Exercise stress echocardiography in hypertrophic cardiomyopathy
Kengo Suzuki1, Yoshihiro J Akashi2
1Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan. kengo@marianna-u.ac.jp.
Insights
Exercise stress echocardiography reveals latent findings in hypertrophic cardiomyopathy (HCM), aiding in the diagnosis of exertional symptoms. This technique is crucial for evaluating obstruction, regurgitation, and diastolic function during exercise.
Area of Science:
- Cardiology
- Diagnostic Imaging
- Exercise Physiology
Background:
- Hypertrophic cardiomyopathy (HCM) often presents with exertional symptoms that are not fully explained by resting echocardiography.
- Exercise stress echocardiography (ESE) can unmask abnormalities not apparent at rest.
Purpose of the Study:
- To provide a comprehensive summary of the utility of exercise stress echocardiography in hypertrophic cardiomyopathy.
- To highlight practical applications and diagnostic value of ESE in HCM patients.
Main Methods:
- Review of current literature and clinical practices regarding exercise stress echocardiography in HCM.
- Focus on the evaluation of specific echocardiographic parameters during exercise.
Main Results:
- Exercise stress echocardiography effectively identifies left ventricular outflow tract obstruction during exertion.
- It aids in assessing mitral regurgitation, left ventricular asynergy, and diastolic dysfunction under stress.
- ESE can elucidate the etiology of exertional symptoms in HCM patients by revealing latent findings.
Conclusions:
- Exercise stress echocardiography is a valuable tool for comprehensive assessment and symptom evaluation in hypertrophic cardiomyopathy.
- The technique enhances diagnostic capabilities beyond resting echocardiography for HCM management.
Abstract:
In this review, we make a comprehensive summary of exercise stress echocardiography in hypertrophic cardiomyopathy (HCM) and practical tips used in our hospital. The main objective of performing exercise stress echocardiography in patients with HCM is to evaluate left ventricular outflow tract obstruction, mitral regurgitation, left ventricular asynergy, and diastolic function during exercise. There are limitations to the explanations that can be provided for exertional symptoms when resting echocardiography is performed in patients with HCM. In contrast, exercise stress echocardiography causes the manifestation of findings that are latent at rest, which possibly provides the elucidation of symptom etiology. In this article, we focus on the usefulness of exercise stress echocardiography in HCM.
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