Stressing the Cardiopulmonary Vascular System: The Role of Echocardiography.

Rudski, Lawrence G; Gargani, Luna; Armstrong, William F; LANCELLOTTI, Patrizio; Lester, Steven J; Grünig, Ekkehard; D'Alto, Michele; Åström Aneq, Meriam; Ferrara, Francesco; Saggar, Rajeev; Saggar, Rajan; Naeije, Robert; Picano, Eugenio; Schiller, Nelson B; Bossone, Eduardo

doi:10.1016/j.echo.2018.01.002

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Stressing the Cardiopulmonary Vascular System: The Role of Echocardiography.

Rudski, Lawrence G; Gargani, Luna; Armstrong, William F et al.

2018 • In Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 31 (5), p. 527-550.e11

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https://hdl.handle.net/2268/291376

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10.1016/j.echo.2018.01.002

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29573927

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Keywords :

Echocardiography, Stress/methods; Humans; Hypertension, Pulmonary/diagnosis/physiopathology; Pulmonary Artery/diagnostic imaging/physiopathology; Pulmonary Circulation/physiology; Reproducibility of Results; Ventricular Function, Right/physiology; Cardiopulmonary vascular system; Pulmonary circulation; Pulmonary hypertension; Right heart; Stress echocardiography

Abstract :

[en] The cardiopulmonary vascular system represents a key determinant of prognosis in several cardiorespiratory diseases. Although right heart catheterization is considered the gold standard for assessing pulmonary hemodynamics, a comprehensive noninvasive evaluation including left and right ventricular reserve and function and cardiopulmonary interactions remains highly attractive. Stress echocardiography is crucial in the evaluation of many cardiac conditions, typically coronary artery disease but also heart failure and valvular heart disease. In stress echocardiographic applications beyond coronary artery disease, the assessment of the cardiopulmonary vascular system is a cornerstone. The possibility of coupling the left and right ventricles with the pulmonary circuit during stress can provide significant insight into cardiopulmonary physiology in healthy and diseased subjects, can support the diagnosis of the etiology of pulmonary hypertension and other conditions, and can offer valuable prognostic information. In this state-of-the-art document, the topic of stress echocardiography applied to the cardiopulmonary vascular system is thoroughly addressed, from pathophysiology to different stress modalities and echocardiographic parameters, from clinical applications to limitations and future directions.

Disciplines :

Cardiovascular & respiratory systems

Author, co-author :

Rudski, Lawrence G; Azrieli Heart Center and Center for Pulmonary Vascular Diseases, Jewish General

Gargani, Luna; Institute of Clinical Physiology, National Research Council, Pisa, Italy.

Armstrong, William F; Department of Internal Medicine, Division of Cardiovascular Disease, University

LANCELLOTTI, Patrizio ; Centre Hospitalier Universitaire de Liège - CHU > > Service de cardiologie

Lester, Steven J; Division of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona.

Grünig, Ekkehard; Centre for Pulmonary Hypertension, University Hospital Heidelberg, Heidelberg,

D'Alto, Michele; Department of Cardiology, Second University of Naples-Monaldi Hospital, Naples,

Åström Aneq, Meriam; Department of Clinical Physiology, Institution of Medicine and Health Sciences,

Ferrara, Francesco; Heart Department, University Hospital, Salerno, Italy.

Saggar, Rajeev; Lung Institute, Banner University Medical Center-Phoenix, University of Arizona,

More authors (5 more)

Language :

English

Title :

Stressing the Cardiopulmonary Vascular System: The Role of Echocardiography.

Publication date :

May 2018

Journal title :

Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography

eISSN :

1097-6795

Volume :

Issue :

Pages :

527-550.e11

Peer reviewed :

Peer reviewed

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