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Table 1 The pathophysiological and methodological basis of the IQ-SE protocol

From: The new clinical standard of integrated quadruple stress echocardiography with ABCD protocol

 

RWMA

B-lines

LVCR

CFVR

ABCD protocol

A, Asynergy

B, B-lines

C, Contractility

D, Doppler

Target

Epicardial Coronary Stenosis

Lung

Myocardium

LAD stenosis and small vessels

Variable

Ischemia

Water

Force

Flow reserve

Echocardiography

2D

LUS

2-D

PWD

Best projection

4-,3–2 ch

4-site scan

4- and 2-ch

Modified 3-ch

Imaging time

Minutes

Seconds

Seconds

Minutes

Analysis time

Seconds

Seconds

Seconds

Seconds

Feasibility

> 90%

Near 100%

> 95%

> 80%

Evidence

Excellent

Initial

Moderate

Good

Reading

Qualitative

Semi-quantitative

Quantitative

Quantitative

Key parameter

WMSI

B-lines score

ESV

Peak velocity

Abnormal Cut-off

> 1.0

≥ 2.0

< 2.0a

< 2.0

  1. a< 1.1 in vasodilator stress