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      Comparison of Digital Dipyridamole Stress Echocardiography and Upright Bicycle Stress Echocardiography for Identification of Coronary Artery Stenosis

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          Abstract

          This study compared the diagnostic accuracy of dipyridamole (0.84 mg i.v./ 10 min) and bicycle stress echocardiography in 37 patients with inconclusive standard bicycle electrocardiography (ECG) tests; all underwent coronary angiography. Sensitivity for detection of coronary stenosis with dipyridamole echocardiography was 68% (21 of 31 patients), and for 1-, 2- and 3-vessel disease 56, 69 and 83%, respectively. Overall bicycle echocardiography sensitivity was 84%, and 78, 88 and 83% for patients with 1-, 2- and 3-vessel disease, respectively. Dipyridamole echocardiography was negative in all 6 patients with negative coronary angiography (specificity 100%), bicycle echocardiography was positive in 2 (specificity 67%). We conclude that dipyridamole echocardiography tends to be less sensitive in patients with mild disease, but is more specific than bicycle echocardiography.

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          Author and article information

          Journal
          CRD
          Cardiology
          10.1159/issn.0008-6312
          Cardiology
          S. Karger AG
          0008-6312
          1421-9751
          1995
          1995
          19 November 2008
          : 86
          : 6
          : 514-520
          Affiliations
          Section of Cardiology, Department of Medicine, University Hospital of Trondheim, Norway
          Article
          176932 Cardiology 1995;86:514–520
          10.1159/000176932
          7585764
          1799ed23-c0e7-4d94-a373-84f96364a3bb
          © 1995 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          History
          : 11 October 1994
          : 28 February 1995
          Page count
          Pages: 7
          Categories
          Noninvasive Diagnostic Cardiology

          General medicine,Neurology,Cardiovascular Medicine,Internal medicine,Nephrology
          Stress echocardiography,Coronary artery disease,Dipyridamole,Bicycle exercise test

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