The Role of Stress Echocardiography in Valvular Heart Disease.
Aortic stenosis
Dobutamine
Exercise
Mitral regurgitation
Stress echo
Valves
Journal
Current cardiology reports
ISSN: 1534-3170
Titre abrégé: Curr Cardiol Rep
Pays: United States
ID NLM: 100888969
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
accepted:
02
08
2022
pubmed:
31
8
2022
medline:
15
10
2022
entrez:
30
8
2022
Statut:
ppublish
Résumé
Stress echocardiography is recommended in valvular heart disease when there is a mismatch between resting transthoracic echocardiography findings and symptoms during activities of daily living. We describe the current methodology and the evidence supporting these applications. The comprehensive stress echo assessment includes valve function (gradients and regurgitation), left ventricular global systolic and diastolic function, left atrial volume, pulmonary congestion, pulmonary arterial pressure, and right ventricular function, integrated with blood pressure response with cuff sphygmomanometer, chronotropic reserve with heart rate, and symptoms. Recent guidelines recommend the evaluation of asymptomatic severe or symptomatic non-severe mitral regurgitation or stenosis with exercise stress and suspected low-flow, low-gradient severe aortic stenosis with reduced ejection fraction with low dose (up to 20 mcg, without atropine) dobutamine stress. Prospective, large-scale studies based on a comprehensive protocol (ABCDE +) capturing the multiplicity of clinical phenotypes are needed to support stress echo-driven treatment strategies.
Identifiants
pubmed: 36040552
doi: 10.1007/s11886-022-01765-7
pii: 10.1007/s11886-022-01765-7
pmc: PMC9556404
doi:
Substances chimiques
Atropine Derivatives
0
Dobutamine
3S12J47372
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1477-1485Informations de copyright
© 2022. The Author(s).
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