| |
Additive value of dobutamine stress echocardiography in patients with an anomalous origin of a coronary artery
- 作者:Heleen Lameijer MD (1) (2)
Jozine M. ter Maaten MD (1) Robbert C. Steggerda MD (1)
1. Department of Cardiology ; Martini Hospital ; van Swietenplein 1 ; 9728 NT ; Groningen ; the Netherlands 2. Department of Emergency Medicine ; University Medical Centre Groningen ; Groningen ; the Netherlands
- 刊名:Netherlands Heart Journal
- 出版年:2015
- 出版时间:February 2015
- 年:2015
- 卷:23
- 期:2
- 页码:139-140
- 全文大小:1,009 KB
- 参考文献:1. Maron BJ, Doerer JJ, Haas TS, Tierney DM, Mueller FO. Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006. Circulation. 2009;119:1085鈥?2. CrossRef
2. Taylor AM, Thorne SA, Rubens MB, et al. Coronary artery imaging in grown up congenital heart disease: complementary role of magnetic resonance and x-ray coronary angiography. Circulation. 2000;101:1670鈥?8. CrossRef 3. Chu E, Cheitlin MD. Diagnostic considerations in patients with suspected coronary artery anomalies. Am Heart J. 1993;126:1427鈥?8. CrossRef 4. Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol. 2000;35:1493鈥?01. CrossRef 5. Kimball TR. Pediatric stress echocardiography. Pediatr Cardiol. 2002;23:347鈥?7. CrossRef
- 刊物主题:Medicine/Public Health, general;
- 出版者:Bohn Stafleu van Loghum
- ISSN:1876-6250
文摘
An anomalous origin of a coronary artery (AOCA) is the second most common cause of non-traumatic sudden cardiac death in young athletes. Patients with a malignant course of an AOCA of the right coronary artery only need surgical correction when myocardial ischaemia is detected. An AOCA and its malignant or benign course can be detected by coronary angiography, coronary computed tomography or cardiac magnetic resonance imaging. Detection of ischaemia can be more difficult since even a negative maximal-effort stress ECG does not exclude a potential lethal coronary anomaly. Also, there are no case series or trials showing sensitivity or specificity for any form of ischaemia detection for AOCA in the literature. Although not described previously in adults, dobutamine stress echocardiography was previously described in a paediatric population with AOCA. We are the first to describe ischaemia detection by dobutamine stress echocardiography in three adult patients with an AOCA of the right coronary artery who were subsequently referred for surgery.
| |
NGLC 2004-2010.National Geological Library of China All Rights Reserved.
Add:29 Xueyuan Rd,Haidian District,Beijing,PRC. Mail Add: 8324 mailbox 100083
For exchange or info please contact us via email.
| |