Review Note
Last Update: 02/17/2025 07:53 AM
Current Deck: BPT Questions
PublishedCurrently Published Content
Front
What are the advantages of a stress echocardiogram?
Back
Stress Echocardiography:
- Can be done with exercise or dobutamine
- Advantages:
- Nil radiation
- Can get images and increasing levels of stress
- Can do even if unable to exercise or have baseline ECG abnormalities
- Accessible
- Disadvantages:
- Possible rapid resolution of ischemia prior to image acquisition
- Hypertensive response may give false positive
- Suboptimal imaging could impair interpretation
- Can use contrast during echocardiography to help define endocardial borders and identify wall motion abnormalities if suboptimal imaging
- Contraindications to dobutamine (for stress)
- Ventricular arrhythmia or AF with RVR
- Recent AMI (in past 3 days) or unstable angina
- LVOT obstruction
- Aortic dissection
- sBP >180
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