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Usefulness of dobutamine echocardiography for detecting restenosis after percutaneous transluminal coronary angioplasty.

Publication ,  Journal Article
Heinle, SK; Lieberman, EB; Ancukiewicz, M; Waugh, RA; Bashore, TM; Kisslo, J
Published in: Am J Cardiol
December 1, 1993

To determine the usefulness of dobutamine stress echocardiography for detecting restenosis after percutaneous transluminal coronary angioplasty, the results of coronary arteriography and dobutamine stress echocardiography were compared in 103 patients 6 months after percutaneous transluminal coronary angiography. The dobutamine stress echocardiograms were obtained on the same day as the coronary arteriograms, which were analyzed by both quantitative and visual estimates of luminal narrowing. The angiographic restenosis rate was 44% by quantitative and 31% by visual estimates of stenosis. Dobutamine stress echocardiography was abnormal in 38% of previously dilated regions with restenosis and normal in 79% of previously dilated regions without restenosis by quantitative coronary angiography. Dobutamine stress echocardiography was concordant in 69% of 16 patients with multivessel disease compared with 40% of 41 patients with 1-vessel disease (p < 0.05). By quantitative coronary angiography, 64% of patients with significant disease in the left anterior descending artery were identified by dobutamine stress echocardiography compared to 12 and 24% of patients with disease in the left circumflex and right coronary arteries, respectively (p < 0.009). Concordance was seen in 79% of patients with baseline wall motion abnormalities compared with 54% of patients without baseline wall motion abnormalities. Dobutamine stress echocardiography has a low sensitivity but high specificity for detecting restenosis after coronary angioplasty, which may be explained in part by the high prevalence of 1-vessel disease in this patient population. The variables associated with significantly higher degrees of concordance were the presence of left anterior descending artery disease, multivessel disease, and baseline wall motion abnormalities.

Duke Scholars

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

December 1, 1993

Volume

72

Issue

17

Start / End Page

1220 / 1225

Location

United States

Related Subject Headings

  • Sensitivity and Specificity
  • Recurrence
  • Radiography
  • Predictive Value of Tests
  • Middle Aged
  • Male
  • Humans
  • Female
  • Echocardiography
  • Dobutamine
 

Citation

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ICMJE
MLA
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Heinle, S. K., Lieberman, E. B., Ancukiewicz, M., Waugh, R. A., Bashore, T. M., & Kisslo, J. (1993). Usefulness of dobutamine echocardiography for detecting restenosis after percutaneous transluminal coronary angioplasty. Am J Cardiol, 72(17), 1220–1225. https://doi.org/10.1016/0002-9149(93)90287-m
Heinle, S. K., E. B. Lieberman, M. Ancukiewicz, R. A. Waugh, T. M. Bashore, and J. Kisslo. “Usefulness of dobutamine echocardiography for detecting restenosis after percutaneous transluminal coronary angioplasty.Am J Cardiol 72, no. 17 (December 1, 1993): 1220–25. https://doi.org/10.1016/0002-9149(93)90287-m.
Heinle SK, Lieberman EB, Ancukiewicz M, Waugh RA, Bashore TM, Kisslo J. Usefulness of dobutamine echocardiography for detecting restenosis after percutaneous transluminal coronary angioplasty. Am J Cardiol. 1993 Dec 1;72(17):1220–5.
Heinle, S. K., et al. “Usefulness of dobutamine echocardiography for detecting restenosis after percutaneous transluminal coronary angioplasty.Am J Cardiol, vol. 72, no. 17, Dec. 1993, pp. 1220–25. Pubmed, doi:10.1016/0002-9149(93)90287-m.
Heinle SK, Lieberman EB, Ancukiewicz M, Waugh RA, Bashore TM, Kisslo J. Usefulness of dobutamine echocardiography for detecting restenosis after percutaneous transluminal coronary angioplasty. Am J Cardiol. 1993 Dec 1;72(17):1220–1225.
Journal cover image

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

December 1, 1993

Volume

72

Issue

17

Start / End Page

1220 / 1225

Location

United States

Related Subject Headings

  • Sensitivity and Specificity
  • Recurrence
  • Radiography
  • Predictive Value of Tests
  • Middle Aged
  • Male
  • Humans
  • Female
  • Echocardiography
  • Dobutamine