Stress echocardiography in patients with morbid obesity
The incidence of significant obesity is rising across the globe. These patients often have a clustering of cardiovascular risk factors and are frequently referred for noninvasive cardiac imaging tests. Stress echocardiography (SE) is widely used for assessment of patients with known or suspected cor...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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BMC
2016-06-01
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| Series: | Echo Research and Practice |
| Subjects: | |
| Online Access: | http://www.echorespract.com/content/3/2/R13.full |
| _version_ | 1828827716360601600 |
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| author | Benoy N Shah Roxy Senior |
| author_facet | Benoy N Shah Roxy Senior |
| author_sort | Benoy N Shah |
| collection | DOAJ |
| description | The incidence of significant obesity is rising across the globe. These patients often have a clustering of cardiovascular risk factors and are frequently referred for noninvasive cardiac imaging tests. Stress echocardiography (SE) is widely used for assessment of patients with known or suspected coronary artery disease (CAD), but its clinical utility in morbidly obese patients (in whom image quality may suffer due to body habitus) has been largely unknown. The recently published Stress Ultrasonography in Morbid Obesity (SUMO) study has shown that SE, when performed appropriately with ultrasound contrast agents (whether performed with physiological or pharmacological stress), has excellent feasibility and appropriately risk stratifies morbidly obese patients, including identification of patients who require revascularization. This article reviews the evidence supporting the use of echocardiographic techniques in morbidly obese patients for assessment of known or suspected CAD and briefly discusses other noninvasive modalities, including magnetic resonance and nuclear techniques, comparing and contrasting these techniques against SE. |
| first_indexed | 2024-12-12T15:06:36Z |
| format | Article |
| id | doaj.art-76426747013f48b29da64cf0d18bf1d5 |
| institution | Directory Open Access Journal |
| issn | 2055-0464 2055-0464 |
| language | English |
| last_indexed | 2024-12-12T15:06:36Z |
| publishDate | 2016-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Echo Research and Practice |
| spelling | doaj.art-76426747013f48b29da64cf0d18bf1d52022-12-22T00:20:43ZengBMCEcho Research and Practice2055-04642055-04642016-06-01R13R1810.1530/ERP-16-0010Stress echocardiography in patients with morbid obesityBenoy N Shah0Roxy Senior1Department of Cardiology, Wessex Cardiac Centre, University Hospital Southampton, Southampton, UKDepartment of Echocardiography, Royal Brompton Hospital, London, UK, National Heart & Lung Institute, Imperial College London, London, UKThe incidence of significant obesity is rising across the globe. These patients often have a clustering of cardiovascular risk factors and are frequently referred for noninvasive cardiac imaging tests. Stress echocardiography (SE) is widely used for assessment of patients with known or suspected coronary artery disease (CAD), but its clinical utility in morbidly obese patients (in whom image quality may suffer due to body habitus) has been largely unknown. The recently published Stress Ultrasonography in Morbid Obesity (SUMO) study has shown that SE, when performed appropriately with ultrasound contrast agents (whether performed with physiological or pharmacological stress), has excellent feasibility and appropriately risk stratifies morbidly obese patients, including identification of patients who require revascularization. This article reviews the evidence supporting the use of echocardiographic techniques in morbidly obese patients for assessment of known or suspected CAD and briefly discusses other noninvasive modalities, including magnetic resonance and nuclear techniques, comparing and contrasting these techniques against SE.http://www.echorespract.com/content/3/2/R13.fullobesitystress echocardiographyultrasound contrastcardiac imaging |
| spellingShingle | Benoy N Shah Roxy Senior Stress echocardiography in patients with morbid obesity Echo Research and Practice obesity stress echocardiography ultrasound contrast cardiac imaging |
| title | Stress echocardiography in patients with morbid obesity |
| title_full | Stress echocardiography in patients with morbid obesity |
| title_fullStr | Stress echocardiography in patients with morbid obesity |
| title_full_unstemmed | Stress echocardiography in patients with morbid obesity |
| title_short | Stress echocardiography in patients with morbid obesity |
| title_sort | stress echocardiography in patients with morbid obesity |
| topic | obesity stress echocardiography ultrasound contrast cardiac imaging |
| url | http://www.echorespract.com/content/3/2/R13.full |
| work_keys_str_mv | AT benoynshah stressechocardiographyinpatientswithmorbidobesity AT roxysenior stressechocardiographyinpatientswithmorbidobesity |