Ecocardiografía de estrés en 2018. 30 años no es nada... Parte I

Autores/as

  • Jorge A. Lowenstein Jefe Servicio Cardiodiagnóstico Investigaciones Médicas, Buenos Aires y del Servicio de Ecocardiografía de Diagnóstico Médico. Sede Cabildo. Argentina
  • Víctor Darú Jefe de la Sección Ecocardiografía y Doppler Cardiovascular Sanatorio Finochietto, Subjefe de Cardiodiagnóstico Investigaciones Médicas. Buenos Aires. Argentina

DOI:

https://doi.org/10.37615/retic.v1n3a3

Palabras clave:

isquemia, eco de estrés, dipiridamol, dobutamina, deformación miocárdica, reserva coronaria.

Resumen

La ecocardiografía de estrés cuenta hoy una creciente aceptación en la comunidad médica, dado su carácter no invasivo y la ausencia de irradiación, con elevado valor diagnóstico y pronóstico. Puede realizarse con diversas modalidades, esencialmente con ejercicio y fármacos. No se encuentra limitado al análisis de la motilidad parietal valorando en forma confiable la velocidad de flujo coronario, gradientes y reflujos valvulares, así como la presión en arteria pulmonar. La evaluación de la motilidad parietal puede ayudarse de la utilización con criterio del Doppler tisular y especialmente de la deformación por strain 2D. Proponemos una revisión integral de la técnica. En una primera parte se abordará la descripción general del método, los hitos históricos en su desarrollo y el estado actual del arte. A través de casos se intentará mostrar una visión integral de la respuesta cardiovascular al estrés en la enfermedad coronaria y en la evaluación de riesgo.

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Publicado

2018-12-31

Cómo citar

1.
Lowenstein JA, Darú V. Ecocardiografía de estrés en 2018. 30 años no es nada. Parte I. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 31 de diciembre de 2018 [citado 20 de julio de 2024];1(3):7-18. Disponible en: https://imagenretic.org/RevEcocarPract/article/view/475

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