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. Thereafter, all aspects of stress echocardiography are discussed, clearly and in detail, by the distinguished pioneer, Eugenio Picano, and other contributors carefully selected for their expertise. Both mainstream and emerging applications are explained, and systematic comparisons with competing and complementary cardiac imaging techniques are provided. The text is supported by a large number of high-quality illustrations. This book is invaluable not only to cardiologists but also to non-experts, such as technicians and students.

Basic Principles, Methodology and Pathophysiology

Stress Echocardiography: A Historical and Societal Perspective
Anatomical and Functional Targets of Stress Testing
Symptoms and Signs of Myocardial Ischemia
Rational Basis of Stress Echocardiography
Pathogenetic Mechanisms of Stress
Echocardiographic Signs of Ischemia
Segmentation of the Left Ventricle
Dynamic and Pharmacologic Right Heart Stress Echocardiography: Right Ventricular Function, Right Coronary Artery Flow, Pulmonary Pressure, and Alveolar-Capillary Membrane Testing in the Echocardiography Laboratory
Coronary Flow Reserve
Technology and Training Requirements
Stresses: How, When and Why
Exercise Echocardiography
Dobutamine Stress Echocardiography
Dipyridamole Stress Echocardiography
Adenosine Stress Echocardiography
Pacing Stress Echocardiography
Ergonovine Stress Echocardiography for the Diagnosis of Vasospastic Angina
Hyperventilation Test
Grading of Ischemic Response
Diagnostic Results and Indications
Myocardial Viability
Diagnostic Flowcharts
Prognosis
New Technologies and New Diagnostic Targets
New Ultrasound Technologies for Quantitative Assessment of Left Ventricular Function
Contrast Stress Echocardiography
Diastolic Stress Echocardiography
Endothelial Function in the Stress Echocardiography Laboratory
In Front of The Patient: Clinical Applications in Different Patient Subsets
Special Subsets of Angiographically Defined Patients: Normal Coronary Arteries, Single-Vessel Disease,Left Main Coronary Artery Disease, Patients Undergoing Coronary Revascularization
Special Subsets of Electrocardiographically Defined Patients: Left Bundle Branch Block, Right Bundle Branch Block, Atrial Fibrillation
Special Subsets of Clinically Defined Patients:Elderly, Women, Outpatients, Chest Pain Unit, Noncardiac Vascular Surgery
Microvascular Disease
Hypertension
Diabetes
Stress Echocardiography in Dilated Cardiomyopathy
Stress Echocardiography in Hypertrophic Cardiomyopathy
Stress Echocardiography After Cardiac Transplantation
The Emerging Role of Exercise Testing and Stress Echocardiography in Valvular Heart Disease
Stress Echocardiography in Children
Comparison with Other Imaging Techniques
Stress Echocardiography Versus Stress Perfusion Scintigraphy
Stress Echocardiography Versus Cardiac CT
Stress Echocardiography Versus Stress CMR
Appropriateness in the Stress Echocardiography Laboratory.