Integrated Backscatter Database

Taha Shaikh

Cheng Yi Ph.D.

Daniel Shindler M.D.


E-chocardiography Journal: Alphabetical List / Chronological List / Images / Home Page


The images below depict the cyclic variation of integrated backscatter during periods of relaxation, stress, and recovery in individuals undergoing dobutamine stress echocardiography. The integrated backscatter was obtained from raw radiofrequency data reflected from the interventricular septum using the parasternal window. The data are not in phase with the cardiac cycle.


Patients undergoing dobutamine stress echocardiography were evaluated using the following method. Resting echocardiograms were performed using standard ultrasound equipment with arrangement to acquire raw radiofrequency ultrasound from a Hitachi EUB165 ultrasound machine. A 2.5 MHz transducer was applied to the chest, and images of the interventricular septum were obtained from the parasternal position. Radiofrequency ultrasound was acquired at rest, and the files were stored after being converted to digital format. As the dobutamine stress proceeded, radiofrequency information was again acquired at peak stress and the files saved as before. Finally, in the recovery period, once the heart rate had returned to normal, a third set of radiofrequency information was digitized in serial files. Integrated backscatter was then calculated in each file as a series of numbers. The tables show the mean integrated backscatter, standard deviation, maximum value, minimum value and range of each acquisition in individual patients. Each stage has an individual table and graph.

The graph images illustrate the temporal pattern of integrated backscatter during these three phases, namely, at rest (relaxed), during dobutamine stress, and in recovery. The radiofrequency ultrasound is displayed using an averaging technique demonstrating the variability between individual acquisitions in each stage as a three-dimensional graph.

It was initially attempted to synchronize the acquisition of radiofrequency ultrasound to the QRS complex of the surface electrocardiogram. This was not technically possible in all patients; hence, the graphs depict the variability of radiofrequency ultrasound through time, but do not begin at any particular point in the cardiac cycle.

Nevertheless, it is possible to discern in the graphs, the cyclic variability of the integrated backscattter.


The next three graphs and tables belong to a 72 year old female with resting antero septal left ventricular wall hypokinesis without evident thinning, scar or aneurysm. Two years prior to the study she suffered a non-Q wave anterior myocardial infarction. Cardiac catheterization at that time revealed a 40 percent proximal left anterior descending artery stenosis followed by a 95 percent mid left anterior descending artery stenosis. This second stenosis was sucessfully opened with balloon angioplasty.
Dobutamine-atropine stress showed limited improvement in contractility of the hypokinetic segment.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

s21

REST

327.65

80.55

450.45

0

450.45

s21

REST

200.53

91.05

412.09

18.98

393.11

s21

REST

296.95

138.69

653.61

28.74

624.87

s21

REST

670.66

128.21

965.82

153.33

812.49

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

s21

STRESS

3908.67

1184.1

5509.52

300.69

5208.83

s21

STRESS

1455.31

459.63

2389.38

283.83

2105.55

s21

STRESS

2415.51

581.13

3491.31

460.04

3031.27

s21

STRESS

3762.71

1358.32

5762.51

596.85

5165.66

s21

STRESS

4266.42

972.6

6204.78

772.43

5432.35

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

s21

RECOVERY

2513.68

544.14

3917.37

540.78

3376.59

s21

RECOVERY

1974.6

644.7

3415.28

375.2

3040.08

s21

RECOVERY

1858.86

644.8

3589.78

567.92

3021.86

s21

RECOVERY

8091.63

3662.32

15853.7

437.74

15416.0

s21

RECOVERY

183.85

30.83

252.62

47.5

205.12

s21

RECOVERY

3119.61

965.34

5077.45

359.19

4718.26

s21

RECOVERY

194.44

73.97

434.97

34.32

400.65

 

Click for image


The next three graphs and tables belong to a 77 year old male with history of prior anterior wall myocardial infarction fifteen years ago. He suffered from Class III NYHA congestive heart failure. He was admitted for new onset of exertional chest pain.
Coronary arteriography showed a normal left main, the left anterior descending artery had a total proximal occlusion, the left circumflex artery had a 40 percent proximal occlusion, the obtuse marginal artery was totally occluded, the right coronary artery was dominant with a 90 percent proximal stenosis.
Dobutamine stress echo showed akinesis and increased reflectivity of the antero septal left ventricular wall from which the integrated backscatter was calculated. There was no improvement in contractility with dobutamine stress.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

