Key result
Advanced echocardiography offers comprehensive diagnostic and prognostic value for CAD and myocardial viability.
This narrative review summarizes the diagnostic and prognostic utility of advanced and standard echocardiographic techniques in evaluating coronary artery disease, its complications, and myocardial viability.
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Supports multimodal echocardiography for CAD evaluation now; leaves open need for prospective outcome trials before routine adoption.
This review describes the role of echocardiography in the diagnosis and prognostication of coronary artery disease (CAD). It describes the diagnostic capabilities of echocardiography using rest and stress imaging, speckle tracking strain imaging with myocardial work index, as well as the use of myocardial perfusion imaging. It also evaluates the use of echocardiography in the assessment of common complications from CAD and the incremental value of incorporating right ventricular, left atrial, and diastolic function assessment in these patients. In addition, the review aims to highlight the prognostic value of echocardiography, especially in the determination of myocardial viability.
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Hussain et al. (2026) conducted a review in Coronary artery disease and ischemia. Echocardiography (rest and stress imaging, speckle tracking strain imaging with myocardial work index, myocardial perfusion imaging) was evaluated on Diagnosis, complication assessment, and prognostication (including myocardial viability) of coronary artery disease. Echocardiography using rest/stress, speckle tracking strain, and myocardial perfusion imaging provides diagnostic and prognostic value in evaluating coronary artery disease and myocardial viability.
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