I usually perform dipyridamol stress echo because it could provide a more comprehensive assessment: wall motion abnormalities and coronary-flow reserve (if FFR has not been calculated in cath-lab)

We use dobutamine here.. in your experience dipyridamol gives better assessment? .What if we compare the results with radionucleotide imaging in boderline lesions..

Its accuracy is similar to dobutamine stress test but the protocol is shorter, it gives CFR data and, in my experience,/opinion it is a little more comfortable to perform. On the other hand is cheaper than CMR / Nuclear imaging.

Thanks for your feedback..

Thanks for the reply...we are practicing both Stec and dse since long..will go through the above publication

Exercise stress is always prefered as Roman indicates.  Short of that, ESE has highest specificity in a multitude of studies. CMS's recent proclamations against nuclear approaches would seem to greatly support that concept.