d15

REST

28443

9043.56

49653.0

0

49653.0

d15

REST

32653.7

12238.6

58717.7

4382.1

54335.6

d15

REST

44729.6

19564.5

82195.1

5189.1

77006.0

d15

REST

20335.1

10720.5

39485.0

4404.26

35080.7

d15

REST

47748.4

14509.2

68912.6

6014.42

62898.2

d15

REST

41205.4

13619.7

61357.5

3070.82

58286.7

d15

REST

39956.1

21310.1

70217.84

1700.27

58517.5

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

d15

STRESS

14095.5

4096.83

21348.7

2524.29

18824.4

d15

STRESS

12547.2

2676.35

17377.5

2984.8

14392.7

d15

STRESS

20587.8

9478.29

43444.6

2373.45

41071.1

d15

STRESS

21837.6

8005.51

38665.2

3202.7

35462.5

d15

STRESS

15056.6

4646.16

24078.4

2426.36

21652.0

d15

STRESS

20221.9

4447.95

31388.0

5369.54

26018.5

d15

STRESS

19808.1

6231.91

33376.7

2850.81

30525.9

d15

STRESS

16504.0

7209.67

35708.3

3275.11

32433.2

d15

STRESS

14297.7

3412

19465.3

1767.92

17697.4

d15

STRESS

16239.7

4003.77

25059.7

2495.59

22564.1

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

d15

RECOVERY

16290.6

8776.86

30074.0

1112.97

28961.1

d15

RECOVERY

23742.2

11389.0

46489.6

2589.61

43900.0

d15

RECOVERY

30075.6

11894.6

56281.7

6399.1

49882.6

d15

RECOVERY

8188.83

3335.9

13577.0

2231.21

11345.8

d15

RECOVERY

4957.99

2106.2

9556.87

1185.7

8371.17

d15

RECOVERY

2363.88

1023.33

4628.62

209.05

4419.57

 

Click for image


The next three tables and graphs belong to a 67 year old male with resting normal left ventricular wall motion. During dobutamine stress there was no evidence of inducible ischemia, all segments improved with stress including the area sampled for integrated backscatter.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

jl12

REST

13551.0

5156.84

24100.8

1477.12

22623.7

jl12

REST

16997.5

5187.25

29891.6

2569.65

27322.0

jl12

REST

5511.92

1483.02

9012.45

733.7

8278.75

jl12

REST

22175.3

6084.71

39422.4

3427.37

35995.0

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

jl12

STRESS

4673.27

3667.23

13331.8

350.6

12981.2

jl12

STRESS

4479.83

3241.88

10985.4

727.07

10258.3

jl12

STRESS

4713.35

2534.79

8519.58

1640.59

6878.99

jl12

STRESS

3362.48

2752.92

9318.43

272.17

9046.26

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

jl12

RECOVERY

7335.9

3043.25

11707.9

519.94

11187.9

jl12

RECOVERY

12517.4

5858.32

23674.1

2485.47

21188.6

jl12

RECOVERY

8906.93

3014.76

13146.9

1476.63

11670.3

jl12

RECOVERY

10432.4

4366.58

15970.4

431.01

15539.4

jl12

RECOVERY

7293.3

2609.14

11790.4

1366.15

10424.3

jl12

RECOVERY

12174.6

3437.33

19718.4

3295.36

16423.0

jl12

RECOVERY

479.39

136.17

774.11

61.01

713.1

jl12

RECOVERY

707.97

277.32

1240.86

219.38

1021.48

jl12

RECOVERY

586.45

166.41

834.43

91.32

743.11

jl12

RECOVERY

1116.87

344.53

1666.17

191.27

1474.9

jl12

RECOVERY

1222.87

356.62

1828.91

245.15

1583.76

jl12

RECOVERY

1035.46

229.64

1535.45

259.53

1275.92

jl12

RECOVERY

939.95

286.24

1395.1

145.44

1249.66

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

jl13

REST

574.09

258.313

1068.29

0

1068.29

jl13

REST

665.44

199.034

1111.59

128.03

983.56

jl13

REST

541.91

199.938

920.8

49.64

871.16

jl13

REST

472.95

168.997

778.47

46.56

731.91

jl13

REST

496.09

151.93

734.66

77.77

656.89

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

jl13

STRESS

440.86

98.574

567.52

63.31

504.21

jl13

STRESS

513.56

127.384

716.22

114.82

601.4

jl13

STRESS

530.72

111.851

718.92

93.09

625.83

jl13

STRESS

529.49

111.811

663.09

86.94

576.15

jl13

STRESS

695.75

153.351

884.11

121.68

762.43

jl13

STRESS

414.88

88.917

521.49

62.98

458.51

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

jl13

RECOVERY

729.14

155.191

1056.72

196.85

859.87

jl13

RECOVERY

1292.13

501.684

2265.52

249.29

2016.23

jl13

RECOVERY

886.5

305.225

1655.71

152.78

1502.93

jl13

RECOVERY

750.1

151.161

910.75

130.66

780.09

jl13

RECOVERY

629.17

125.888

863.82

158.51

705.31

jl13

RECOVERY

985.2

286.102

1472.22

157.79

1314.43

jl13

RECOVERY

607.59

117.776

790.1

112.19

677.91

jl13

RECOVERY

611.38

126.76

750.96

91.31

659.65

jl13

RECOVERY

675.81

152.11

818.6

73.93

744.67

 

