SIMULTANEOUS MYOCARDIAL PERFUSION ASSESSMENT DURING MYOCARDIAL CONTRAST ECHOCARDIOGRAPHY PROVIDES INCREMENTAL PROGNOSTIC VALUE BEYOND WALL MOTION ANALYSIS WHEN INCORPORATED INTO A REAL-WORLD CLINICAL STRESS ECHOCARDIOGRAPHY SERVICE
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Abstract
Background: The prognostic value of myocardial perfusion (MP), assessed during stress echocardiography (SE) by myocardial contrast echocardiography (MCE), has been shown in research studies but is untested in a 'real-world' clinical SE service.
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... It provided incremental diagnostic information not only for the detection of CAD but also for the assessment of the extent of ischemia compared to wall motion abnormality alone. This resulted in incremental prognostic outcome provided by MCE which assesses function and perfusion simultaneously 21 . The wealth of data resulted in recommendation in the recent stable angina guidelines by the European Society of Cardiology for the use of MCE in daily clinical practice to enhance the diagnostic value of stress echocardiography 22 . ...