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Stress echocardiography in valvular heart disease
Lancellotti, Patrizio; Pibarot, P.; Picano, E.
2015In stress echocardiography
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Abstract :
[en] Major advances in diagnosis and risk stratification, combined with enormous progress in surgical valve replacement and repair, have led to improved outcomes of patients with valvular heart disease over the past 30 years. The most important indication for surgical intervention in patients with hemodynamically significant aortic or mitral valve disease is the development of symptoms, as emphasized in recent guidelines [1–3]. As symptoms may develop slowly and indolently in these chronic conditions, many patients are unaware of subtle changes in effort tolerance, even when questioned directly by their physicians. Hence, recent guidelines of both the American College of Cardiology/American Heart Association (ACC/AHA) and the European Society of Cardiology (ESC) [2, 3] have placed renewed emphasis on the role of exercise testing to provide objective evidence of exercise capacity and symptom status. In addition, while Doppler echocardiography is the method of choice for assessing severity of valvular disease, there is a growing utilization of stress two-dimensional and Doppler echocardiography to assess dynamic changes in hemodynamics in concert with the clinical findings of exercise testing. © Springer International Publishing 2015.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Lancellotti, Patrizio  ;  Université de Liège - ULiège > Département des sciences cliniques > Imagerie cardiaque fonctionnelle par échographie
Pibarot, P.;  Québec Heart Institute, Laval Hospital Research Center, Laval University, Québec, QC, Canada
Picano, E.;  Biomedicine Department, CNR Pisa, Ist. Fisiologia Clinica, Pisa, Italy
Language :
English
Title :
Stress echocardiography in valvular heart disease
Publication date :
2015
Main work title :
stress echocardiography
Publisher :
Springer International Publishing
Pages :
585-609
Peer reviewed :
Peer reviewed
Commentary :
9783319209586; 9783319209579
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since 08 October 2018

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