Objective ischemic evidence in patients with myocardial bridging: Ultrasonic tissue characterization with dobutamine stress integrated backscatter

dc.contributor.authorDuygu, Hamza
dc.contributor.authorOzerkan, Filiz
dc.contributor.authorZoghi, Mehdi
dc.contributor.authorNalbantgil, Sanem
dc.contributor.authorKirilmaz, Bahadir
dc.contributor.authorAkilli, Azem
dc.contributor.authorOnder, Remzi
dc.contributor.authorErturk, Umit
dc.contributor.authorAkin, Mustafa
dc.date.accessioned2019-10-27T19:34:30Z
dc.date.available2019-10-27T19:34:30Z
dc.date.issued2007
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: in this study, we investigated the sensitivities of dobutamine stress echocardiography (DSE) and integrated backscatter (IBS) in detecting ischemia in patients with symptomatic myocardial bridging (MB). Methods: Fourteen patients given the diagnosis of MB in the left anterior descending coronary artery as shown by coronary angiography were enrolled. All patients underwent DSE and stress IBS. The cyclic variation of IBS (CVIBS) was taken from the midanteroseptal, midinferior, and midposterolateral areas of the parasternal short-axis images at rest, low dose, peak dose, and recovery. The low-dose, peak-dose, and recovery CVIBS data were compared with baseline values. Results: At peak dose, hypokinesia was observed in the left anterior descending coronary artery region in two patients (14%). A significant reduction in CVIBS was detected only when compared with the baseline at peak dose in the anteroseptal wall (8.4 +/- 1.3 vs 5.9 +/- 0.8, P = .003). A significant negative correlation was found between the CVIBS and the systolic narrowing percentage (R = -0.856, P = .001) and the length of MB (R = -0.576, P = .01) in the anteroseptal wall at peak dose. Conclusions. Whereas DSE is not sufficiently sensitive in the detection of ischemia in patients with symptomatic MB, the reduction in CVIBS during DSE may be an objective sign of ischemia.en_US
dc.identifier.doi10.1016/j.echo.2006.11.013en_US
dc.identifier.endpage723en_US
dc.identifier.issn0894-7317
dc.identifier.issue6en_US
dc.identifier.pmid17543742en_US
dc.identifier.startpage717en_US
dc.identifier.urihttps://doi.org/10.1016/j.echo.2006.11.013
dc.identifier.urihttps://hdl.handle.net/11454/39610
dc.identifier.volume20en_US
dc.identifier.wosWOS:000247090900006en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMosby-Elsevieren_US
dc.relation.ispartofJournal of the American Society of Echocardiographyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleObjective ischemic evidence in patients with myocardial bridging: Ultrasonic tissue characterization with dobutamine stress integrated backscatteren_US
dc.typeArticleen_US

Dosyalar