Today, coronary artery disease is one of the major causes of death and morbidity in the Western World. In the last decade many significant diagnostic and therapeutic advances have actually been made, substantially advancing our capacity in the management of coronary artery illness. At the very same time, a new generation of heart tools has appeared. The field which has, perhaps, undergone the most essential technological innovations is echocardiography. Nowadays, in reality, the world of ultrasounds ofters the cardiologist a wide range of technical applicatons: two-dimensional real-time imaging, intra-and extra-cardiac Doppler flow measurements, real-time imaging of heart struc ture and flow by 2D color Doppler, high resolution cardiac imaging by transesophageal echocardiography, tissue characterization by analysis of ultrasound wave qualities, information on myocardial perfusion by con trast echocardiography, and so on. Thanks to these technical enhancements and to its following increased potentiality, echocardiography now plays an impor tant and irreplaceable function in the management of all cardiac diseases. In the field of coronary artery disease, echocardiography can dependably be utilized not just in the severe stages of the illness to obtain beneficial functional and prog nostic info however likewise as a stress diagnostic procedure (thanks to new tension techniques and the continuing improvement of evaluating digital sys tems) for the diagnosis of coronary artery illness and for the evaluation of numerous healing interventions. Additionally, other promising applications of ultrasounds in this disease are currently being investigated: tissue charac coronary artery anatomy terization, myocardial contrast echocardiography, and flow assessment by specially-designed ultrasound catheters.
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