Stephen G. Lalka, MD, Stephen G. Sawada, MD, Michael C

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Presentation transcript:

Dobutamine stress echocardiography as a predictor of cardiac events associated with aortic surgery Stephen G. Lalka, MD, Stephen G. Sawada, MD, Michael C. Dalsing, MD, Dolores F. Cikrit, MD, Alan P. Sawchuk, MD, Roxanne L. Kovacs, RN, Douglas S. Segar, MD, Thomas Ryan, MD, Harvey Feigenbaum, MD Journal of Vascular Surgery Volume 15, Issue 5, Pages 831-842 (May 1992) DOI: 10.1016/0741-5214(92)90718-N Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Diagram of regional wall segments in four echocardiographic views. LAX, long axis; SAX PM, short axis at papillary muscle level; 4C, four chambers; 2C, two chambers; MID, middle; ANT, anterior; SEPT, septal; POST, posterior; LAT, lateral, INF, inferior. Journal of Vascular Surgery 1992 15, 831-842DOI: (10.1016/0741-5214(92)90718-N) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Example of four-chamber echocardiographic images in a patient with a stress-induced new wall motion abnormality with dobutamine infusion. There is normal wall motion at rest (REST, left panel) with the expected decrease in left ventricular (LV) cavity size from diastole (Dias) to systole (Sys). With dobutamine (DOB) stress (right panel), there is dyskinesis of the distal septum in systole (arrow). Journal of Vascular Surgery 1992 15, 831-842DOI: (10.1016/0741-5214(92)90718-N) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Stratification of probability of cardiac event by DSE result. WMA, wall motion abnormalities; REST, resting; ↑, worsening. Journal of Vascular Surgery 1992 15, 831-842DOI: (10.1016/0741-5214(92)90718-N) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions