Non-invasive stress imaging techniques such as echocardiography
and myocardial perfusion imaging are widely used for the diagnosis and
functional evaluation of coronary artery disease and for the assessment of
myocardial viability.1·8 The aim of this thesis was to analyse methods that
may expand the clinical utility of stress echocardiographic and perfusion
imaging, for the diagnosis of myocardial ischemia and viability in patients
with suspected or known coronary artery disease

Sozzi, F. (Fabiola)

Erasmus University Digital Repository

STELLINGEN behorend bij het proefschrift NEW DIRECTIONS IN MYOCARDIAL STRESS IMAGING Fabiola A.M.A. Sozzi Rotterdam. 31 ol.:tober 2001 1. The heart is the most remarkable organ. Pedro Brugada 2. Second harmonic imaging improves the sensitivity of dobutamine stress echocardiography for the diagnosis of coronary artery disease. Thesis 3. Second harmonic imaging applied during dobutamine stress echocardiography increases the agreement with DISA-SPECT for detection of myocardial viability. Thesis 4. Beta-blockers reduce the number of viable segments detected by dobuta-mine stress echocardiography in patients with severe left ventricular dysfunction. Thesis 5. Diabetes mellitus is increasingly viewed as both a clinical and a public health challenge. 6. Doburamine stress echocardiography provides incremental data for risk stratifi-cation of diabetic patients with known or suspected coronary artery disease. Thesis 7. Dobutanllne stress echocardiography and sestamibi SPECT imaglng havt: similar sensitivity for the diagnosis of single vessel coronary artery disease. Thesis 8. Myocardial ischemia in the dyssynergic myocardium appears to be a major mechanism underlying the occurrence of ventricular arrhythmias late after acute myocardial infarction. Thesis 9. The accuracy of exercise myocardial perfusion scintigraphy is not reduced in hypertensive patients. Thesis 10. False negative results of dobutamine tetrofosmin imaging occur more &equcndy in patients vv:ith a lower peak stress heart rate, single vessel coronary anery disease, and less severe coronary artery stenosis. Thesis 11. Exercise-induced ventricular arrhythmias should be interpreted as a marker of a higher probability of coronary artery disease. Thesis 12. Most of us all walk around as if we are sleepwalking. We really do not experience the world fully, because we are half-asleep, doing things that automatically think we have to do. Morrie Schwartz 13. You cannot hope to build a better world without improving the individuals. To that end, each of us must work for our own improvement and, at the same rime, share a general responsibility for all humanity, our particular duty being to aid those to whom we think we can be most useful. 14. Tho' much is taken, much abides; and tho' We are not now that strength which in old days Moved earth and heaven, that which we are, we are One equal temper of heroic hearts, Made weak by rime and fate, but strong in will To strive, to seek, to find, and not ro yield. 15. Life is a dream; dreams fill up ones' life. Marie Curie Alfred Tennyson ''Ulysses" 

New directions in myocardial stress imaging

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