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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Main Authors: M. A. Gurevich, B. V. Gordienko
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2004-12-01
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.
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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