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The emerging role of exercise testing and stress echocardiography in valvular heart disease
Picano, E.; Pibarot, P.; Lancellotti, Patrizio et al.
2009In PICANO, E (Ed.) Stress Echocardiography
Peer reviewed
 

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Abstract :
[en] Stress echocardiography has emerged as an important component of stress testing, in which the noninvasive assessment of dynamic changes in valve function, ventricular function, and hemodynamics can be coupled with assessment of exercise capacity and symptomatic responses. Surprisingly, this role is much more clearly established in American than European general cardiology guidelines, despite the larger and earlier acceptance of stress echocardiography in the European practice for the diagnosis of coronary artery disease. Stress echocardiography has the advantages of its wide availability, low cost, and versatility for the assessment of disease severity. In addition to its established applications in valvular heart disease, transthoracic Doppler echocardiography also has the potential to assess coronary flow reserve. The versatile applications of stress echocardiography can be tailored to the individual patient with aortic or mitral valve disease, both before and after valve replacement or repair. Hence, exercise-induced changes in valve hemodynamics, ventricular function, and pulmonary artery pressure, together with exercise capacity and symptomatic responses to exercise, provide the clinician with diagnostic and prognostic information that can contribute importantly to subsequent clinical decisions. © 2009 Springer Berlin Heidelberg.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Picano, E.;  Institute of Clinical Physiology of Pisa, National Research Council, 1st Fisiologia Clinica, Via G. Moruzzi, 1, 56124 Pisa, Italy
Pibarot, P.;  Laval Hospital Research Center, Québec Heart Institute, Laval University, 2725, Chemin Sainte-Foy, Québec G1V-4G5, Canada
Lancellotti, Patrizio  ;  Université de Liège - ULiège > Département des sciences cliniques > Imagerie cardiaque fonctionnelle par échographie
Monin, J. L.;  Department of Cardiology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, 51 avenue De Lattre de Tassigny, Créteil 94010, France
Bonow, R. O.;  Division of Cardiology, Northwestern University's Feinberg, School of Medicine, 676 St., Claire St., Chicago, IL 60611, United States
Language :
English
Title :
The emerging role of exercise testing and stress echocardiography in valvular heart disease
Publication date :
2009
Main work title :
Stress Echocardiography
Author, co-author :
PICANO, E
Publisher :
Springer Berlin Heidelberg
Pages :
499-521
Peer reviewed :
Peer reviewed
Commentary :
9783540764656
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since 09 June 2020

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