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Stress Echocardiography with Vasoactive Agents

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Stress Echocardiography

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 149))

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Abstract

Exercise and dobutamine stress induce ischemia by increasing myocardial oxygen requirements to a level which exceeds the ability of a stenosed coronary artery to satisfy the increased demand (see Chapters 3 and 4). Ischemia in most ambulatory situations is caused by oxygen demand outstripping supply, but it may be combined with reduction in coronary supply due to vasospasm or coronary steal. This “supply-side” ischemia may be replicated during stress testing, either using dipyridamole as a convenient form of pharmacologic stress, or using ergotamine to specifically investigate the presence of a vasoactive mechanism of ischemia.

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Author information

Authors and Affiliations

  1. Director of Cardiac Stress Imaging, Cleveland Clinic Foundation, Cleveland, OH 44195, USA

    T. Marwick (Director of Cardiac Stress Imaging)

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  1. T. Marwick
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© 1994 Springer Science+Business Media Dordrecht

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Marwick, T. (1994). Stress Echocardiography with Vasoactive Agents. In: Stress Echocardiography. Developments in Cardiovascular Medicine, vol 149. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-0782-2_5

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  • DOI: https://doi.org/10.1007/978-94-011-0782-2_5

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4335-9

  • Online ISBN: 978-94-011-0782-2

  • eBook Packages: Springer Book Archive

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