Cor Vasa 2010, 52(Suppl.):37-42 | DOI: 10.33678/cor.2010.203
Exercise echocardiography in the diagnosis of heart valve disease
- III. interní-kardiologická klinika, Kardiocentrum, Fakultní nemocnice Královské Vinohrady a 3. lékařská fakulta Univerzity Karlovy, Praha, Česká republika
This review article summarizes current perspectives regarding the use of exercise echocardiography in diagnosing heart valve disease, particularly in asymptomatic, already hemodynamically significant heart valve disease where these tests may help to make a decision regarding future therapeutic options and timely surgical management.
The paper examines the potential uses of exercise testing in individual, most frequent types of heart valve disease in adult age.
Keywords: Exercise testing; Stress echocardiography; Mitral stenosis; Mitral regurgitation; Aortic stenosis; Aortic regurgitation; Prosthetic valves
Published: December 1, 2010 Show citation
References
- Bonow RO, Carabello BA, Chatterjee K, et al. ACC/AHA 2006 Guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patient With Valvular Heart Disease). J Am Coll Cardiol 2006;48:1-148.
Go to original source...
Go to PubMed...
- Vahanian A, Baumgartner H, Bax J, et al.; and Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology. Guidelines for the management of valvular heart disease. Eur Heart J 2007; 28:230-268.
Go to original source...
- Popelová J, Benešová M, Brtko M, et al. Doporučené postupy pro léčbu srdečních vad v dospělosti. Cor Vasa 2007;49:K195-K234.
- Picano E, Pibarot P, Lancelloti P. The emerging role of exercise testing and stress echocardiography in valvular heart disease. J Am Coll Cardiol 2009; 54:2251-2260.
Go to original source...
Go to PubMed...
- Oh JK. The Echo Manual, third edition. Philadelphia: Lippincott Williams & Wilkins, 2006:175-187.
- Chaloupka V, Elb L. Zátěžová echokardiografie. Praha: Maxdorf, 1997.
- Niederle P, et al. Echokardiografie. Praha: Triton, 2002:177-186.
- Wu WC, Aziz GF, Sadaniantz A. The use of stress echocardiography in the assessment of mitral valvular disease. Echocardiography 2004;21:451-458.
Go to original source...
Go to PubMed...
- Otto CM. Valvular heart disease, second edition, Philadelphia: W.B. Saunders Company, 2004.
- Reis G, Motta MS, Barbora MM, et al. Dobutamine stress echocardiography for noninvasive assessment and risk stratification of patients with rheumatic mitral stenosis. J Am Coll Cardiol 2004;34:393-401.
Go to original source...
Go to PubMed...
- Schwammental E, Vered Z, Agranat O. Impact of atrioventricular compliance on pulmonary artery pressure in mitral stenosis: an exercise echocardiographic study. Circulation 2000;102:2378-2384.
Go to original source...
Go to PubMed...
- Otto CM. Timing of surgery in mitral regurgitation, Heart 2003;89:100-105.
Go to original source...
Go to PubMed...
- Otto CM. Evalution and management of chronic mitral regurgitation. N Engl J Med 2001;345:740-746.
Go to original source...
Go to PubMed...
- Enriquez-Sarano M, Miller FA Jr, Hayes SN, et al. Effective mitral regurgitant orifice area: clinical use and pitfalls of the proximal isovelocity surface area method. J Am Coll Cardiol 1995;25:703.
Go to original source...
Go to PubMed...
- Supino PG, Borer JS, Schuleri K, et al. Prognostic value of exercise tolerance testing in asymptomatic chronic nonischemic mitral regurgitation. Am J Cardiol 2007;100:1274-1278.
Go to original source...
Go to PubMed...
- Grigioni F, Enriquez-Sarano M, Zehr K, et al. Ischemic mitral regurgitation: long-term outcome and prognostic implication with quantitative Doppler assessment. Circulation 2001;103:1759-1764.
Go to original source...
Go to PubMed...
- Lamas GA, Mitchell GF, Flake, GC, et al. Clinical significance of mitral regurgitation after acute myocardial infarction. Circulation 1997;96:827-833.
Go to original source...
Go to PubMed...
