Stress echocardiography in patients with morbid obesity
File(s)
Published version
Author(s)
Shah, BN
Senior, R
Type
Journal Article
Abstract
The incidence of significant obesity is rising across the globe. These patients often have a clustering of cardiovascular risk factors and are frequently referred for noninvasive cardiac imaging tests. Stress echocardiography (SE) is widely used for assessment of patients with known or suspected coronary artery disease (CAD), but its clinical utility in morbidly obese patients (in whom image quality may suffer due to body habitus) has been largely unknown. The recently published Stress Ultrasonography in Morbid Obesity (SUMO) study has shown that SE, when performed appropriately with ultrasound contrast agents (whether performed with physiological or pharmacological stress), has excellent feasibility and appropriately risk stratifies morbidly obese patients, including identification of patients who require revascularization. This article reviews the evidence supporting the use of echocardiographic techniques in morbidly obese patients for assessment of known or suspected CAD and briefly discusses other noninvasive modalities, including magnetic resonance and nuclear techniques, comparing and contrasting these techniques against SE.
Date Issued
2016-06-01
Date Acceptance
2016-04-07
Citation
Echo Research and Practice, 2016, 3 (2), pp.R13-R18
ISSN
2055-0464
Publisher
BioScientifica: Echo Research and Practice
Start Page
R13
End Page
R18
Journal / Book Title
Echo Research and Practice
Volume
3
Issue
2
Copyright Statement
© 2016 The Authors. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Identifier
http://www.ncbi.nlm.nih.gov/pubmed/27249552
PII: ERP-16-0010
Subjects
cardiac imaging
obesity
stress echocardiography
ultrasound contrast
Publication Status
Published
Coverage Spatial
England