Click for image


The next three tables and graphs belong to a 76 year old female who at rest showed both normal systolic and diastolic left ventricular function. With dobutamine stress, the left ventricular wall motion improved, exhibiting a normal pattern. The patient did well during vascular surgery.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

au9

REST

1020.63

259.05

1566.83

0

1566.83

au9

REST

1198.43

707.02

3748.89

18.12

3730.77

au9

REST

3646.41

1656.44

6088.14

1307.34

4780.8

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

au9

STRESS

1510.93

533.28

2523.79

325.25

2198.54

au9

STRESS

345.56

102.04

569.51

51.47

518.04

au9

STRESS

1781.04

1447.41

5282.39

591.43

4690.96

au9

STRESS

1313.67

761.33

4555.44

763.11

3792.33

au9

STRESS

3068.33

2111.61

8346.81

1052.66

7294.15

au9

STRESS

8185.04

6105.99

18691.6

1979.75

16711.9

au9

STRESS

4217.23

2197.85

9750.74

1723.6

8027.14

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

au9

RECOVERY

1646.52

561.09

3135.98

480.36

2655.62

au9

RECOVERY

2174.65

1053.02

4861.52

267.02

4594.5

au9

RECOVERY

2408.84

1287.77

6198.23

384.1

5814.13

au9

RECOVERY

3009.95

1598.1

6847.45

626.15

6221.3

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

au11

REST

1424.82

380.24

2368.29

346.75

2021.54

au11

REST

1111

346.52

2253.56

304.21

1949.35

au11

REST

1122.73

467.78

2530.56

594.72

1935.84

au11

REST

1741.35

813.91

4103.43

727.26

3376.17

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

au11

STRESS

1144.38

410.85

2043.29

163.52

1879.77

au11

STRESS

674.43

158.73

904.75

152.92

751.83

au11

STRESS

1308.87

419.08

2089.43

189.46

1899.97

au11

STRESS

1933.5

598.51

3458.23

406.54

3051.69

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

au11

RECOVERY

11835.6

3135.47

17007.6

1573.27

15434.4

au11

RECOVERY

33387.8

24511.1

84489.4

2274.08

82215.3

au11

RECOVERY

22443.4

11664.5

42069.1

4229.09

37840.0

au11

RECOVERY

29849.6

18939.1

64837.8

4495.59

60342.2

au11

RECOVERY

1437.87

591.54

2800.79

411.41

2389.38

au11

RECOVERY

3022.42

2185

7723.65

695.83

7027.82

au11

RECOVERY

4299.44

2657.68

13105.6

1294.11

11811.5

au11

RECOVERY

5491.01

2114.95

9595.27

1296.08

8299.19

au11

RECOVERY

984.83

479.79

1812.89

191.66

1621.23

au11

RECOVERY

2080.14

1385.94

5130.86

572.79

4558.07

au11

RECOVERY

1406.87

546.4

2270.01

403.81

1866.2

au11

RECOVERY

1674.66

1038.39

3830.48

562.68

3267.8

 

Click for image


The next three tables and graphs belong to a 67 year old female with echocardiographic evidence of inferior myocardial infarction. During dobutamine stress echo there was mild improvement in the contractility of the interventricular septum from which the integrated backscatter was obtained. The inferior wall, which is not sampled for backscatter, did not improve with stress.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

s7

REST

1394.73

855.9

3711.08

150.25

3560.83

s7

REST

1029.42

205.74

1306.12

149.65

1156.47

s7

REST

1642.26

270.44

1971.91

313.16

1658.75

s7

REST

1343.71

293.41

2067.4

225.88

1841.52

s7

REST

1454.7

558.08

2833.15

185.11

2648.04

s7

REST

1245.79

225.78

1610.67

194.5

1416.17

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

s7

STRESS

669.24

175.55

1026.45

132.51

893.94

s7

STRESS

562.14

95.49

732.89

129.81

603.08

s7

STRESS

1765.04

346.81

2186.45

351.22

1835.23

s7

STRESS

1146.36

209.92

1432.9

222.38

1210.52

s7

STRESS

984.16

175.25

1313.54

209.7

1103.84

s7

STRESS

826.58

191.25

1115.27

131.57

983.7

s7

STRESS

1438.97

463.76

2310.47

203.01

2107.46

s7

STRESS

1847.24

400.31

2542.92

328.48

2214.44

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

s7

RECOVERY

1907.18

644.32

3308.25

386.09

2922.16

s7

RECOVERY

1690.28

688.14

3195.01

417.69

2777.32

s7

RECOVERY

4505.54

1223.35

7466.1

773.23

6692.87

s7

RECOVERY

7365.06

2067.15

11080.9

1709.67

9371.24

 

