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Exercise echocardiography for structural heart disease

Masaki Izumo1, Yoshihiro J Akashi2

  • 1Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, 216-8511, Japan. heartizumo@yahoo.co.jp.

Journal of Echocardiography
|January 14, 2016
PubMed

Insights

Exercise echocardiography aids in assessing structural heart disease, particularly aortic stenosis and mitral regurgitation. This review highlights its clinical value and prognostic impact for these common valvular conditions.

Area of Science:

  • Cardiology
  • Diagnostic Imaging

Background:

  • Structural heart disease encompasses congenital, valvular, and cardiomyopathic conditions.
  • Valvular heart disease, including aortic stenosis (AS) and mitral regurgitation (MR), is increasingly prevalent in aging populations.
  • Transcatheter interventions are common for AS and MR, necessitating accurate diagnostic tools.

Purpose of the Study:

  • To review the clinical utility of exercise echocardiography in structural heart disease.
  • To evaluate the prognostic impact of exercise echocardiography, specifically for aortic stenosis and mitral regurgitation.

Main Methods:

  • Review of existing literature on exercise echocardiography for structural heart disease.
  • Focus on applications in aortic stenosis and mitral regurgitation assessment.

Main Results:

  • Echocardiography is the standard for AS and MR diagnosis, but challenges remain.
  • Exercise echocardiography offers valuable insights beyond resting assessments.
  • The prognostic information provided by exercise echocardiography is significant.

Conclusions:

  • Exercise echocardiography is a valuable tool for evaluating patients with structural heart disease.
  • Its clinical usefulness and prognostic impact are particularly relevant for aortic stenosis and mitral regurgitation.

Keywords:
Aortic stenosisEchocardiographyExercise echocardiographyMitral regurgitationStructural heart disease

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