Stress Echocardiography in Octogenarians: Transesophageal Atrial Pacing is Accurate, Safe, and Well Tolerated

Sergio L. Kobal, Charles Pollick, Shaul Atar, Takashi Miyamoto, Noune Aslanian, Yoram Neuman, Kirsten Tolstrup, Tasneem Z. Naqvi, Huai Luo, Bruce Macrum, Robert J. Siegel

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

The feasibility and diagnostic accuracy of transesophageal pacing stress echocardiography for detection of inducible myocardial ischemia were evaluated in 161 patients 80 years of age or older (mean 84 ± 3.9, range 80-97). The pacing time was 5.5 ± 2.5 minutes with a total test time of 37 ± 7 minutes. The mean achieved heart rate was 96 ± 7% (83%-121%) of maximum predicted with an average rate pressure product of 21,560 ± 5175 beats/min × mm Hg. There were minor adverse events in 8% of cases and no major complications occurred. Patient acceptance was high. When compared with myocardial single photon emission computed tomography, pacing stress echocardiography had a sensitivity of 89% and a specificity of 93% for the detection of myocardial ischemia, and 91% agreement (κ = 0.80, P < .001). We demonstrate that pacing stress echocardiography is safe and accurate for detection of myocardial ischemia and, thus, a reliable substitute to exercise and pharmacologic stress testing in octogenarians.

Original languageEnglish (US)
Pages (from-to)1012-1016
Number of pages5
JournalJournal of the American Society of Echocardiography
Volume19
Issue number8
DOIs
StatePublished - Aug 1 2006

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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    Kobal, S. L., Pollick, C., Atar, S., Miyamoto, T., Aslanian, N., Neuman, Y., Tolstrup, K., Naqvi, T. Z., Luo, H., Macrum, B., & Siegel, R. J. (2006). Stress Echocardiography in Octogenarians: Transesophageal Atrial Pacing is Accurate, Safe, and Well Tolerated. Journal of the American Society of Echocardiography, 19(8), 1012-1016. https://doi.org/10.1016/j.echo.2006.03.009