Click for image


The next three tables and graphs belong to a 58 year old male who suffered a non-Q wave myocardial infarction involving the lateral left ventricular wall. The echocardiogram revealed resting lateral left ventricular wall hypokinesis which showed mild improvement in contractility with stress. The integrated backscatter was obtained from the unaffected septum which showed improved contractility.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

o6

REST

770.16

270.132

1499.53

0

1499.53

o6

REST

114.59

32.331

169.07

14.02

155.05

o6

REST

446.35

101.623

599.82

60.72

539.1

o6

REST

205.04

66.376

360.26

39.35

320.91

o6

REST

139.67

36.019

222.7

24.85

197.85

o6

REST

108.66

40.582

209.51

54.3

155.21

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

o6

STRESS

378.87

164.702

742.37

42.26

700.11

o6

STRESS

345.08

168.81

729.19

33.73

695.46

o6

STRESS

306.15

152.398

707.8

54.72

653.08

o6

STRESS

298.65

111.682

560.4

38.5

521.9

o6

STRESS

200.68

68.515

323.34

42.64

280.7

o6

STRESS

207.73

92.308

448.98

35.01

413.97

o6

STRESS

217.22

83.12

382.25

26.07

356.18

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

o6

RECOVERY

532.1

242.821

1107.27

43.49

1063.78

o6

RECOVERY

524.26

254.518

1004.21

35.53

968.68

o6

RECOVERY

593

201.452

956.27

171.86

784.41

o6

RECOVERY

1184.92

209.78

1637.17

351.84

1285.33

o6

RECOVERY

729.05

388.982

1596.74

74.66

1522.08

 

Click for image


The next three tables and graphs belong to a 44 year old female with normal resting wall motion with improved contractility during dobutamine stress.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

o18

REST

1598.59

918.24

4242.09

573.14

3668.95

o18

REST

2280.01

1431.32

4803.26

527.19

4276.07

o18

REST

2530.62

1089.04

4502.97

724.67

3778.3

o18

REST

1616.58

1067.35

4861.76

480.74

4381.02

o18

REST

759.44

537.61

2000.71

229.97

1770.74

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

o18

STRESS

303.12

113.14

615.89

94.61

521.28

o18

STRESS

247.21

101.61

521.18

43.04

478.14

o18

STRESS

415.37

113.22

703.03

108.38

594.65

o18

STRESS

181.84

42.42

257.54

49.59

207.95

o18

STRESS

334.75

93.66

487.05

84.72

402.33

o18

STRESS

352.24

183.55

809.03

176.28

632.75

o18

STRESS

158.79

37.49

282.18

78.17

204.01

o18

STRESS

252.87

69.32

389.22

70.41

318.81

o18

STRESS

115.89

22.83

160.58

57

103.58

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

o18

RECOVERY

1502.22

930.44

3509.98

554.08

2955.9

o18

RECOVERY

1647.28

898.54

3751.35

391.83

3359.52

o18

RECOVERY

2417.62

1365.58

4996.27

739.21

4257.06

o18

RECOVERY

2092.64

1255.32

5360.78

859.77

4501.01

o18

RECOVERY

1084.34

227.75

1764.98

313.74

1451.24

o18

RECOVERY

1660.99

926.22

4442.87

328.72

4114.15

o18

RECOVERY

1706.02

595.97

2629.51

246.61

2382.9

o18

RECOVERY

1249.49

696.68

3012.29

590.32

2421.97

o18

RECOVERY

1918.99

1962.46

7688.35

528.24

7160.11

o18

RECOVERY

1783.39

1871.74

6694.34

417.41

6276.93

 

Click for image


The next three tables and graphs belong to a 49 year old female who was evaluated with dobutamine stress echocardiography prior to vascular surgery. There was resting infero septal left ventricular wall hypokinesis. There was no improvement at low level dobutamine stress indicating limited myocardial viability in the infero septal region. With peak stress the contractility improved in all segments of the left ventricular wall including the regions sampled for integrated backscatter.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

o20

REST

1015.34

192.258

1342.33

359.67

982.66

o20

REST

1190.92

320.166

1905.4

445.03

1460.37

o20

REST

1368.1

333.629

1964.14

207.84

1756.3

o20

REST

3001.2

706.13

4125.75

992.87

3132.88

o20

REST

2275.97

779.147

3614.89

881.94

2732.95

o20

REST

3219.96

650.417

4479.29

789.27

3690.02

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

o20

STRESS

817.49

494.591

1578.42

158.56

1419.86

o20

STRESS

278.51

80.552

353.36

29.13

324.23

o20

STRESS

714.99

233.081

945.02

87.51

857.51

o20

STRESS

778.27

217.661

937.94

104.24

833.7

o20

STRESS

510.96

153.77

651.91

59.04

592.87

o20

STRESS

566.99

167.78

709.69

66.67

643.02

o20

STRESS

1182.61

696.284

2559.34

94.91

2464.43

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

o20

RECOVERY

253.86

69.015

361.38

70.65

290.73

o20

RECOVERY

478.17

165.32

769.76

53.3

716.46

o20

RECOVERY

224.04

48.479

283.84

47

236.84

o20

RECOVERY

172.32

36.347

215.97

26.06

189.91

o20

RECOVERY

223.21

54.06

480.99

157.25

323.74

o20

RECOVERY

245.58

60.09

336.83

33.74

303.09

o20

RECOVERY

288.54

73.41

448.96

114.35

334.61

o20

RECOVERY

261.53

85.56

383.89

33.44

350.45

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

o25

REST

304.78

113.52

492.01

0

492.01

o25

REST

257.02

85.67

477.11

38.24

438.87

o25

REST

130.65

45.94

281.61

18.9

262.71

o25

REST

137.03

40.33

244.64

20.25

224.39

o25

REST

116.67

34.04

169.85

16.47

153.38

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

o25

STRESS

3484.89

788.84

4641.99

552.32

4089.67

o25

STRESS

2928.79

1031.99

4818.19

373.96

4444.23

o25

STRESS

1648.13

385.65

2167.69

199.25

1968.44

o25

STRESS

1770.83

403.59

2239.16

183.21

2055.95

o25

STRESS

1143.37

268.39

1540.44

160.32

1380.12

o25

STRESS

6743.14

1954.48

10650.3

1283.16

9367.16

o25

STRESS

6804.44

1512.01

9587.82

1646.4

7941.42

o25

STRESS

10148.7

3045.55

15830.6

1231.77

14598.9

o25

STRESS

9538.03

3255.77

14176.2

316.47

13859.7

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

o25

RECOVERY

66.05

19.34

100.73

11.14

89.59

o25

RECOVERY

199.58

38.95

248.03

29.41

218.62

o25

RECOVERY

163.7

36.01

235.32

22.92

212.4

 

Click for image


The next three tables and graphs belong to a 61 year old male who underwent dobutamine stress echocardiography prior to vascular surgery. The resting images revealed normal left ventricular contractility. There were no resting or stress induced left ventricular wall motion abnormalities during dobutamine stress echocardiography. The patient underwent surgery uneventfully.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n1

REST

286.94

76.001

426.19

36.82

389.37

n1

REST

340.87

87.383

519.2

43.39

475.81

n1

REST

417.39

132.927

794.29

86.73

707.56

n1

REST

806.51

274.72

1255.2

68.11

1187.09

n1

REST

684.7

236.546

1511.31

383.52

1127.79

n1

REST

922.42

228.2

1483.88

270.49

1213.39

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n1

STRESS

1329.43

620.169

2551.18

220.92

2330.26

n1

STRESS

1272.1

543.56

2613.38

156.67

2456.71

n1

STRESS

705.79

170.019

901.14

72.51

828.63

n1

STRESS

1523.41

690.384

3118.92

298.13

2820.79

n1

STRESS

1212.49

507.845

2342.57

252.75

2089.82

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n1

RECOVERY

290.45

74.522

467.43

40.12

427.31

n1

RECOVERY

498.43

188.577

981.27

90.42

890.85

n1

RECOVERY

358.74

113.875

573.27

41.5

531.77

n1

RECOVERY

860.48

326.681

2126.18

165.34

1960.84

n1

RECOVERY

1078.1

544.031

2823.07

151.09

2671.98

n1

RECOVERY

358.1

106.754

585.15

129.53

455.62

 

Click for image


The next three tables and graphs belong to a 64 year old male who exhibited diffuse left ventricular hypokinesis at rest. With stress, there was no improvement in the contractility of the interventricular septum, from which the integrated backscatter was sampled.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n2

