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This is the seventh edition of a long-selling book (first edition 1991) that was translated into Italian, French, Chinese, Portuguese, Spanish, English. In the last ten years, stress echocardiography has exploded in its breadth and variety of applications. From a one-fits-all approach (wall motion by 2D-echo in the patient with known or suspected coronary artery disease), the field has progressed to an omnivorous, next-generation laboratory employing a variety of technologies (from M-Mode to 2D, from pulsed, continuous, color and tissue Doppler to lung ultrasound) on patients covering the entire spectrum of severity (from elite athletes to patients with end-stage heart failure) and ages (from children with congenital heart disease to the elderly with aortic stenosis). This new edition is enriched with over 300 figures, 150 tables and video-clips. In a societal and economic climate of increasing pressure for appropriate, justified and optimized imaging, stress echocardiography offers the great advantages of being radiation-free, relatively low cost, with minimal environmental impact, and with a staggering versatility: we can get more (information) with less (cost and risk). The volume will be a tremendous aid to current best practices for all health operators who intend to use stress echocardiography and ultrasound for diagnosis and guidance of optimal management in their patients.

Part I. The Signs 1. Step A for Regional Wall Motion Abnormality in Stress Echocardiography 2. Step B for B-Lines in Stress Echocardiography 3. Step C for Cardiac Reserve in Stress Echocardiography 4. Step D for Doppler-Based Coronary Flow Velocity Reserve in Stress Echocardiography 5. Step E for EKG-Based Heart Rate Reserve in Stress Echocardiography 6. Step F for Mitral Regurgitant Flow in Stress Echocardiography 7. Step G for Gradients in Stress Echocardiography 8. Step L for Left Atrium Stress Echocardiography 9. Step P for Pulmonary Hemodynamics in Stress Echocardiography 10. Step R for Right Ventricular Function in Stress Echocardiography 11. ABCDE Protocol for Stress Echocardiography in Chronic Coronary Syndromes 12. The ABCDE-FGLPR Protocol for Stress Echocardiography Beyond Coronary Artery Disease Part II. Training and Technology 13. Strain and Real-Time Three-Dimensional Stress Echocardiography 14. Contrast Stress Echocardiography 15. Artificial Intelligence and Robotic Stress Echocardiography 16. Technology and Training Requirements in Stress Echocardiography Part III. The Stresses: How, When, and Why 17. Exercise Echocardiography 18. Dobutamine Stress Echocardiography 19. Dipyridamole Stress Echocardiography 20. Adenosine, Regadenoson Stress Echocardiography 21. Pacing Stress Echocardiography 22. Ergonovine Stress Echocardiography for the Diagnosis of Vasospastic Angina 23. Hyperventilation, Handgrip, Cold Pressor Stress Echocardiography Part IV. The Patients 24. Stress Echocardiography in Special Subsets of Angiographically Defined Patients: Normal Coronary Arteries, Single-Vessel Disease, Left Main, Chronic Total Occlusion, and Patients Undergoing Coronary Revascularization 25. Stress Echocardiography in Special Subsets of Electrocardiographically Defined Patients: Left Bundle Branch Block, Right Bundle Branch Block, and Atrial Fibrillation 26. Stress Echocardiography in Special Subsets of Clinically Defined Patients: Elderly, Women, Outpatients, Chest Pain Unit, and Noncardiac Surgery 27. Diastolic Stress Echocardiography 28. Stress Echocardiography in Hypertension 29. Stress Echocardiography in Diabetes 30. Stress Echocardiography in Hypertrophic Cardiomyopathy 31. Stress Echocardiography in Dilated Nonischemic Cardiomyopathy 32. Stress Echocardiography in Angina with Nonobstructive Coronary Arteries 33. Stress Echocardiography After Cardiac Transplantation 34. Stress Echocardiography in Valvular Heart Disease 35. Stress Echocardiography in Cancer Survivors After Chemo- and Radiotherapy 36. Stress Echocardiography in Pulmonary Hypertension 37. Pediatric Stress Echocardiography 38. Stress Echocardiography in Athletes and Extreme Physiology 39. Stress Echocardiography Post-COVID-19 Part V. The Society 40. Economic Sustainability of Cardiac Imaging 41. Radiologic Sustainability of Cardiac Imaging 42. Environmental Sustainability of Cardiac Imaging 43. The Road to Stress Echo 2030

