Quirino Ciampi, Mauro Pepi, Francesco Antonini-Canterin, Andrea Barbieri, Agata Barchitta, Giorgio Faganello, Sofia Miceli, Vito Maurizio Parato, Antonio Tota, Giuseppe Trocino, Massimiliana Abbate, Maria Accadia, Rossella Alemanni, Andrea Angelini, Francesco Anglano, Maurizio Anselmi, Iolanda Aquila, Simona Aramu, Enrico Avogadri, Giuseppe Azzaro, Luigi Badano, Anna Balducci, Flavia Ballocca, Alessandro Barbarossa, Giovanni Barbati, Valentina Barletta, Daniele Barone, Francesco Becherini, Giovanni Benfari, Monica Beraldi, Gianluigi Bergandi, Giuseppe Bilardo, Simone Maurizio Binno, Massimo Bolognesi, Stefano Bongiovi, Renato Maria Bragato, Gabriele Braggion, Rossella Brancaleoni, Francesca Bursi, Christian Cadeddu Dessalvi, Matteo Cameli, Antonella Canu, Mariano Capitelli, Anna Clara Maria Capra, Rosa Carbonara, Maria Carbone, Marco Carbonella, Nazario Carrabba, Grazia Casavecchia, Margherita Casula, Elena Chesi, Sebastiano Cicco, Rodolfo Citro, Rosangela Cocchia, Barbara Maria Colombo, Paolo Colonna, Maddalena Conte, Giovanni Corrado, Pietro Cortesi, Lauro Cortigiani, Marco Fabio Costantino, Fabiana Cozza, Umberto Cucchini, Myriam D'Angelo, Santina Da Ros, Fabrizio D'Andrea, Antonello D'Andrea, Francesca D'Auria, Giovanni De Caridi, Stefania De Feo, Giovanni Maria De Matteis, Simona De Vecchi, Carmen Del Giudice, Luca Dell'Angela, Lucrezia Delli Paoli, Ilaria Dentamaro, Paola Destefanis, Gianluca Di Bella, Maria Di Fulvio, Renato Di Gaetano, Giovanna Di Giannuario, Angelo Di Gioia, Luigi Flavio Massimiliano Di Martino, Carmine Di Muro, Concetta Di Nora, Giovanni Di Salvo, Claudio Dodi, Sarah Dogliani, Federica Donati, Melissa Dottori, Giuseppe Epifani, Iacopo Fabiani, Francesca Ferrara, Luigi Ferrara, Stefania Ferrua, Gemma Filice, Maria Fiorino, Davide Forno, Alberto Garini, Gioachino Agostino Giarratana, Giuseppe Gigantino, Mauro Giorgi, Elisa Giubertoni, Cosimo Angelo Greco, Michele Grigolato, Walter Grosso Marra, Anna Holzl, Alessandra Iaiza, Andrea Iannaccone, Federica Ilardi, Egidio Imbalzano, Riccardo M Inciardi, Corinna Antonia Inserra, Emilio Iori, Annibale Izzo, Giuseppe La Rosa, Graziana Labanti, Alberto Maria Lanzone, Laura Lanzoni, Ornella Lapetina, Elisa Leiballi, Mariateresa Librera, Carmenita Lo Conte, Maria Lo Monaco, Antonella Lombardo, Michelangelo Luciani, Paola Lusardi, Antonio Magnante, Alessandro Malagoli, Gelsomina Malatesta, Costantino Mancusi, Maria Teresa Manes, Fiore Manganelli, Francesca Mantovani, Vincenzo Manuppelli, Valeria Marchese, Lina Marinacci, Roberto Mattioli, Civelli Maurizio, Giuseppe Antonio Mazza, Stefano Mazza, Marco Melis, Giulia Meloni, Elisa Merli, Alberto Milan, Giovanni Minardi, Antonella Monaco, Ines Monte, Graziano Montresor, Antonella Moreo, Fabio Mori, Sofia Morini, Claudio Moro, Doralisa Morrone, Francesco Negri, Carmelo Nipote, Fulvio Nisi, Silvio Nocco, Luigi Novello, Luigi Nunziata, Alessandro Paoletti Perini, Antonello Parodi, Emilio Maria Pasanisi, Guido Pastorini, Rita Pavasini, Daisy Pavoni, Chiara Pedone, Francesco Pelliccia, Giovanni Pelliciari, Elisa Pelloni, Valeria Pergola, Giovanni Perillo, Enrica Petruccelli, Chiara Pezzullo, Gerardo Piacentini, Elisa Picardi, Giovanni Pinna, Massimiliano Pizzarelli, Alfredo Pizzuti, Matteo Maria Poggi, Alfredo Posteraro, Carmen Privitera, Debora Rampazzo, Carlo Ratti, Sara Rettegno, Fabrizio Ricci, Caterina Ricci, Cristina Rolando, Stefania Rossi, Chiara Rovera, Roberta Ruggieri, Maria Giovanna Russo, Nicola Sacchi, Antonino Saladino, Francesca Sani, Chiara Sartori, Virginia