REST

466.71

187.75

823.71

67.17

756.54

n2

REST

610.64

182.65

865.55

58.22

807.33

n2

REST

510.72

245.76

1053.48

62.73

990.75

n2

REST

387.91

148.93

719.21

53.92

665.29

n2

REST

561.55

151.55

896.46

77.37

819.09

n2

REST

560.72

167.71

937.14

86.9

850.24

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n2

STRESS

333.81

104.33

484.63

44.12

440.51

n2

STRESS

502.52

271.69

925.27

85.53

839.74

n2

STRESS

412.97

87.48

535.95

76.33

459.62

n2

STRESS

201.9

66.18

277.36

29.72

247.64

n2

STRESS

307.09

131.4

575.45

42.23

533.22

n2

STRESS

412.63

115.01

711.65

172.64

539.01

n2

STRESS

376.57

143.05

679.85

46.84

633.01

n2

STRESS

278.18

74.39

374.48

40.08

334.4

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n2

RECOVERY

8144.26

3608.4

12666.9

628.76

12038.2

n2

RECOVERY

4845.08

1547.62

8938.21

1851.42

7086.79

n2

RECOVERY

3028.84

2080.49

6323.56

469.59

5853.97

n2

RECOVERY

3612.47

1746.44

7424.84

632.24

6792.6

n2

RECOVERY

2467.22

822.5

3936.57

342.6

3593.97

n2

RECOVERY

1573.8

446.9

2329.12

495.88

1833.24

n2

RECOVERY

3039.53

1282.59

5152.01

276.53

4875.48

n2

RECOVERY

3689.17

1632.02

5646.46

354.91

5291.55

n2

RECOVERY

1997.65

824.6

3572.63

178.89

3393.74

n2

RECOVERY

1421.78

351.1

2278.04

266.45

2011.59

 

Click for image


The next three tables and graphs belong to a 81 year old female with normal, resting left ventricular wall motion. There were no wall motion abnormalities with dobutamine stress echocardiography. Her left ventricular cavity was small at peak stress - a normal finding.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n8

REST

2317.84

716.58

3462.27

453.74

3008.53

n8

REST

7215.12

1894.03

12176.5

818.6

11357.9

n8

REST

5518.7

2639.32

11819.8

1433.77

10386.0

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n8

STRESS

1297.11

419.16

2136.89

348.08

1788.81

n8

STRESS

998.59

626.39

2234.41

110.88

2123.53

n8

STRESS

920.07

413.87

2009.01

129.11

1879.9

n8

STRESS

4261.21

1420.27

6680.75

777.52

5903.23

n8

STRESS

3145.39

665.5

4257.4

603.73

3653.67

n8

STRESS

801.29

300.76

1735.9

486.41

1249.49

n8

STRESS

1942.22

535.81

2617.15

215.5

2401.65

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n8

RECOVERY

2260.38

1552.8

6286

1012.26

5273.74

n8

RECOVERY

664.47

122.8

907.55

241.71

665.84

n8

RECOVERY

8895.44

2753.22

14555.3

1052.73

13502.6

n8

RECOVERY

976.13

315.39

2047.6

239.55

1808.05

n8

RECOVERY

1468.55

528.1

2691.33

657.36

2033.97

n8

RECOVERY

781.35

309.82

1776.48

296.64

1479.84

n8

RECOVERY

857.77

391.98

1529.18

189.05

1340.13

 

Click for image


The next three tables and graphs belong to a 81 year old male with mild, concentric left ventricular hypertrophy and a trace of mitral insufficiency who underwent dobutamine stress echocardiography prior to vascular surgery. There were no stress induced left ventricular wall motion abnormalities. Surgery was uneventful.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n9