- Lancelloti P, Troisfontaines P, Toussaint AC, et al. Prognostic importance of exercise-induced changes in mitral regurgitation in patients with chronic ischemic left ventricular dysfunction. Circulation 2003;108:1713-1717.
Go to original source...
Go to PubMed...
- Lancellotti P, Pierard LA. Chronic ischaemic mitral regurgitation: exercise testing reveals its dynamic component. Eur Heart J 2005;26:1816-1817.
Go to original source...
Go to PubMed...
- Abe Y, Ymai T, Ohue K, et al. Relation between reduction in ischemic mitral regurgitation and improvement in regional left ventricular contractility during low dose dobutamine stress echocardiography. Heart 2005;91:1092-1093.
Go to original source...
Go to PubMed...
- John L, Couper G, Kinchla N. Decreased operative risk of surgical treatment of mitral regurgitation with or without coronary artery disease. J Am Coll Cardiol 1990;16:1575-1578.
Go to original source...
Go to PubMed...
- Giga V, Ostojic M, Vujisic-Tesic B, et al. Exercise-induced changes in mitral regurgitation in patients with prior myocardial infarction and left ventricular dysfunction: relation to mitral deformation and left ventricular function shape. Eur Heart J 2005;26:1860-1865.
Go to original source...
Go to PubMed...
- Otto CM, Burwash IG, Legget ME, et al. Prospective study of asymptomatic aortic stenosis, clinical, echocardiographic, and exercise predictors of outcome. Circulation 1997;85:2262-2270.
Go to original source...
Go to PubMed...
- Lancellotti P, Lebois F, Simon M, et al. Prognostic importance of quantitative exercise Doppler echocardiography in asymptomatic valvular heart stenosis. Circulation 2005;112(Suppl I):1377-1382.
Go to original source...
- Lancellotti P, Karsera D, Tumminello G, et al. Determinant of an abnormal response to exercise in patients with asymptomatic valvular aortic stenosis. Eur J Echocardiogr 2008;9:338-343.
Go to original source...
- Schwammenthal E, Vered Z, Moshkowitz Y, et al. Dobutamine echocardiography in patients with aortic stenosis and left ventricular dysfunction, predicting outcome as a function of management strategy. Chest 2001;119:1766-1777.
Go to original source...
Go to PubMed...
- Monin JL, Monchi M, Gest V. Aortic stenosis with severe left ventricular dysfunction and low transvalvular pressure gradients: risk stratification by low dose dobutamine echocardiography. J Am Coll Cardiol 2001;37: 2101-2107.
Go to original source...
- Nishimura RA, Graham JA, Connolly HM, et al. Low-output, low gradient aortic stenosis in patients with depressed left ventricular systolic function: the clinical utility of the dobutamine challenge in the catheterization laboratory. Circulation 2002;106:809-813.
Go to original source...
Go to PubMed...
- Quere JP, Monin JL, Levy F, et al. Influence of preoperative left ventricular contractile reserve on postoperative ejection fraction in low-gradient aortic stenosis. Circulation 2006;113:1738-1744.
Go to original source...
Go to PubMed...
- Borer JS, Hochreiter C, Herrold EM, et al. Prediction of indications for valve replacement among asymptomatic or minimally symptomatic patients with chronic aortic regurgitation and normal left ventricular performance. Circulation 1998;97:525-534.
Go to original source...
Go to PubMed...
- Lewis SM, Riba AL, Berger HJ, et al. Radionuclide angiographic exercise left ventricular performance in chronic aortic regurgitation: relationship to resting echocardiographic ventricular dimensions and systolic wall stress index. Am Heart J 1982;103:498-504.
Go to original source...
Go to PubMed...
- Goldman ME, Packer M, Horowitz SF, et al. Relation between exercise-induced changes in ejection fraction and systolic loading conditions at rest in aortic regurgitation. J Am Coll Cardiol 1984;3: 924-929.
Go to original source...
Go to PubMed...
- Greenberg B, Massie B, Thomas D, et al. Association between the exercise ejection fraction response and systolic wall stress in patients with chronic aortic insufficiency. Circulation 1985;71:458-465.
Go to original source...
Go to PubMed...