Stress Doppler Echocardiography in Valvular Heart Disease

  • Jean-Louis J. Vanoverschelde
  • Agnès Pasquet


In adults with valvular heart disease, valve replacement and repair are the only therapeutic options that consistently improve symptoms and increase life expectancy. The assessment of the severity of a valvular lesion traditionally relies on the evaluation of valvular anatomy and on the demonstration of resting hemodynamic disturbances, attributable to the valve problem. In patients with stenotic lesions, this is usually achieved by measuring the transstenotic pressure difference and by calculating the surface of the stenotic orifice. In patients with regurgitant lesions, assessment of lesion severity requires that the degree of volume overload imposed on the heart chambers be determined. In many instances, however, discrepancies are found between the severity of the valvular lesion and either the symptoms or the hemodynamic impairment. A provocative maneuver to unmask the true severity of the valvular lesion may then be useful.


Aortic Valve Aortic Stenosis Mitral Regurgitation Aortic Valve Replacement Aortic Regurgitation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • Jean-Louis J. Vanoverschelde
  • Agnès Pasquet

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