Journal of the American Society of Echocardiography
Volume 9, Issue 2 , Pages 113-118 , March 1996

The feasibility of dobutamine stress echocardiography in the emergency department with telemedicine interpretation

  • James A. Trippi, MD

      Affiliations

    • From the Department of Cardiology, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Emergency Medicine, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Medical Research, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • Corresponding Author InformationReprint requests: James Trippi, MD, 3171 N. Meridian St., No. 200, Indianapolis, IN 46208.
  • ,
  • Greg Kopp (RCDS)

      Affiliations

    • From the Department of Cardiology, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Emergency Medicine, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Medical Research, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
  • ,
  • Kamthorn S. Lee, MD

      Affiliations

    • From the Department of Cardiology, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Emergency Medicine, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Medical Research, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
  • ,
  • Howard Morrison, MD

      Affiliations

    • From the Department of Cardiology, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Emergency Medicine, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Medical Research, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
  • ,
  • Gregory Risk, MD

      Affiliations

    • From the Department of Cardiology, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Emergency Medicine, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Medical Research, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
  • ,
  • James H. Jones, MD

      Affiliations

    • From the Department of Cardiology, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Emergency Medicine, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Medical Research, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
  • ,
  • William H. Cordell, MD

      Affiliations

    • From the Department of Cardiology, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Emergency Medicine, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Medical Research, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
  • ,
  • Margaretha Chrapla (RN)

      Affiliations

    • From the Department of Cardiology, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Emergency Medicine, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Medical Research, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
  • ,
  • David Nelson, MS

      Affiliations

    • From the Department of Cardiology, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Emergency Medicine, Methodist Hospital of Indiana, Indianapolis, Indiana, USA
    • the Department of Medical Research, Methodist Hospital of Indiana, Indianapolis, Indiana, USA

References 

  1. Segar D, Brown S, Sawada S, Ryan T, Feigenbaum H. Dobutamine stress echocardiography: correlation with coronary lesion severity as determined by quantitative angiography. J Am Coll Cardiol. 1992;19:1197–1202
  2. Marcovitz PA, Armstrong WF. Accuracy of dobutamine stress echocardiography in detecting coronary artery disease. Am J Cardiol. 1992;69:1269–1273
  3. Marwick T, DHondt AM, Baudhuin T, et al.  Optimal use of dobutamine stress for the detection and evaluation of coronary artery disease: combination with echocardiography or scintigraphy, or both?. J Am Coll Cardiol. 1993;22:159–167
  4. Cohen J, Ottenweller J, George A, Duvvuri S. Comparison of dobutamine and exercise echocardiography for detecting coronary artery disease. Am J Cardiol. 1993;72:1226–1231
  5. Takeuchi M, Araki M, Nakashima Y, Kuroiwa A. Comparison of dobutamine stress echocardiography and stress thallium-201 single-photon emission computed tomography for detecting coronary artery disease. J Am Soc Echocardiogr. 1993;5:593–602
  6. Beleslin B, Ostojic M, Stepanovic J, et al.  Stress echocardiography in the detection of myocardial ischemia: head to head comparison of exercise, dobutamine, and dipyridamole tests. Circulation. 1994;90:1168–1176
  7. Shindler O, Shindler D, Kostis J. Portable digital echocardiographic image processing [Abstract]. J Am Coll Cardiol. 1993;21:74
  8. Sobczyk W, Solinger R, Rees A, Elbl F. Trans-telephonic echocardiography: successful use in a tertiary pediatric referral center. J Pediatr. 1993;1:31–39
  9. Trippi J, Kovacs R, Kopp G, Nelson D. Trans-telephonic transmission of emergency echocardiograms to a laptop computer [Abstract]. Circulation. 1994;90:I-608
  10. Trippi J, Lee K, Kopp G, Kovacs R. Emergency diagnosis on a laptop. Physicians Comput. 1995;12:10–17
  11. Diamond G, Forrester J. Analysis of probability as an aid in the clinical diagnosis of coronary-artery disease. N Engl J Med. 1979;300:1350–1358
  12. Pryor D, Harrell F, Lee K, Califf R, Rosati R. Estimating the likelihood of significant coronary artery disease. Am J Med. 1983;75:771–780
  13. Young G, Green T. The role of single ECG, creatine kinase, and CKMB in diagnosing patients with acute chest pain. Am J Emerg Med. 1993;11:444–449
  14. Bilodeau L, Theroux P, Gregoire J, Gagnon D, Arsenault A. Technetium-99m sestamibi tomography in patients with spontaneous chest pain: correlations with clinical, electrocardiographic and angiographic findings. J Am Coll Cardiol. 1991;18:1684–1691
  15. Varetto T, Cantalupi D, Altieri A, Orlandi C. Emergency room technetium-99m sestamibi imaging to rule out acute myocardial ischemic events in patients with nondiagnostic electrocardiograms. J Am Coll Cardiol. 1993;22:1804–1808
  16. Hilton T, Thompson R, Williams H, Saylors R, Fulmer H, Stowers S. Technetium-99m sestamibi myocardial perfusion imaging in the emergency room evaluation of chest pain. J Am Coll Cardiol. 1994;23:1016–1022
  17. Hauser AM. The emerging role of echocardiography in the emergency department. Ann Emerg Med. 1989;18:1298–1303
  18. Peels CH, Visser CA, Kupper AJ, et al.  Usefulness of two-dimensional echocardiography for immediate detection of myocardial ischemia in the emergency room. Am J Cardiol. 1990;65:687–691
  19. Sabia P, Abbot RD, Afforrktek A, et al.  Importance of two-dimensional echocardiographic assessment of left ventricular systolic function in patients presenting to the emergency room with cardiac-related symptoms. Circulation. 1991;84:1615–1624
  20. Kaul S. Value of echocardiography for the assessment of short- and long-term outcome in patients presenting to the emergency room with cardiac-related symptoms. Cardiovasc Imaging. 1992;4:61–67
  21. Kerns J, Shaub T, Fontanarosa P. Emergency cardiac stress testing in the evaluation of emergency department patients with atypical chest pain. Ann Emerg Med. 1993;22:794–798
  22. Lewis W, Amsterdam E. Utility and safety of immediate exercise testing of low-risk patients admitted to the hospital for suspected acute myocardial infarction. Am J Cardiol. 1994;74:987–990
  23. Armstrong W, O'Donnell J, Dillon J, McHenry P, Morris S, Feigenbaum H. Complementary value of two-dimensional exercise echocardiography to routine treadmill exercise testing. Ann Intern Med. 1986;10:531–538
  24. Mohler ER, Ryan T, Sawada SG, Segar DS, Foltz JM, Feigenbaum H. Evaluation of chest pain in the emergency department: can digital echocardiography substitute for routine videotape analysis [Abstract]. J Am Soc Echocardiogr. 1994;7:S66
  25. Eichelberger JP, Schwarz KQ, Pomerantz R. Validation of cine-loop versus videotape review in exercise echocardiography interpretation [Abstract]. J Am Soc Echocardiogr. 1995;8:411

 Supported by the Showalter Fund.

PII: S0894-7317(96)90018-8

Journal of the American Society of Echocardiography
Volume 9, Issue 2 , Pages 113-118 , March 1996