CONCLUSIONS
This study confirms that DSE is feasible can be performed safely in
patients with class III obesity. Our results indicate that DSE with use
of IV contrast enhancement is associated with significantly greater
visualization and interpretability of LV myocardial segments than DSE
without use of IV contrast enhancement. Our study was not designed to
assess long-term CV outcomes. However, the low incidence of myocardial
ischemia during DSE and absence of deaths and CV morbidity during and 6
months after bariatric surgery suggest that routine stress testing may
not be necessary in patients at relatively low CV risk based on a
medical history, physical examination, and 12-lead electrocardiogram.
Alpert