EUGENIO PICANO STRESS ECHOCARDIOGRAPHY PDF

It seems that you're in Germany. We have a dedicated site for Germany. Over the past twenty years, stress echocardiography has developed into a well-established technique that is versatile, patient friendly, and relatively inexpensive. This new, extensively revised and enlarged edition of Stress Echocardiography documents all of the very significant advances made since the fourth edition. The early chapters place the technique within a historical context and describe its pathophysiological basis.

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No account yet? Start here. When he began his career as a medical student in Pisa, he was lucky enough to meet Prof. Attilio Maseri who taught him that technology without pathophysiology is blind and that pathophysiology without technology is empty.

Picano was also mentored by Prof. Alessandro Distante—he learnt that imaging techniques at rest tell only half the story, whereas the whole story unfolds with dynamic use during spontaneous or induced stress. Picano has since made significant scientific contributions himself, expanding the applications of stress echocardiography above regional wall motion and beyond coronary artery disease.

Native, first-generation stress echocardiography based on regional wall motion has been supplemented by second-generation stress echo with dual imaging, adding pulsed Doppler assessment of coronary flow reserve of the left anterior descending coronary artery to regional wall motion assessment by 2-D echocardiography. He is in the top 10 for Italian cardiologists most cited in international literature—he takes first place as the most often cited Italian cardiologist in cardiovascular imaging.

Today, Prof. We have also grown up with no perception and no respect of radiation hazard. Now, we are aware that sustainable use of resources is mandatory, radiation risks have to be included in risk-benefit balance and environmental impact must be considered in cost-benefit assessments.

The complexity of ischaemic heart disease cannot be understood by focussing only on coronary artery stenosis mirrored in the regional wall motion abnormality. Stress echocardiography can benefit from its staggering versatility and may also target extravascular lung water, myocardial global function and coronary microcirculation. The ABCD protocol is currently undergoing large-scale validation in the prospective observational effectiveness study, Stress Echo , targeting 10, patients in different fields in and beyond coronary artery disease.

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This sixth edition is enriched by over figures, tables and a video-companion collecting more than cases also presented in the format of short movies and teaching cartoons. This extensively revised and enlarged edition of this long-seller documents the very significant advances made since the fifth edition and is entirely written by Eugenio Picano, a pioneer in the field sharing his lifetime experience with the help of an international panel of 50 contributors from 22 countries representing some of the best available knowledge and expertise in their respective field. In a societal and economic climate of increasing pressure for appropriate, justified and optimized imaging, stress echocardiography offers the great advantages of being radiation-free, relatively low cost, and with a staggering versatility: we can get more information with less cost and risk. For a long time, the scope and application of stress echo remained focused on coronary artery disease. In the last ten years, it has exploded in its breadth and variety of applications.

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It seems that you're in Germany. We have a dedicated site for Germany. In a societal and economic climate of increasing pressure for appropriate, justified and optimized imaging, stress echocardiography offers the great advantages of being radiation-free, relatively low cost, and with a staggering versatility: we can get more information with less cost and risk. For a long time, the scope and application of stress echo remained focused on coronary artery disease. In the last ten years, it has exploded in its breadth and variety of applications. From a black-and-white, one-fits-all approach wall motion by 2D-echo in the patient with known or suspected coronary artery disease now we have moved on to a omnivorous, next-generation laboratory employing a variety of technologies from M-Mode to 2D and pulsed, continuous, color and tissue Doppler, to lung ultrasound and real time 3D echo, 2D speckle tracking and myocardial contrast echo on patients covering the entire spectrum of severity from elite athletes to patients with end-stage heart failure and ages from children with congenital heart disease to the elderly with low-flow, low-gradient aortic stenosis.

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