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This is the seventh edition of a long-selling book (first edition 1991) that was translated into Italian, French, Chinese, Portuguese, Spanish, English. In the last ten years, stress echocardiography has exploded in its breadth and variety of applications. From a one-fits-all approach (wall motion by 2D-echo in the patient with known or suspected coronary artery disease), the field has progressed to an omnivorous, next-generation laboratory employing a variety of technologies (from M-Mode to 2D, from pulsed, continuous, color and tissue Doppler to lung ultrasound) on patients covering the entire spectrum of severity (from elite athletes to patients with end-stage heart failure) and ages (from children with congenital heart disease to the elderly with aortic stenosis). This new edition is enriched with over 300 figures, 150 tables and video-clips. In a societal and economic climate of increasing pressure for appropriate, justified and optimized imaging, stress echocardiography offers the great advantages of being radiation-free, relatively low cost, with minimal environmental impact, and with a staggering versatility: we can get more (information) with less (cost and risk). The volume will be a tremendous aid to current best practices for all health operators who intend to use stress echocardiography and ultrasound for diagnosis and guidance of optimal management in their patients.

Part I. The Signs 1. Step A for Regional Wall Motion Abnormality in Stress Echocardiography 2. Step B for B-Lines in Stress Echocardiography 3. Step C for Cardiac Reserve in Stress Echocardiography 4. Step D for Doppler-Based Coronary Flow Velocity Reserve in Stress Echocardiography 5. Step E for EKG-Based Heart Rate Reserve in Stress Echocardiography 6. Step F for Mitral Regurgitant Flow in Stress Echocardiography 7. Step G for Gradients in Stress Echocardiography 8. Step L for Left Atrium Stress Echocardiography 9. Step P for Pulmonary Hemodynamics in Stress Echocardiography 10. Step R for Right Ventricular Function in Stress Echocardiography 11. ABCDE Protocol for Stress Echocardiography in Chronic Coronary Syndromes 12. The ABCDE-FGLPR Protocol for Stress Echocardiography Beyond Coronary Artery Disease Part II. Training and Technology 13. Strain and Real-Time Three-Dimensional Stress Echocardiography 14. Contrast Stress Echocardiography 15. Artificial Intelligence and Robotic Stress Echocardiography 16. Technology and Training Requirements in Stress Echocardiography Part III. The Stresses: How, When, and Why 17. Exercise Echocardiography 18. Dobutamine Stress Echocardiography 19. Dipyridamole Stress Echocardiography 20. Adenosine, Regadenoson Stress Echocardiography 21. Pacing Stress Echocardiography 22. Ergonovine Stress Echocardiography for the Diagnosis of Vasospastic Angina 23. Hyperventilation, Handgrip, Cold Pressor Stress Echocardiography Part IV. The Patients 24. Stress Echocardiography in Special Subsets of Angiographically Defined Patients: Normal Coronary Arteries, Single-Vessel Disease, Left Main, Chronic Total Occlusion, and Patients Undergoing Coronary Revascularization 25. Stress Echocardiography in Special Subsets of Electrocardiographically Defined Patients: Left Bundle Branch Block, Right Bundle Branch Block, and Atrial Fibrillation 26. Stress Echocardiography in Special Subsets of Clinically Defined Patients: Elderly, Women, Outpatients, Chest Pain Unit, and Noncardiac Surgery 27. Diastolic Stress Echocardiography 28. Stress Echocardiography in Hypertension 29. Stress Echocardiography in Diabetes 30. Stress Echocardiography in Hypertrophic Cardiomyopathy 31. Stress Echocardiography in Dilated Nonischemic Cardiomyopathy 32. Stress Echocardiography in Angina with Nonobstructive Coronary Arteries 33. Stress Echocardiography After Cardiac Transplantation 34. Stress Echocardiography in Valvular Heart Disease 35. Stress Echocardiography in Cancer Survivors After Chemo- and Radiotherapy 36. Stress Echocardiography in Pulmonary Hypertension 37. Pediatric Stress Echocardiography 38. Stress Echocardiography in Athletes and Extreme Physiology 39. Stress Echocardiography Post-COVID-19 Part V. The Society 40. Economic Sustainability of Cardiac Imaging 41. Radiologic Sustainability of Cardiac Imaging 42. Environmental Sustainability of Cardiac Imaging 43. The Road to Stress Echo 2030

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