REST

50.0954

9.9923

66.74

9.24

57.5

n9

REST

37.7502

7.2888

45.57

6.73

38.84

n9

REST

72.4333

34.5941

162.73

22.75

139.98

n9

REST

75.2896

15.3969

93.78

10.1

83.68

n9

REST

39.4771

8.0404

51.41

5.71

45.7

n9

REST

68.8776

22.9029

119.59

8.6

110.99

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n9

STRESS

80.827

21.3043

108.72

12.78

95.94

n9

STRESS

48.3932

10.6494

68.04

10.54

57.5

n9

STRESS

49.7555

12.0894

68.19

9.78

58.41

n9

STRESS

57.9126

19.9167

100.61

13.16

87.45

n9

STRESS

48.83

13.9513

68.25

7.74

60.51

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n9

RECOVERY

78.941

23.2447

111.1

33.88

77.22

n9

RECOVERY

82.3603

25.1694

139.89

19.74

120.15

n9

RECOVERY

53.8115

15.8727

82.48

10.11

72.37

n9

RECOVERY

40.5833

11.0513

60.86

9.47

51.39

n9

RECOVERY

52.847

9.5153

67.82

12.54

55.28

n9

RECOVERY

76.4207

34.088

153.26

7.4

145.86

n9

RECOVERY

85.3295

23.8399

136.23

11.89

124.34

n9

RECOVERY

148.356

37.7722

206.46

36.07

170.39

n9

RECOVERY

66.607

19.3626

106.05

13.75

92.3

n9

RECOVERY

43.763

10.7194

60.71

5.28

55.43

n9

RECOVERY

66.301

19.5655

99.71

21.62

78.09

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n10

REST

252.455

72.368

420.93

35.87

385.06

n10

REST

293.922

159.494

595.51

57.96

537.55

n10

REST

172.576

90.44

389.79

57.81

331.98

n10

REST

144.498

95.292

318.82

8.51

310.31

n10

REST

151.538

55.605

294.81

31.49

263.32

n10

REST

190.571

123.791

417.71

19.43

398.28

n10

REST

170.92

157.26

634.82

0

634.82

n10

REST

108.803

41.471

183.96

15.35

168.61

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n10

STRESS

122.904

35.704

210.75

31.92

178.83

n10

STRESS

53.755

17.501

86.62

10.69

75.93

n10

STRESS

76.736

24.021

132.41

9.53

122.88

n10

STRESS

43.02

9.644

55.04

7.39

47.65

n10

STRESS

116.793

35.703

183.97

23.01

160.96

n10

STRESS

103.695

25.736

144.01

21.52

122.49

n10

STRESS

88.999

34.811

180.46

19.8

160.66

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n10

RECOVERY

89.09

22.049

139.13

12.39

126.74

n10

RECOVERY

89.113

30.495

146.04

16.51

129.53

n10

RECOVERY

71.956

14.959

103.43

19.18

84.25

n10

RECOVERY

69.51

16.969

111.05

22.34

88.71

n10

RECOVERY

73.327

18.9601

120.72

18.94

101.78

n10

RECOVERY

126.44

34.7206

235.72

37.19

198.53

n10

RECOVERY

79.435

28.6238

149.47

14.4

135.07

n10

RECOVERY

80.042

39.2925

194.85

11.5

183.35

n10

RECOVERY

78.598

18.5773

125.92

21.42

104.5

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n17

REST

1254.24

535.69

2116.13

0

2116.13

n17

REST

2373.98

1073.79

3836.85

126

3710.85

n17

REST

788.2

288.18

1226.68

46.54

1180.14

n17

REST

712.09

167.88

985.92

172.63

813.29

n17

REST

707.7

308.58

1146.34

32.45

1113.89

n17

REST

684.94

306.53

1136.08

58.98

1077.1

n17

REST

1349.36

445.2

2090.26

235.11

1855.15

n17

REST

753.19

363.57

1230.6

74.92

1155.68

n17

REST

873.36

270.2

1281.52

106.26

1175.26

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n17

STRESS

5891.16

3742.77

14726.4

1149.03

13577.4

n17

STRESS

18615.5

6827.15

30431.3

2971.45

27459.9

n17

STRESS

22193.5

6944.37

28536.6

1797.82

26738.7

n17

STRESS

14117.9

5615.86

22805.4

1908.82

20896.6

n17

STRESS

27139.8

10616.4

44836.9

7000.41

37836.5

n17

STRESS

4016.85

1352.27

5828.11

780.31

5047.8

n17

STRESS

8860.01

3397.01

13429.8

844.95

12584.9

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n17

RECOVERY

414.14

178.65

703.73

42.93

660.8

n17

RECOVERY

464.8

215.05

911.31

117.79

793.52

n17

RECOVERY

4971.19

1685.78

7617.27

1015.46

6601.81

n17

RECOVERY

21692.9

9398.34

35629.5

1226.77

34402.7

n17

RECOVERY

24451.7

9494.59

39450.4

2434.88

37015.6

n17

RECOVERY

2540.65

1080.45

3749.15

185.06

3564.09

n17

RECOVERY

2387.22

732.05

3998.39

371.82

3626.57

 

Click for image


The next three tables and graphs belong to a 56 year old male with normal left ventricular wall motion at rest. There was no left ventricular hypertrophy but pulsed wave Doppler evaluation of mitral inflow showed increased velocities after the atrial contraction indicating diastolic dysfunction. There were no left ventricular wall motion abnormalities during dobutamine stress.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n22

REST

27.127

6.3411

34.72

2.72

32

n22

REST

122.025

44.2037

225.45

27.58

197.87

n22

REST

55.922

22.6644

102.5

4.2

98.3

n22

REST

59.438

26.2922

110.82

5.47

105.35

n22

REST

51.696

28.4758

105.98

4.51

101.47

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n22

STRESS

64.084

25.9659

102.16

9.24

92.92

n22

STRESS

55.885

28.5734

111.66

3.2

108.46

n22

STRESS

39.922

23.9917

73.19

2.28

70.91

n22

STRESS

55.739

23.2253

87.12

3.59

83.53

n22

STRESS

70.663

54.1065

206.32

4.54

201.78

n22

STRESS

60.333

31.7416

125.63

3.83

121.8

n22

STRESS

50.715

20.2477

79.47

3.77

75.7

n22

STRESS

30.809

11.7976

52.68

6.05

46.63

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

n22

RECOVERY

37.388

10.0571

49.39

3.25

46.14

n22

RECOVERY

48.052

11.7826

63.79

6.65

57.14

n22

RECOVERY

45.391

13.169

62.3

7.04

55.26

n22

RECOVERY

34.637

8.8881

55.33

7.26

48.07

n22

RECOVERY

59.996

18.6285

85.24

9.81

75.43

 

