Provocative Tests for Myocardial Ischemia in Patients with Implantable Electronic Cardiac Devices

Authors

  • Gustavo Chiari Cabral Pontíficia Universidade Católica – Hospital São Lucas – Serviço de Cardiologia – Porto Alegre/RS – Brazil.
  • Gabrielle Lima Pinto Pontíficia Universidade Católica – Hospital São Lucas – Serviço de Cardiologia – Porto Alegre/RS – Brazil.
  • Andres Di Leoni Ferrari Pontíficia Universidade Católica – Hospital São Lucas – Serviço de Cardiologia – Porto Alegre/RS – Brazil.
  • Jessica Caroline Feltrin Willes Pontíficia Universidade Católica – Hospital São Lucas – Serviço de Cardiologia – Porto Alegre/RS – Brazil. https://orcid.org/0000-0002-0891-4427
  • Paulo Ricardo Avancini Caramori Pontíficia Universidade Católica – Hospital São Lucas – Serviço de Cardiologia – Porto Alegre/RS – Brazil.

Keywords:

Ischemic heart disease, Pacemaker, Artificial cardiac stimulation, Ischemia

Abstract

Objective: Review the current literature in search of better knowledge about the use of implantable devices in patients who are investigating ischemic heart disease, and evaluate the possibility of its systematic use. Methods: Non-systematic literature review with exams and studies already published to date. Results: Risk stratification using implantable cardiac devices, associated with or as a substitute for the use of medication or physical stress, seems to be very safe, effective and highly reliable when compared to the methods traditionally established. Conclusion: Patients with implantable cardiac electronic devices constitute a specific challenging population, while research on ischemia is limited by secondary low/bay perfusion changes that result from the interaction of the device with the heart. These changes must be previously known, expected and interpreted with great care in order to reduce the number of false positives.