Scarabeo, Angela Sciacqua, Antonio Scillone, Pasquale Antonio Scopelliti, Alfredo Scorza, Angela Scozzafava, Francesco Serafini, Walter Serra, Sergio Severino, Beatrice Simeone, Domenico Sirico, Marco Solari, Gian Luca Spadaro, Laura Stefani, Antonio Strangio, Francesca Chiara Surace, Gloria Tamborini, Nicola Tarquinio, Eliezer Joseph Tassone, Isabella Tavarozzi, Bertrand Tchana, Giuseppe Tedesco, Monica Tinto, Daniela Torzillo, Antonio Totaro, Oreste Fabio Triolo, Federica Troisi, Maurizio Tusa, Federico Vancheri, Vincenzo Varasano, Amedeo Venezia, Anna Chiara Vermi, Bruno Villari, Giordano Zampi, Jessica Zannoni, Concetta Zito, Antonello Zugaro, Eugenio Picano, Scipione Carerj
{"title":"Stress Echocardiography in Italian Echocardiographic Laboratories: A Survey of the Italian Society of Echocardiography and Cardiovascular Imaging.","authors":"Quirino Ciampi, Mauro Pepi, Francesco Antonini-Canterin, Andrea Barbieri, Agata Barchitta, Giorgio Faganello, Sofia Miceli, Vito Maurizio Parato, Antonio Tota, Giuseppe Trocino, Massimiliana Abbate, Maria Accadia, Rossella Alemanni, Andrea Angelini, Francesco Anglano, Maurizio Anselmi, Iolanda Aquila, Simona Aramu, Enrico Avogadri, Giuseppe Azzaro, Luigi Badano, Anna Balducci, Flavia Ballocca, Alessandro Barbarossa, Giovanni Barbati, Valentina Barletta, Daniele Barone, Francesco Becherini, Giovanni Benfari, Monica Beraldi, Gianluigi Bergandi, Giuseppe Bilardo, Simone Maurizio Binno, Massimo Bolognesi, Stefano Bongiovi, Renato Maria Bragato, Gabriele Braggion, Rossella Brancaleoni, Francesca Bursi, Christian Cadeddu Dessalvi, Matteo Cameli, Antonella Canu, Mariano Capitelli, Anna Clara Maria Capra, Rosa Carbonara, Maria Carbone, Marco Carbonella, Nazario Carrabba, Grazia Casavecchia, Margherita Casula, Elena Chesi, Sebastiano Cicco, Rodolfo Citro, Rosangela Cocchia, Barbara Maria Colombo, Paolo Colonna, Maddalena Conte, Giovanni Corrado, Pietro Cortesi, Lauro Cortigiani, Marco Fabio Costantino, Fabiana Cozza, Umberto Cucchini, Myriam D'Angelo, Santina Da Ros, Fabrizio D'Andrea, Antonello D'Andrea, Francesca D'Auria, Giovanni De Caridi, Stefania De Feo, Giovanni Maria De Matteis, Simona De Vecchi, Carmen Del Giudice, Luca Dell'Angela, Lucrezia Delli Paoli, Ilaria Dentamaro, Paola Destefanis, Gianluca Di Bella, Maria Di Fulvio, Renato Di Gaetano, Giovanna Di Giannuario, Angelo Di Gioia, Luigi Flavio Massimiliano Di Martino, Carmine Di Muro, Concetta Di Nora, Giovanni Di Salvo, Claudio Dodi, Sarah Dogliani, Federica Donati, Melissa Dottori, Giuseppe Epifani, Iacopo Fabiani, Francesca Ferrara, Luigi Ferrara, Stefania Ferrua, Gemma Filice, Maria Fiorino, Davide Forno, Alberto Garini, Gioachino Agostino Giarratana, Giuseppe Gigantino, Mauro Giorgi, Elisa Giubertoni, Cosimo Angelo Greco, Michele Grigolato, Walter Grosso Marra, Anna Holzl, Alessandra Iaiza, Andrea Iannaccone, Federica Ilardi, Egidio Imbalzano, Riccardo M Inciardi, Corinna Antonia Inserra, Emilio Iori, Annibale Izzo, Giuseppe La Rosa, Graziana Labanti, Alberto Maria Lanzone, Laura Lanzoni, Ornella Lapetina, Elisa Leiballi, Mariateresa Librera, Carmenita Lo Conte, Maria Lo Monaco, Antonella Lombardo, Michelangelo Luciani, Paola Lusardi, Antonio Magnante, Alessandro Malagoli, Gelsomina Malatesta, Costantino Mancusi, Maria Teresa Manes, Fiore Manganelli, Francesca Mantovani, Vincenzo Manuppelli, Valeria Marchese, Lina Marinacci, Roberto Mattioli, Civelli Maurizio, Giuseppe Antonio Mazza, Stefano Mazza, Marco Melis, Giulia Meloni, Elisa Merli, Alberto Milan, Giovanni Minardi, Antonella