Echo Rounds Dec 14, 2023 | Atul Jaidka
Rest
Post Exercise
LAD Ischemia
A - Wall motion abnormalities, volumes*
B - B Lines
C - Left ventricular contractile reserve*
D - Coronary flow reserve
E - Heart rate reserve*
*do not require additional imaging based on current protocol
Scali MC, et al. (2020) Lung Ultrasound and Pulmonary Congestion During Stress Echocardiography. JACC Cardiovasc Imaging 13:2085-95.
Mod PSAX
Mod PLAX
European Heart Journal 2021
Ciampi et al.
Prognostic value of stress echocardiography assessed by the ABCDE protocol
Treatments potentially titratable to ABCDE risk score
ABCDE + F (regurgitant flow) G (LVOT gradients) L (left atrial volume/function) P ( pulmonary and LV pressures) L (RV function)
ABCDE + F (regurgitant flow) G (LVOT gradients) L (left atrial volume/function) P ( pulmonary and LV pressures) L (RV function)
"The current shift toward using SE protocols with both known and novel parameters is a new frontier. It will be interesting to observe the impact of SE 2020 in shifting practice. There has been a reluctance to “go with the flow” on this side of the Atlantic, but perhaps this will change with clear demonstration of feasibility and incremental value of a multiparametric SE approach, especially in women, who could benefit greatly from a noninvasive, nonionizing assessment of myocardial microvascular integrity."
-Sharon L. Mulvagh (Editorial Comment)