BookEugenio Picano.
Summary: The sixth edition is enriched by over 300 figures, 150 tables and a video-companion collecting more than 100 cases also presented in the format of short movies and teaching cartoons.This extensively revised and enlarged edition of this long-seller (first edition 1991) documents the very significant advances made since the fifth (2009) edition and is entirely written by Eugenio Picano, a pioneer in the field sharing his lifetime experience with the help of an international panel of 50 contributors from 22 countries representing some of the best available knowledge and expertise in their respective field. For a long time, the scope and application of stress echo remained focused on coronary artery disease. In the last years, it has exploded in its breadth and variety of applications. From a black-and-white, one-fits-all approach (wall motion by 2D-echo in the patient with known or suspected coronary artery disease) now we have moved on to a omnivorous, next-generation laboratory employing a variety of technologies (from M-Mode to 2D and pulsed, continuous, color and tissue Doppler, to lung ultrasound and real time 3D echo, 2D speckle tracking and myocardial contrast echo) on patients covering the entire spectrum of severity (from elite athletes to patients with end-stage heart failure) and ages (from children with congenital heart disease to the elderly with low-flow, low-gradient aortic stenosis).
Contents:
1. Stress echocardiography: a historical perspective
2. Anatomical and functional targets of stress testing
3. Symptoms and signs of myocardial ischemia
4. Rational basis of stress echocardiography
5. Pathogenetic mechanisms of stress
6. Echocardiographic signs of ischemia
7. Segmentation of the left ventricle
8. Right heart stress echocardiography
9. Coronary flow reserve
10. Stress echocardiography: instructions for use.- 11. Exercise echocardiography
12. Dobutamine stress echocardiography
13. Dipyridamole stress echocardiography
14. Adenosine and Regadenoson stress echocardiography.- 15. Pacing stress echocardiography
16. Ergonovine stress echocardiography.- 17. Hyperventilation, handgrip, cold pressor and squatting stress echocardiography
18. Grading of ischemic response
19. Diagnostic results and indications
20. Myocardial viabili.- 21. Diagnostic flowcharts
22. Prognosis
23. New technologies
24. Contrast stress echocardiography
25. Diastolic stress echocardiography.- 26. Endothelial function in the stress echo laboratory
27. Special subsets of angiographically defined patients
28. Special subsets of electrocardiographically defined patients.- 29. Special subsets of clinically defined patients
30. Microvascular disease
31. Hypertension
32. Diabetes
33. Stress echocardiography in dilated cardiomyopathy
34. Stress echocardiography in hypertrophic cardiomyopathy
35. Stress echocardiography after cardiac transplantation
36. Stress Doppler echocardiography in valvular heart disease
37. Pediatric Stress echocardiography
38. Stress echocardiography and nuclear imaging
39. Stress echo vs MSCT
40. Stress echo vs cardiac magnetic resonance imaging
41. Appropriateness in the cardiac imaging and stress echo laboratory.