Monaco, Ines Monte, Graziano Montresor, Antonella Moreo, Fabio Mori, Sofia Morini, Claudio Moro, Doralisa Morrone, Francesco Negri, Carmelo Nipote, Fulvio Nisi, Silvio Nocco, Luigi Novello, Luigi Nunziata, Alessandro Paoletti Perini, Antonello Parodi, Emilio Maria Pasanisi, Guido Pastorini, Rita Pavasini, Daisy Pavoni, Chiara Pedone, Francesco Pelliccia, Giovanni Pelliciari, Elisa Pelloni, Valeria Pergola, Giovanni Perillo, Enrica Petruccelli, Chiara Pezzullo, Gerardo Piacentini, Elisa Picardi, Giovanni Pinna, Massimiliano Pizzarelli, Alfredo Pizzuti, Matteo Maria Poggi, Alfredo Posteraro, Carmen Privitera, Debora Rampazzo, Carlo Ratti, Sara Rettegno, Fabrizio Ricci, Caterina Ricci, Cristina Rolando, Stefania Rossi, Chiara Rovera, Roberta Ruggieri, Maria Giovanna Russo, Nicola Sacchi, Antonino Saladino, Francesca Sani, Chiara Sartori, Virginia Scarabeo, Angela Sciacqua, Antonio Scillone, Pasquale Antonio Scopelliti, Alfredo Scorza, Angela Scozzafava, Francesco Serafini, Walter Serra, Sergio Severino, Beatrice Simeone, Domenico Sirico, Marco Solari, Gian Luca Spadaro, Laura Stefani, Antonio Strangio, Francesca Chiara Surace, Gloria Tamborini, Nicola Tarquinio, Eliezer Joseph Tassone, Isabella Tavarozzi, Bertrand Tchana, Giuseppe Tedesco, Monica Tinto, Daniela Torzillo, Antonio Totaro, Oreste Fabio Triolo, Federica Troisi, Maurizio Tusa, Federico Vancheri, Vincenzo Varasano, Amedeo Venezia, Anna Chiara Vermi, Bruno Villari, Giordano Zampi, Jessica Zannoni, Concetta Zito, Antonello Zugaro, Eugenio Picano, Scipione Carerj","doi":"10.4103/jcecho.jcecho_48_23","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The Italian Society of Echography and Cardiovascular Imaging (SIECVI) conducted a national survey to understand the volumes of activity, modalities and stressors used during stress echocardiography (SE) in Italy.</p><p><strong>Methods: </strong>We analyzed echocardiography laboratory activities over a month (November 2022). Data were retrieved through an electronic survey based on a structured questionnaire, uploaded on the SIECVI website.</p><p><strong>Results: </strong>Data were obtained from 228 echocardiographic laboratories, and SE examinations were performed in 179 centers (80.6%): 87 centers (47.5%) were in the northern regions of Italy, 33 centers (18.4%) were in the central regions, and 61 (34.1%) in the southern regions. We annotated a total of 4057 SE. We divided the SE centers into three groups, according to the numbers of SE performed: <10 SE (low-volume activity, 40 centers), between 10 and 39 SE (moderate volume activity, 102 centers) and ≥40 SE (high volume activity, 37 centers). Dipyridamole was used in 139 centers (77.6%); exercise in 120 centers (67.0%); dobutamine in 153 centers (85.4%); pacing in 37 centers (21.1%); and adenosine in 7 centers (4.0%). We found a significant difference between the stressors used and volume of activity of the centers, with a progressive increase in the prevalence of number of stressors from low to high volume activity (<i>P</i> = 0.033). The traditional evaluation of regional wall motion of the left ventricle was performed in all centers, with combined assessment of coronary flow velocity reserve (CFVR) in 90 centers (50.3%): there was a significant difference in the centers with different volume of SE activity: the incidence of analysis of CFVR was significantly higher in high volume centers compared to low - moderate - volume (32.5%, 41.0% and 73.0%, respectively, <i>P</i> < 0.001). The lung ultrasound (LUS) was assessed in 