Related Experiment Video

Updated: Aug 5, 2026

High-frequency High-resolution Echocardiography: First Evidence on Non-invasive Repeated Measure of Myocardial Strain, Contractility, and Mitral Regurgitation in the Ischemia-reperfused Murine Heart
11:50

High-frequency High-resolution Echocardiography: First Evidence on Non-invasive Repeated Measure of Myocardial Strain, Contractility, and Mitral Regurgitation in the Ischemia-reperfused Murine Heart

Published on: July 9, 2010

The role of stress echocardiography in children

E Pahl1, C E Duffy, F A Chaudhry

  • 1Department of Pediatrics, Children's Memorial Hospital, Northwestern University Medical School, 2300 Children's Plaza, Box 21, Chicago, IL 60614, USA.

Echocardiography (Mount Kisco, N.Y.)
|September 9, 2000
PubMed

Insights

Stress echocardiography is a safe and effective method for assessing coronary artery disease in children. This review details its use in pediatric patients, including those with Kawasaki disease or congenital coronary abnormalities.

Area of Science:

  • Pediatric Cardiology
  • Diagnostic Imaging
  • Cardiovascular Disease

Background:

  • Adult stress echocardiography is established for coronary artery disease (CAD) evaluation.
  • Pediatric experience with stress echocardiography is limited but growing.
  • This review focuses on exercise and dobutamine stress echocardiography in children.

Purpose of the Study:

  • To review the application of stress echocardiography in the pediatric population.
  • To detail techniques, current indications, and future directions for pediatric stress echocardiography.
  • To summarize experience in specific pediatric groups and post-surgical patients.

Main Methods:

  • Focused review of existing literature on pediatric stress echocardiography.
  • Emphasis on exercise stress echocardiography and dobutamine stress echocardiography.
  • Inclusion of data from children with Kawasaki disease, heart transplants, and congenital coronary abnormalities.

Main Results:

  • Stress echocardiography is feasible, safe, and useful in children.
  • It effectively assesses flow-limiting stenosis noninvasively.
  • Experience includes diverse pediatric populations and post-coronary artery bypass graft surgery patients.

Conclusions:

  • Stress echocardiography is a valuable tool for pediatric noninvasive cardiovascular assessment.
  • Serial use aids in routine follow-up and risk stratification for pediatric coronary events.
  • Further research and standardization are beneficial for pediatric stress echocardiography.

More Related Videos

Echocardiographic Approaches and Protocols for Comprehensive Phenotypic Characterization of Valvular Heart Disease in Mice12:12

Echocardiographic Approaches and Protocols for Comprehensive Phenotypic Characterization of Valvular Heart Disease in Mice

Published on: February 14, 2017

Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation09:05

Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation

Published on: October 20, 2016

Related Concept Videos

Exercise Stress Test01:26

Exercise Stress Test

Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Dysrhythmias V: Evaluating Dysrhythmias01:30

Dysrhythmias V: Evaluating Dysrhythmias

Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...