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Heart Podcast

Stress echo and long-term prognosis in patients with chest pain

Feb 11, 2025
Attila Kardos, a consultant cardiologist and clinical lead at Milton Keynes University Hospital, shares his expertise on stress echocardiography and its role in diagnosing chest pain. He discusses the historical significance of this diagnostic tool and its inclusion in cardiovascular guidelines. The conversation dives into a meta-analysis revealing the long-term prognostic value of stress echo and its effectiveness compared to other cardiac imaging techniques. Attila highlights key findings from studies involving over 16,500 patients, emphasizing the importance of interpreting test results for managing cardiovascular risks.
23:16

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Quick takeaways

  • Stress echocardiography serves as a crucial non-invasive tool to evaluate heart function under stress, enhancing diagnosis for patients with chest pain.
  • Long-term studies demonstrate that positive stress echo results significantly increase the risk of major cardiovascular events, underscoring its prognostic value.

Deep dives

Understanding Stress Echocardiography

Stress echocardiography is a non-invasive diagnostic tool that assesses the heart's blood supply by putting it under stress, simulating conditions such as exercise. Developed over 50 years ago, it helps evaluate patients experiencing chest pain or breathlessness by monitoring their heart's contraction and blood flow during stress tests. This method is considered safe, analogous to the physical exertion of climbing a few flights of stairs, and can utilize various stressors including treadmill tests and pharmacological agents. Recent guidelines have recognized stress echocardiography as a valuable diagnostic tool for patients at moderate to high risk of coronary artery disease, establishing its relevance within the current arsenal of chest pain assessment techniques.

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