title: Stress echocardiography in valvular heart disease: a current appraisal.
abstract: Stress echocardiography is increasingly used in the management of patients with valvular heart disease and can aid in evaluation, risk stratification and clinical decision making in these patients. Evaluation of symptoms, exercise capacity and changes in blood pressure can be done during the exercise portion of the test, whereas echocardiographic portion can reveal changes in severity of disease, pulmonary artery pressure and left ventricular function in response to exercise. These parameters, which are not available at rest, can have diagnostic and prognostic importance. In this article, we will review the indications and diagnostic implications, prognostic implications, and clinical impact of stress echocardiography in decision making and management of patients with valvular heart disease.
authors: Department of Cardiovascular Medicine, Cleveland Clinic, Heart and Vascular Institute, 9500 Euclid Avenue, Desk J1-5, Cleveland, OH, USA.
authors: Peyman
authors: P
authors: Naji
authors: Krishna
authors: K
authors: Patel
authors: Brian P
authors: BP
authors: Griffin
authors: Milind Y
authors: MY
authors: Desai
mesh_terms: D001794:Blood Pressure / Q000502:physiology; D003657:Decision Making; D025401:Echocardiography, Stress / Q000379:methods*; D017079:Exercise Tolerance / Q000502:physiology; D006349:Heart Valve Diseases / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D011379:Prognosis; D018570:Risk Assessment / Q000379:methods; D012720:Severity of Illness Index
keywords: stress echocardiography; valvular heart disease