medical Researcher of Italian National Research Council, Director, Echocardiography and Stress Testing Lab Institute of Clinical Physiology, Pisa, Scientific Director Cardiology, Clinica Cardiologica Montevergine, Mercogliano, Avellino, Editor-in-Chief Biomed Central Netjournal Cardiovascular Ultrasound)

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  1. Eugenio Picano MD, PhD, FESC
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© 2003 Springer-Verlag Berlin Heidelberg

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Picano, E. (2003). Pathogenetic Mechanisms of Stress. In: Stress Echocardiography. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-05096-5_8

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  • DOI: https://doi.org/10.1007/978-3-662-05096-5_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-05098-9

  • Online ISBN: 978-3-662-05096-5

  • eBook Packages: Springer Book Archive

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