Click for image


The next three tables and graphs belong to a 66 year old female who underwent stress thallium with an equivocal positive test. Given the fact that the pretest probability for coronary artery disease in this patient was low, she was referred for a dobutamine stress echocardiography as a second imaging modality to either confirm the thallium findings, or give a negative result, therefore reassuring that the patient does not require further evaluation with coronary angiography. The resting left ventricular wall motion was normal. With stress there was improved contractility in all left ventricular wall segments including the region sampled for integrated backscatter.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

d6

REST

4609.05

3004.85

10467.6

0

10467.6

d6

REST

1618.11

618.44

2855

102.54

2752.46

d6

REST

7591.56

4975.92

16405.9

1697.93

14708.0

d6

REST

7387.44

3643.02

15397.6

2611.82

12785.7

d6

REST

5723.61

3502.57

14562.0

1981.93

12580.1

d6

REST

1594.72

633.18

3270.55

357.41

2913.14

d6

REST

2917.23

702.79

4607.19

1012.04

3595.15

d6

REST

2354.02

651.65

3574.04

418.19

3155.85

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

d6

STRESS

1357.41

494.8

2215.93

124.05

2091.88

d6

STRESS

1194.71

430.39

1938.18

270.12

1668.06

d6

STRESS

833.65

227.1

1207.64

127.37

1080.27

d6

STRESS

1617.08

1024.29

4721.77

785.3

3936.47

d6

STRESS

1429.34

865.5

5246.43

308.01

4938.42

d6

STRESS

1063.92

442.38

2178.01

313.72

1864.29

d6

STRESS

663.43

149.1

918.64

104.88

813.76

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

d6

RECOVERY

2458.76

1874.33

6912.35

210.09

6702.26

d6

RECOVERY

4888.8

1521.96

7066.13

718.07

6348.06

d6

RECOVERY

1762.28

1027.58

4309.65

258.45

4051.2

d6

RECOVERY

1832.43

1139.56

5245.97

804.07

4441.9

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

d7

REST

113.37

33.08

151.3

0

151.3

d7

REST

1388.3

999.89

4352.15

239.81

4112.34

d7

REST

1148.71

495.2

2194.62

132.87

2061.75

d7

REST

1282.43

797.83

3890.49

226.33

3664.16

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

d7

STRESS

2585.59

1836.09

7255.46

215.22

7040.24

d7

STRESS

1727.17

788.94

3459.31

435.47

3023.84

d7

STRESS

517.52

123.37

706.88

101.33

605.55

d7

STRESS

460.8

199.73

963.65

48.59

915.06

d7

STRESS

409.51

148.49

732.8

162.4

570.4

d7

STRESS

184.07

53.19

315.75

40.45

275.3

d7

STRESS

380.38

154.61

747.42

117.49

629.93

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

d7

RECOVERY

1251.1

404.82

2264.86

224.84

2040.02

d7

RECOVERY

940.79

576.37

2374.97

205.78

2169.19

d7

RECOVERY

1258.55

447.97

1956.48

365.94

1590.54

d7

RECOVERY

1176.34

456.65

2409.44

227.43

2182.01

d7

RECOVERY

768.59

252.65

1331.57

191.88

1139.69

 

Click for image


The next three tables and graphs belong to an 81 year old female who was referred for evaluation prior to vascular surgery. There was a history of prior inferior myocardial infarction. The regional wall motion analysis showed resting infero septal left ventricular wall hypokinesis. At low level stress this became more obvious as the remaining left ventricular segments improved their contractility. At high dose stress the contractility of the infero septal wall showed some improvement. Given the lack of improvement at low level stress this is indicative of limited myocardial viability but no inducible ischemia. This patient underwent vascular surgery as planned and did not develop any complications.


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

d9

REST

3664.72

3418.68

13416.0

136.13

13279.9

d9

REST

5612.63

4948.82

16134.2

392.37

15741.8

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

d9

STRESS

344.18

121.99

504.83

30.04

474.79

d9

STRESS

323.32

138.16

577.74

95.32

482.42

d9

STRESS

489.47

264.57

1048.72

42.52

1006.2

d9

STRESS

287.67

72.23

367.34

42.13

325.21

d9

STRESS

248.94

77.5

344.92

24.21

320.71

d9

STRESS

224.21

73.09

332.74

22.19

310.55

 

Click for image


ID

STAGE

MEAN

STD

MAX

MIN

RANGE

d9

RECOVERY

918.86

327.23

1433.81

143.62

1290.19

d9

RECOVERY

1307.97

624.06

2474.45

96.92

2377.53

d9

RECOVERY

236.29

73.39

324.6

24.77

299.83

d9

RECOVERY

881.26

356.91

1367.9

148.42

1219.48

d9

RECOVERY

1261.99

373.65

1895.25

90.56

1804.69

d9

RECOVERY

471.71

136.09

594.6

43.42

551.18

 

Click for image


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The contents and links on this page were last verified on December 24, 1998.