Myocardial inotropic reserve: An old twist that constitutes a reliable index in the modern era of heart failure

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Abstract

Current national and international guidelines, including those of the European Society of Cardiology, recognize that the assessment of prognosis should be a part of the standard management for patients with chronic heart failure (CHF). However, these same guidelines recognize the inherent difficulty of this process. A variety of factors contribute to this difficulty, including the varying etiology, frequent co-morbidity and, perhaps most importantly, huge inter-individual variability in the disease progression and outcome. Although CHF is chronic, it is also a condition in which significant proportions of patients experience apparently ‘sudden’ death, which almost certainly contributes to our difficulty in assessing individual patient prognosis. A useful tool for the risk stratification of heart failure patients is dobutamine stress echocardiography (DSE), which determines the myocardial viability in ischemic cardiomyopathy and myocardial contractile reserve in idiopathic cardiomyopathy.

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Parthenakis, F., Maragkoudakis, S., Marketou, M., Patrianakos, A., Zacharis, E., & Vardas, P. (2016, September 1). Myocardial inotropic reserve: An old twist that constitutes a reliable index in the modern era of heart failure. Hellenic Journal of Cardiology. Hellenic Cardiological Society. https://doi.org/10.1016/j.hjc.2016.11.027

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