Optimizing the role of transthoracic echocardiography to improve the cardiovascular risk stratification: the dream of subclinical coronary artery disease detection.

Abstract:

:Detecting coronary artery disease at a subclinical level has always been a challenging task for cardiologists. Various non-invasive echocardiographic approaches such as measurements of left ventricular hypertrophy, diastolic function, left atrial enlargement, valve sclerosis and calcification, epicardial fat thickness, and pulse wave velocity have been proposed to integrate the available risk-charts. The present review is a collection of evidence that supports the role of the above mentioned features in cardiac risk stratification, summarizing the state of the art in non-invasive echocardiographic coronary risk assessment. Each parameter is presented with its strengths and weaknesses, aiming to trace the future directions for the development of a reliable non-invasive approach.

journal_name

Minerva Med

journal_title

Minerva medica

authors

Benfari G,Rossi A,Geremia G,Vinco G,Zivelonghi C,Milano AD,Gottin L,Ribichini FL,Onorati F,Faggian G

doi

10.23736/S0026-4806.17.05311-3

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

31-40

issue

1

eissn

0026-4806

issn

1827-1669

pii

S0026-4806.17.05311-3

journal_volume

109

pub_type

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