ArticleEuropean heart journal. Imaging methods and practice2025
Prognostic significance of myocardial ischaemia during exercise echocardiography in the absence of angiographic evidence of obstructive coronary disease.
Article in European heart journal. Imaging methods and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Aims: We studied the prognostic significance of myocardial ischaemia during exercise stress echocardiography (ExE) in the absence of angiographic evidence of obstructive coronary artery disease (CAD) in a contemporary cohort of patients. Methods and results: We retrospectively enrolled 84 patients who underwent ExE and had exercise-induced myocardial ischaemia followed by angiographic coronary evaluation. Fifty-one (61%) patients had non-obstructive CAD (iNOCAD), and 33 (39%) had normal coronaries (iNC). iNC and NOCAD patients were propensity matched to 99 and 153 patients with non-ischaemic ExE, respectively. Compared to iNOCAD, iNC patients were younger (60.9 ± 10.4 vs. 68 ± 8.9 years, Conclusion: Ischaemic ExE in the absence of angiographically obstructive CAD carries an elevated risk of adverse cardiovascular events necessitating medical optimization and close follow-up for progression.
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