Role of Dobutamine Stress Test and Speckle Tracking in Ischemic Heart Disease, Comparative Study
Background:Coronary artery disease (CAD) is a major cause of cardiovascular mortality. Echocardiography plays a vital role in early detection and treatment. Objectives:We investigated the use of speckle tracking during dobutamine stress echocardiography (DSE) to diagnose CAD in moderate-risk patient...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-09-01
|
| Series: | Medical Journal of Babylon |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/MJBL.MJBL_1300_23 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846168925478322176 |
|---|---|
| author | Marwa Majeed Kadhim Shokry F. AL-Saad Hassan Salim Al-Jumaily Zainab Falah Hassan |
| author_facet | Marwa Majeed Kadhim Shokry F. AL-Saad Hassan Salim Al-Jumaily Zainab Falah Hassan |
| author_sort | Marwa Majeed Kadhim |
| collection | DOAJ |
| description | Background:Coronary artery disease (CAD) is a major cause of cardiovascular mortality. Echocardiography plays a vital role in early detection and treatment.
Objectives:We investigated the use of speckle tracking during dobutamine stress echocardiography (DSE) to diagnose CAD in moderate-risk patients.
Materials and Methods:A 4-month cross-sectional study enrolled 42 moderate-risk patients without prior CAD history. Data included questionnaires, echocardiographic measurements, and SPSS analysis.
Results:Patients were divided into CAD-negative (66.7%) and CAD-positive (33.3%) groups based on coronary angiography. Speckle tracking during stress correlated better with angiography (kappa = 0.78) than at rest (kappa = 0.21) or stress visualization (kappa = 0.66). Sensitivity and specificity were 71.4% and 92.8% (stress test), 57.1% and 85.7% (speckle at rest), and 85.7% and 92.8% (speckle during stress), respectively.
Conclusion:Speckle tracking during DSE is a promising approach for diagnosing CAD in moderate-risk patients, enhancing early intervention possibilities. |
| format | Article |
| id | doaj-art-a576347c24f54793b3f9efba02089ead |
| institution | Kabale University |
| issn | 1812-156X 2312-6760 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Medical Journal of Babylon |
| spelling | doaj-art-a576347c24f54793b3f9efba02089ead2024-11-13T10:03:41ZengWolters Kluwer Medknow PublicationsMedical Journal of Babylon1812-156X2312-67602024-09-0121362162610.4103/MJBL.MJBL_1300_23Role of Dobutamine Stress Test and Speckle Tracking in Ischemic Heart Disease, Comparative StudyMarwa Majeed KadhimShokry F. AL-SaadHassan Salim Al-JumailyZainab Falah HassanBackground:Coronary artery disease (CAD) is a major cause of cardiovascular mortality. Echocardiography plays a vital role in early detection and treatment. Objectives:We investigated the use of speckle tracking during dobutamine stress echocardiography (DSE) to diagnose CAD in moderate-risk patients. Materials and Methods:A 4-month cross-sectional study enrolled 42 moderate-risk patients without prior CAD history. Data included questionnaires, echocardiographic measurements, and SPSS analysis. Results:Patients were divided into CAD-negative (66.7%) and CAD-positive (33.3%) groups based on coronary angiography. Speckle tracking during stress correlated better with angiography (kappa = 0.78) than at rest (kappa = 0.21) or stress visualization (kappa = 0.66). Sensitivity and specificity were 71.4% and 92.8% (stress test), 57.1% and 85.7% (speckle at rest), and 85.7% and 92.8% (speckle during stress), respectively. Conclusion:Speckle tracking during DSE is a promising approach for diagnosing CAD in moderate-risk patients, enhancing early intervention possibilities.https://journals.lww.com/10.4103/MJBL.MJBL_1300_23coronary artery diseasedobutamine stressechocardiographyglobal longitudinal strainmoderate risknoninvasive imagingspeckle tracking |
| spellingShingle | Marwa Majeed Kadhim Shokry F. AL-Saad Hassan Salim Al-Jumaily Zainab Falah Hassan Role of Dobutamine Stress Test and Speckle Tracking in Ischemic Heart Disease, Comparative Study Medical Journal of Babylon coronary artery disease dobutamine stress echocardiography global longitudinal strain moderate risk noninvasive imaging speckle tracking |
| title | Role of Dobutamine Stress Test and Speckle Tracking in Ischemic Heart Disease, Comparative Study |
| title_full | Role of Dobutamine Stress Test and Speckle Tracking in Ischemic Heart Disease, Comparative Study |
| title_fullStr | Role of Dobutamine Stress Test and Speckle Tracking in Ischemic Heart Disease, Comparative Study |
| title_full_unstemmed | Role of Dobutamine Stress Test and Speckle Tracking in Ischemic Heart Disease, Comparative Study |
| title_short | Role of Dobutamine Stress Test and Speckle Tracking in Ischemic Heart Disease, Comparative Study |
| title_sort | role of dobutamine stress test and speckle tracking in ischemic heart disease comparative study |
| topic | coronary artery disease dobutamine stress echocardiography global longitudinal strain moderate risk noninvasive imaging speckle tracking |
| url | https://journals.lww.com/10.4103/MJBL.MJBL_1300_23 |
| work_keys_str_mv | AT marwamajeedkadhim roleofdobutaminestresstestandspeckletrackinginischemicheartdiseasecomparativestudy AT shokryfalsaad roleofdobutaminestresstestandspeckletrackinginischemicheartdiseasecomparativestudy AT hassansalimaljumaily roleofdobutaminestresstestandspeckletrackinginischemicheartdiseasecomparativestudy AT zainabfalahhassan roleofdobutaminestresstestandspeckletrackinginischemicheartdiseasecomparativestudy |