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Exercise testing in aortic stenosis and in mitral regurgitation
Lancellotti, Patrizio; Magne, J.
2013In Cardiac Valvular Medicine
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Abstract :
[en] The European Society of Cardiology (ESC) and the American College of Cardiology/American Heart Association (ACC/AHA) have placed renewed emphasis on the role of exercise testing to provide objective evidence of exercise capacity and symptom status in patients with valvular heart disease (Vahanian et al. 2007; Bonow et al. 2006). Exercise testing represents the first choice over pharmacological stress for risk stratification in asymptomatic patients with aortic stenosis (AS) or degenerative mitral regurgitation (MR) (Pierard and Lancellotti 2007; Picano et al. 2009). It has been shown to provide insights regarding exertional symptoms disproportionate to resting hemodynamics in patients with functional ischemic MR. When combined with echocardiography, although treadmill or bicycle may be used, supine bicycle exercise is the recommended technique in valvular heart diseases. Semi-supine exercise echocardiography offers the advantage that Doppler information, in addition to assessment of regional wall motion, can be evaluated during the different steps of the test (Rosca et al. 2011). © Springer-Verlag London 2013.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Lancellotti, Patrizio  ;  Université de Liège - ULiège > Département des sciences cliniques > Imagerie cardiaque fonctionnelle par échographie
Magne, J.;  Department of Cardiology, University Hospital Sart Tilman, University of Liège, Liège, Belgium
Language :
English
Title :
Exercise testing in aortic stenosis and in mitral regurgitation
Publication date :
2013
Main work title :
Cardiac Valvular Medicine
Publisher :
Springer-Verlag London Ltd
Pages :
47-57
Peer reviewed :
Peer reviewed
Commentary :
9781447141327; 9781447141310
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since 17 August 2018

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