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Stress Echocardiography (Monografia o trattato scientifico)

Type

Monografia o trattato scientifico (Classe)
Prodotto della ricerca (Classe)

Label

Stress Echocardiography (Monografia o trattato scientifico) (literal)

Anno

2009-01-01T00:00:00+01:00 (literal)

Alternative label

Eugenio Picano (2009)
Stress Echocardiography
Springer Verlag, Berlin Heidelberg, 2009
(literal)

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Eugenio Picano (literal)

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Berlin Heidelberg (literal)

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This book has a past. Its various editions parallel the growth of stress echocardiographywithin the scientific community and the clinical arena. The first edition in 1991 consisted of 100 pages, which increased to 200 in the second (1994), 300 in the third (1997), nearly 500 pages in the fourth, and finally more than 600 in the current fifth edition. The general perception of stress echocardiography has changed in the cardiology community. No longer a promising innovation viewed with a mixture of suspicion and attraction, it is now an established technique with the huge potential to resolve the present paradox of saving health care money while at the same time improving diagnostic standards. In a cardiological climate where inappropriate, redundant, and often risky imaging examinations proliferate, stress echocardiography offers the great advantage of being relatively low cost, free of biohazards for the patient, and causing no ecological stress on the planet. By choice and by necessity, modern, responsible diagnosis with cardiac imaging must be economical, ecological, and therefore usually echocardiographic. Another major change has taken place in stress echocardiography laboratories during the last 5 years, making a new edition of the book mandatory. For a long time, the scope and application of stress echocardiography remained focused on coronary artery disease. In the last 10 years, it has exploded in its breadth and variety of applications, enjoying the tremendous technological and conceptual versatility that this technique offers. Nowadays, in the stress echocardiography laboratory we assess not only left ventricular function, but also coronary artery flow, valve gradients, intraventricular pressures, and pulmonary hemodynamics. We stress not only coronary arteries, but also the valves, myocardium, vessels, alveolarcapillary barrier in the lung, and peripheral and pulmonary circulation. Ten years ago, only patients with known or suspected coronary artery disease entered the stress echocardiography laboratory, and only regional wall motion was assessed. Now, we evaluate coronary artery disease as well as cardiomyopathy, valvular heart disease, children with congenital heart disease, and patients with incipient or advanced vascular disease. For each patient, we can tailor a dedicated stress with a specific method to address a particular diagnostic question. Thirty years ago, Harvey Feigenbaum one of the founding fathers of modern echocardiography stated that it is not possible to understand the cardiac patient without the helpof resting transthoracic echocardiography. After 30 years, we can safely state that it is notpossible to understand the cardiac patient without the help of stress echocardiography. The book was single authored in the first edition, and then enjoyed many distinguished contributors in its subsequent editions, up to the record number of 30 contributors in the present edition (literal)

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