Stress Echocardiography with Sonicated Contrast & Stress LV-GLS.

Non-Invasive evaluation of Coronary artery Disease has always been a Challenge,often fraught with Medico-legal Consequences especially in Asymptomatic Individuals, Pre-Operative Assessment , Female subjects. We present a case using Stress-test incorporating Artificial- Intelligence, Auto B.P with 3D-Live ( 4D Echo) with Sonicated Contrast and Stress Induced Left Ventricular Global Longitudinal Strain ( LV-GLS) changes. In what would have been passed off as Normal or Borderline/ Mild/False-Positive, Adding these new features some which have yet to be incorporated in Guidelines, the results were drastically different as confirmed on Coronary Angiography.

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