{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:21:33Z","timestamp":1787764893718,"version":"build-2784847793"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Acute coronary syndromes (ACSs) present most frequently with chest pain, but angina equivalents such as dyspnea, diaphoresis, and fatigue are not uncommon. Atypical presentations are especially seen in women, the elderly, and diabetics. Cardiac evaluation using a transthoracic echocardiogram is almost always done before or immediately after someone undergoes left heart catheterization for ACS. It provides information valuable information regarding wall motion, left ventricular systolic function, diastolic function, right ventricular involvement, pulmonary pressures, incidental valvular disease, pericardial fluid, or any other unsuspected abnormality. We describe a novel case where an atypical presentation of ACS was suspected based on the lack of intravenous contrast administered, to enhance endocardial border resolution. The use of contrast during echocardiography has been used during stress protocols to assess microcirculation during perfusion assessment studies. However, we described a reduced uptake during the acquisition of resting myocardial echocardiogram images and it was very useful to direct therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/heartviews.heartviews_32_23","type":"journal-article","created":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T03:50:43Z","timestamp":1698983443000},"page":"212-216","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Abnormal Resting Myocardial Contrast Echocardiographic Uptake"],"prefix":"10.4103","volume":"24","author":[{"given":"Roopesh Sai","family":"Jakulla","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satya Preetham","family":"Gunta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angel","family":"L\u00f3pez-Candales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R4-8-20240902","doi-asserted-by":"crossref","first-page":"2929","DOI":"10.1093\/eurheartj\/ehu299","article-title":"Cardiovascular disease in Europe 2014: Epidemiological update","volume":"35","author":"Nichols","year":"2014","journal-title":"Eur Heart J"},{"key":"R5-8-20240902","first-page":"e25","article-title":"Heart disease and stroke statistics \u2013 2008 update: A report from the American heart association statistics committee and stroke statistics subcommittee","volume":"117","author":"Rosamond","year":"2008","journal-title":"Circulation"},{"key":"R6-8-20240902","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1161\/CIRCULATIONAHA.109.192666","article-title":"Executive summary: Heart disease and stroke statistics \u2013 2010 update: A report from the American heart association","volume":"121","author":"Lloyd-Jones","year":"2010","journal-title":"Circulation"},{"key":"R7-8-20240902","doi-asserted-by":"crossref","first-page":"e008298","DOI":"10.1161\/CIRCOUTCOMES.121.008298","article-title":"Presenting symptoms in patients undergoing coronary artery disease evaluation: Association with noninvasive test results and clinical outcomes in the PROMISE trial","volume":"15","author":"Lowenstern","year":"2022","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"R8-8-20240902","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.echo.2014.10.003","article-title":"Recommendations for cardiac chamber quantification by echocardiography in adults: An update from the American society of echocardiography and the European association of cardiovascular imaging","volume":"28","author":"Lang","year":"2015","journal-title":"J Am Soc Echocardiogr"},{"key":"R9-8-20240902","doi-asserted-by":"crossref","first-page":"e005459","DOI":"10.1161\/CIRCIMAGING.116.005459","article-title":"Safety with echocardiographic contrast agents","volume":"10","author":"Muskula","year":"2017","journal-title":"Circ Cardiovasc Imaging"},{"key":"R10-8-20240902","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1161\/01.RES.74.6.1157","article-title":"In vivo myocardial kinetics of air-filled albumin microbubbles during myocardial contrast echocardiography. 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