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References

1. Hossri CAC, Felicioni SP, Lourenço UR, Silva PCC, Pachón EI, Buglia S, et al. Teste Ergométrico em Portadores de Dispositivos Cardíacos Eletrônicos Implantáveis. Rev Bras Cardiol.2014;27(3):217-227
2. 2. Meneghelo RS, Araújo CGS, Stein R, Mastrocolla LE, Albuquerque PF, Serra SM et al/Sociedade Brasileira de Cardiologia. III Diretrizes da Sociedade Brasileira de Cardiologia sobre Teste Ergométrico. Arq Bras Cardiol 2010; 95(5 supl.1): 1-26
3. VALDIGEM, Bruno et al (org.). Orientações para realização de exames de ressonância magnética em portadores de dispositivos eletrônicos cardíacos. 2018. Disponível em: https://abcdi.org.br/orientacoes-para-realizacao-de-exames-de-ressonancia-magnetica-em-portadores-de-dispositivos-eletronicos-cardiacos/. Acesso em: 05 out. 2020.
4. SARA, L; SZARF, G; A TACHIBANA,; SHIOZAKI, Aa; VILLA, Av; OLIVEIRA, Ac; ALBUQUERQUE, As; ROCHITTE, Ce; NOMURA, Ch; AZEVEDO, Cf. II Diretriz de Ressonância Magnética e Tomografia Computadorizada Cardiovascular da Sociedade Brasileira de Cardiologia e do Colégio Brasileiro de Radiologia. Arquivos Brasileiros de Cardiologia, [S.L.], v. 103, n. 6, p. 1-86, 2014. Sociedade Brasileira de Cardiologia. http://dx.doi.org/10.5935/abc.2014s006
5. PłOńSKA-GOśCINIAK, Edyta; GACKOWSKI, Andrzej; KUKULSKI, Tomasz; KASPRZAK, Jarosław D.; SZYSZKA, Andrzej; BRAKSATOR, Wojciech; GąSIOR, Zbigniew; LICHODZIEJEWSKA, Barbara; PYSZ, Piotr. Stress echocardiography. Part I: stress echocardiography in coronary heart disease. Journal Of Ultrasonography, [S.L.], v. 19, n. 76, p. 45-48, 3 abr. 2019. Medical Communications Sp. z.o.o.. http://dx.doi.org/10.15557/jou.2019.0006.
6. BIAGINI, Elena; SCHINKEL, Arend F.L.; ELHENDY, Abdou; BAX, Jeroen J.; RIZZELLO, Vittoria; VAN DOMBURG, Ron T.; KRENNING, Boudewijn J.; SCHOUTEN, Olaf; BRANZI, Angelo; ROCCHI, Guido. Pacemaker stress echocardiography predicts cardiac events in patients with permanent pacemaker. The American Journal Of Medicine, [S.L.], v. 118, n. 12, p. 1381-1386, dez. 2005. Elsevier BV. http://dx.doi.org/10.1016/j.amjmed.2005.04.040.
7. PICANO, Eugenio; ALAIMO, Annalisa; CHUBUCHNY, Vlad; PLONSKA, Edyta; BALDO, Vittorio; BALDINI, Umberto; PAULETTI, Marina; PERTICUCCI, Roberto; FONSECA, Lucas; VILLARRAGA, Hector Ricardo. Noninvasive pacemaker stress echocardiography for diagnosis of coronary artery disease. Journal Of The American College Of Cardiology, [S.L.], v. 40, n. 7, p. 1305-1310, out. 2002. Elsevier BV. http://dx.doi.org/10.1016/s0735-1097(02)02157-5.
8. ATAR, Shaul; NAGAI, Tomoo; CERCEK, Bojan; NAQVI, Tasneem Z; LUO, Huai; SIEGEL, Robert J. Pacing stress echocardiography: an alternative to pharmacologic stress testing. Journal Of The American College Of Cardiology, [S.L.], v. 36, n. 6, p. 1935-1941, nov. 2000. Elsevier BV. http://dx.doi.org/10.1016/s0735-1097(00)00964-5.
9. LEE, Chung-Yin; A PELLIKKA, Patricia; MCCULLY, Robert B; MAHONEY, Douglas W; SEWARD, James B. Nonexercise stress transthoracic echocardiography: transesophageal atrial pacing versus dobutamine stress. Journal Of The American College Of Cardiology, [S.L.], v. 33, n. 2, p. 506-511, fev. 1999. Elsevier BV. http://dx.doi.org/10.1016/s0735-1097(98)00599-3.
10. GLIGOROVA, Suzana; AGRUSTA, Marco. Pacing stress echocardiography. Cardiovascular Ultrasound, [S.L.], v. 3, n. 1, p. 1-11, dez. 2005. Springer Science and Business Media LLC. http://dx.doi.org/10.1186/1476-7120-3-36.
11. CATE, Tim J.F. Ten; VISSER, Frans C.; PANHUYZEN-GOEDKOOP, Nicole M.; VERZIJLBERGEN, J. Fred; VAN HEMEL, Norbert M.. Pacemaker-related myocardial perfusion defects worsen during higher pacing rate and coronary flow augmentation. Heart Rhythm, [S.L.], v. 2, n. 10, p. 1058-1063, out. 2005. Elsevier BV. http://dx.doi.org/10.1016/j.hrthm.2005.07.013.
12. Nguyen Thanh H, Horowitz John D, Unger Steven A. Tachycardic vs. pharmacologic stress myocardial perfusion imaging: differential implications in multi-vessel ischemia. Am J Cardiovasc Dis. 2012;2 (1):34–42.
13. PELLIKKA, Patricia A.; NAGUEH, Sherif F.; ELHENDY, Abdou A.; KUEHL, Cathryn A.; SAWADA, Stephen G.. American Society of Echocardiography Recommendations for Performance, Interpretation, and Application of Stress Echocardiography. Journal Of The American Society Of Echocardiography, [S.L.], v. 20, n. 9, p. 1021-1041, set. 2007. Elsevier BV. http://dx.doi.org/10.1016/j.echo.2007.07.003.

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Published

22-02-2021

How to Cite

Chiari Cabral, G., Lima Pinto, G., Di Leoni Ferrari, A., Caroline Feltrin Willes, J., & Caramori, P. R. A. (2021). Provocative Tests for Myocardial Ischemia in Patients with Implantable Electronic Cardiac Devices. JOURNAL OF CARDIAC ARRHYTHMIAS, 34(1), 38–44. Retrieved from https://jca.org.br/jca/article/view/3429

Issue

Section

Cardiac Pacing