67 centers (37.4%). Furthermore for LUS, we found a significant difference in the centers with different volume of SE activity: significantly higher in high volume centers compared to low - moderate - volume (25.0%, 35.3% and 56.8%, respectively, <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>This nationwide survey demonstrated that SE was significantly widespread and practiced throughout Italy. In addition to the traditional indication to coronary artery disease based on regional wall motion analysis, other indications are emerging with an increase in the use of LUS and CFVR, especially in high-volume centers.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 3","pages":"125-132"},"PeriodicalIF":0.7000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10756319/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cardiovascular Echography","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jcecho.jcecho_48_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/20 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The Italian Society of Echography and Cardiovascular Imaging (SIECVI) conducted a national survey to understand the volumes of activity, modalities and stressors used during stress echocardiography (SE) in Italy.
Methods: We analyzed echocardiography laboratory activities over a month (November 2022). Data were retrieved through an electronic survey based on a structured questionnaire, uploaded on the SIECVI website.
Results: Data were obtained from 228 echocardiographic laboratories, and SE examinations were performed in 179 centers (80.6%): 87 centers (47.5%) were in the northern regions of Italy, 33 centers (18.4%) were in the central regions, and 61 (34.1%) in the southern regions. We annotated a total of 4057 SE. We divided the SE centers into three groups, according to the numbers of SE performed: <10 SE (low-volume activity, 40 centers), between 10 and 39 SE (moderate volume activity, 102 centers) and ≥40 SE (high volume activity, 37 centers). Dipyridamole was used in 139 centers (77.6%); exercise in 120 centers (67.0%); dobutamine in 153 centers (85.4%); pacing in 37 centers (21.1%); and adenosine in 7 centers (4.0%). We found a significant difference between the stressors used and volume of activity of the centers, with a progressive increase in the prevalence of number of stressors from low to high volume activity (P = 0.033). The traditional evaluation of regional wall motion of the left ventricle was performed in all centers, with combined assessment of coronary flow velocity reserve (CFVR) in 90 centers (50.3%): there was a significant difference in the centers with different volume of SE activity: the incidence of analysis of CFVR was significantly higher in high volume centers compared to low - moderate - volume (32.5%, 41.0% and 73.0%, respectively, P < 0.001). The lung ultrasound (LUS) was assessed in 67 centers (37.4%). Furthermore for LUS, we found a significant difference in the centers with different volume of SE activity: significantly higher in high volume centers compared to low - moderate - volume (25.0%, 35.3% and 56.8%, respectively, P < 0.001).
Conclusions: This nationwide survey demonstrated that SE was significantly widespread and practiced throughout Italy. In addition to the traditional indication to coronary artery disease based on regional wall motion analysis, other indications are emerging with an increase in the use of LUS and CFVR, especially in high-volume centers.
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