Dobutamine stress test in differential diagnostics of dilated ischemic cardiomyopathy
Examining 81 patients with dilated cardiomyopathy (DCMP) and ischemic cardiomyopathy (ICMP), differential diagnostics criteria were identified. Group I included 45 patients with DCMP (43 males, 2 females), mean age 37,0+2,2 years. Group 2 consisted of 36 patients with coronary heart disease (CRD); m...
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«FIRMA «SILICEA» LLC
2004-12-01
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Series: | Российский кардиологический журнал |
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Online Access: | https://russjcardiol.elpub.ru/jour/article/view/2325 |
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author | M. A. Gurevich B. V. Gordienko |
author_facet | M. A. Gurevich B. V. Gordienko |
author_sort | M. A. Gurevich |
collection | DOAJ |
description | Examining 81 patients with dilated cardiomyopathy (DCMP) and ischemic cardiomyopathy (ICMP), differential diagnostics criteria were identified. Group I included 45 patients with DCMP (43 males, 2 females), mean age 37,0+2,2 years. Group 2 consisted of 36 patients with coronary heart disease (CRD); mean age 59,3+2,3 years. Together with analyzing anamnesis, clinical data, complication features, instrumental methods were also used: ECG, Hotter monitoring, echocardiography (EchoCG). Cases difficult for diagnostics required endomyocardial biopsy, central hemodynamics assessment, coronaroangiography. In some participants, myocardial scintigraphy with Tl 201 was performed. Left ventricular contractility index (LV CI) was measured in 52 subjects. Thirty-six patients underwent dobutamine stress EchoCG (5-35 mg/kg/min), with assessing IV CI at baseline and after the test. In DCMP, total and local myocardial contractility was more severely impaired, right ventricular (RV) linear sizes were greater, and aorta dimensions decreased. In dobutamine stress test, DCMP and ICMP patients demonstrated contrary LV CI dynamics. |
format | Article |
id | doaj-art-5ba25e8d16b84b3d8d90b960eaa2e9a2 |
institution | Matheson Library |
issn | 1560-4071 2618-7620 |
language | Russian |
publishDate | 2004-12-01 |
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series | Российский кардиологический журнал |
spelling | doaj-art-5ba25e8d16b84b3d8d90b960eaa2e9a22025-08-04T12:59:58Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202004-12-010651562070Dobutamine stress test in differential diagnostics of dilated ischemic cardiomyopathyM. A. Gurevich0B. V. Gordienko1Московский областной научно-исследовательский институтМосковский областной научно-исследовательский институтExamining 81 patients with dilated cardiomyopathy (DCMP) and ischemic cardiomyopathy (ICMP), differential diagnostics criteria were identified. Group I included 45 patients with DCMP (43 males, 2 females), mean age 37,0+2,2 years. Group 2 consisted of 36 patients with coronary heart disease (CRD); mean age 59,3+2,3 years. Together with analyzing anamnesis, clinical data, complication features, instrumental methods were also used: ECG, Hotter monitoring, echocardiography (EchoCG). Cases difficult for diagnostics required endomyocardial biopsy, central hemodynamics assessment, coronaroangiography. In some participants, myocardial scintigraphy with Tl 201 was performed. Left ventricular contractility index (LV CI) was measured in 52 subjects. Thirty-six patients underwent dobutamine stress EchoCG (5-35 mg/kg/min), with assessing IV CI at baseline and after the test. In DCMP, total and local myocardial contractility was more severely impaired, right ventricular (RV) linear sizes were greater, and aorta dimensions decreased. In dobutamine stress test, DCMP and ICMP patients demonstrated contrary LV CI dynamics.https://russjcardiol.elpub.ru/jour/article/view/2325dilated cardiomyopathyischemic cardiomyopathydobutamine stress echocgleft ventricular contractility index |
spellingShingle | M. A. Gurevich B. V. Gordienko Dobutamine stress test in differential diagnostics of dilated ischemic cardiomyopathy Российский кардиологический журнал dilated cardiomyopathy ischemic cardiomyopathy dobutamine stress echocg left ventricular contractility index |
title | Dobutamine stress test in differential diagnostics of dilated ischemic cardiomyopathy |
title_full | Dobutamine stress test in differential diagnostics of dilated ischemic cardiomyopathy |
title_fullStr | Dobutamine stress test in differential diagnostics of dilated ischemic cardiomyopathy |
title_full_unstemmed | Dobutamine stress test in differential diagnostics of dilated ischemic cardiomyopathy |
title_short | Dobutamine stress test in differential diagnostics of dilated ischemic cardiomyopathy |
title_sort | dobutamine stress test in differential diagnostics of dilated ischemic cardiomyopathy |
topic | dilated cardiomyopathy ischemic cardiomyopathy dobutamine stress echocg left ventricular contractility index |
url | https://russjcardiol.elpub.ru/jour/article/view/2325 |
work_keys_str_mv | AT magurevich dobutaminestresstestindifferentialdiagnosticsofdilatedischemiccardiomyopathy AT bvgordienko dobutaminestresstestindifferentialdiagnosticsofdilatedischemiccardiomyopathy |