Stress echocardiography in valvular heart disease

Valvular heart disease (VHD) has been a significant health problem, particularly in developed countries, in relation to the aging population. Recent developments in the management of VHD require a more accurate assessment of disease severity to determine the need for transcatheter interventions or o...

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Main Authors: Kensuke Hirasawa, Masaki Izumo, Yoshihiro J. Akashi
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2023.1233924/full
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author Kensuke Hirasawa
Masaki Izumo
Yoshihiro J. Akashi
author_facet Kensuke Hirasawa
Masaki Izumo
Yoshihiro J. Akashi
author_sort Kensuke Hirasawa
collection DOAJ
description Valvular heart disease (VHD) has been a significant health problem, particularly in developed countries, in relation to the aging population. Recent developments in the management of VHD require a more accurate assessment of disease severity to determine the need for transcatheter interventions or open heart surgery. Stress echocardiography is a crucial imaging modality for identifying the underlying pathology of VHD. Optimal administration of exercise or intravenous drugs may reveal hemodynamic abnormalities under stress without posing an invasive risk. Therefore, the implementation of stress echocardiography is recommended for determining interventional indications and risk stratification in mitral regurgitation and aortic stenosis. In addition, recent evidence has accumulated regarding the usefulness of stress echocardiography in various conditions including mitral stenosis, aortic regurgitation, and post-interventional VHD. Here, we summarize the current evidence and future perspectives on stress echocardiography in VHD.
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spelling doaj.art-a27b1208a35a42c7be286564716d3fd12023-12-14T15:17:08ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-12-011010.3389/fcvm.2023.12339241233924Stress echocardiography in valvular heart diseaseKensuke Hirasawa0Masaki Izumo1Yoshihiro J. Akashi2Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, JapanDivision of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, JapanDivision of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, JapanValvular heart disease (VHD) has been a significant health problem, particularly in developed countries, in relation to the aging population. Recent developments in the management of VHD require a more accurate assessment of disease severity to determine the need for transcatheter interventions or open heart surgery. Stress echocardiography is a crucial imaging modality for identifying the underlying pathology of VHD. Optimal administration of exercise or intravenous drugs may reveal hemodynamic abnormalities under stress without posing an invasive risk. Therefore, the implementation of stress echocardiography is recommended for determining interventional indications and risk stratification in mitral regurgitation and aortic stenosis. In addition, recent evidence has accumulated regarding the usefulness of stress echocardiography in various conditions including mitral stenosis, aortic regurgitation, and post-interventional VHD. Here, we summarize the current evidence and future perspectives on stress echocardiography in VHD.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1233924/fullvalvular heart diseasestress echocardiographyexerciseaortic stenosismitral regurgitation
spellingShingle Kensuke Hirasawa
Masaki Izumo
Yoshihiro J. Akashi
Stress echocardiography in valvular heart disease
Frontiers in Cardiovascular Medicine
valvular heart disease
stress echocardiography
exercise
aortic stenosis
mitral regurgitation
title Stress echocardiography in valvular heart disease
title_full Stress echocardiography in valvular heart disease
title_fullStr Stress echocardiography in valvular heart disease
title_full_unstemmed Stress echocardiography in valvular heart disease
title_short Stress echocardiography in valvular heart disease
title_sort stress echocardiography in valvular heart disease
topic valvular heart disease
stress echocardiography
exercise
aortic stenosis
mitral regurgitation
url https://www.frontiersin.org/articles/10.3389/fcvm.2023.1233924/full
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