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Stress Echocardiography in Aortic Valve Disease

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Advances in Treatments for Aortic Valve and Root Diseases

Abstract

In aortic valve disease, the role of stress echocardiography is well supported by the literature. Exercise stress echocardiography is a tool of choice in asymptomatic patients with aortic stenosis (AS). However, it remains strictly contra-indicated in patients with symptoms. During exercise, the changes in trans-aortic velocity and gradient, in systolic pulmonary arterial pressure and in left ventricular ejection fraction, are of clinical and prognostic interest. The dobutamine stress echocardiography in patients with AS and low flow-low gradient (i.e. with impaired left ventricular ejection fraction) is useful to differentiate true severe and pseudo severe AS, to assess flow reserve, and ultimately to guide decision making and stratify the risk of patients.

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Author information

Authors and Affiliations

  1. Department of Cardiology, Dupuytren University Hospital, Inserm U1094, Limoges University, Limoges, France

    Julien Magne Ph.D. & Dania Mohty M.D., Ph.D.

  2. Cardiology Department and CIC-IT 804, CHU Rennes, Rennes, France

    Erwan Donal M.D., Ph.D.

  3. Department of Cardiology, Heart Valve Clinic, University Hospital Sart Tilman, University of Liège, Liège, Belgium

    Luc A. Pierard M.D., Ph.D.

Authors
  1. Julien Magne Ph.D.
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  2. Erwan Donal M.D., Ph.D.
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  3. Dania Mohty M.D., Ph.D.
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  4. Luc A. Pierard M.D., Ph.D.
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Corresponding author

Correspondence to Julien Magne Ph.D. .

Editor information

Editors and Affiliations

  1. Department of Cardiothoracic and Vascular Surgery, GVM Care and Research, MEH, University of Palermo, Palermo, Italy

    Khalil Fattouch

  2. Department of Cardiology, University of Liège, Liège, Belgium

    Patrizio Lancellotti

  3. Marcus Heart Valve Center, Piedmont Heart Institute, Atlanta, GA, USA

    Mani A. Vannan

  4. Cardiovascular Surgery Department, GVM Care & Research, Anthea Hospital, Bari, Italy

    Giuseppe Speziale

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Magne, J., Donal, E., Mohty, D., Pierard, L.A. (2018). Stress Echocardiography in Aortic Valve Disease. In: Fattouch, K., Lancellotti, P., Vannan, M., Speziale, G. (eds) Advances in Treatments for Aortic Valve and Root Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-66483-5_6

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  • DOI: https://doi.org/10.1007/978-3-319-66483-5_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-66482-8

  • Online ISBN: 978-3-319-66483-5

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