Learning Objectives By LessonCORONARY ARTERY DISEASEApplications of Echocardiography
- List the events in the ischemic cascade
- Describe the myocardial response to injury
- Describe what takes place with normal myocardial contraction and normal wall motion
- Explain how the cardiac segmental anatomy is divided and the associated coronary perfusion
- Determine the wall motion score index and describe its relation to patient outcomes
- Describe the application of contrast in ischemic heart disease
Complications of Ischemic Heart Disease
- Identify the overarching echocardiographic goals in the evaluation of ischemic heart disease
- Describe the importance of the acute phase in the evaluation of ischemic of heart disease
- Describe potential complications of ischemic heart disease and their echocardiographic assessment
STRESS ECHOCARDIOGRAPHYStress Echocardiography: Fundamentals
- Describe the normal wall motion response to stress
- Describe the ischemic cascade
- Describe the normal wall motion response to ischemia
- List anticipated echocardiographic parameters measured during a stress echocardiography test
- Describe the different stress types utilized in stress echocardiography
Stress Echocardiography: Findings
- Describe the purpose of stress echocardiography and why it is performed
- Describe the value of treadmill exercise as a form of stress in stress echocardiography
- Describe the myocardial response to dobutamine
- List the indications for dobutamine echocardiography
- Identify reasons to terminate dobutamine infusion
- Identify nonischemic causes for abnormal stress echocardiographic findings
- List the differential diagnosis for abnormal septal motion on stress echocardiogram
- List the indications for intravenous contrast for stress echocardiography
- Describe how to quantify wall motion
- Describe the types of wall motion response to stress
Stress Echocardiography: Prognostic Value
- Describe the prognostic value of stress echocardiography
- Explain the clinical utility of stress echocardiography for viability imaging
- Describe the clinical utility of stress echocardiography for non-ischemic indications
- Describe the clinical utility of diastolic stress echocardiography
Contributors: Nandan Anavekar, MBBCh; Abdullah Al-abcha, MD; Muhannad Aboud Abbasi, MBBCh; Anthony Kashou, MD
Last updated: July 2023.
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