Clinical value of exercise Doppler echocardiography in patients with cardiac-valvular disease

Summary Besides its usefulness for the detection of exercise-induced ischemia, conventional exercise testing may help to predict the onset of clinical events and the need for surgery in asymptomatic patients with cardiac-valvular disease. Doppler echocardiography examination during exercise recently...

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Bibliographic Details
Published in:Archives of cardiovascular diseases 2008-05, Vol.101 (5), p.351-360
Main Authors: Maréchaux, Sylvestre, Bellouin, Annaïk, Polge, Anne Sophie, Richardson-Lobbedez, Marjorie, Lubret, Rémi, Asseman, Philippe, Berrebi, Alain, Chauvel, Christophe, Vanoverschelde, Jean Louis, Nevière, Rémi, Jude, Brigitte, Deklunder, Ghislaine, Le Jemtel, Thierry H, Ennezat, Pierre Vladimir
Format: Article
Language:English
Subjects:
Aortic Valve Insufficiency - diagnostic imaging
Aortic Valve Insufficiency - mortality
Aortic Valve Insufficiency - physiopathology
Aortic Valve Stenosis - diagnostic imaging
Aortic Valve Stenosis - mortality
Aortic Valve Stenosis - physiopathology
Cardiovascular
Echocardiography, Doppler - methods
Exercise echocardiography
Exercise Test
Exercise testing
Heart Diseases - diagnostic imaging
Heart Diseases - mortality
Heart Diseases - physiopathology
Heart Valve Diseases - diagnostic imaging
Heart Valve Diseases - mortality
Heart Valve Diseases - physiopathology
Heart-valve disease
Humans
Internal Medicine
Mitral Valve Insufficiency - diagnostic imaging
Mitral Valve Insufficiency - mortality
Mitral Valve Insufficiency - physiopathology
Myocardial Contraction - physiology
Stroke Volume
Test d’effort
Valvulopathie
Ventricular Dysfunction - epidemiology
Échographie d’effort
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Summary:Summary Besides its usefulness for the detection of exercise-induced ischemia, conventional exercise testing may help to predict the onset of clinical events and the need for surgery in asymptomatic patients with cardiac-valvular disease. Doppler echocardiography examination during exercise recently emerged as a new stress testing modality that may add useful information regarding dynamism of LV function, valve disease severity and pulmonary circulation. Few studies have demonstrated a correlation between the results of exercise Doppler echocardiography and clinical outcome. Preliminary experience needs to be confirmed to warrant routine use of Doppler echocardiography examination during exercise in the evaluation of patients with cardiac-valve disease.
ISSN:1875-2136
1875-2128
DOI:10.1016/j.acvd.2008.04.003