Invited Review
Exercise echocardiography in aortic stenosis with preserved ejection fraction
Adriana Postolache 1
, Mai-linh Nguyen 1
, Tridetti Julien 1
, Simona Sperlongano 2
, Alexandra Maria Chitroceanu 3
, Raluca Dulgheru 1
, Patrizio Lancellotti 4
, Mai-linh Nguyen 1
, Tridetti Julien 1
, Simona Sperlongano 2
, Alexandra Maria Chitroceanu 3
, Raluca Dulgheru 1
, Patrizio Lancellotti 4
1Department of Cardiology and Cardiovascular Surgery, GIGA Cardiovascular Sciences, CHU SartTilman, University of Liège Hospital; Liège-Belgium
2Unit of Cardiology, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli”, Monaldi Hospital; Naples-Italy
3Unit of Cardiovascular Research, University and Emergency Hospital, University of Medicine and Pharmacy Carol Davila; Bucharest-Romania
4Gruppo Villa Maria Care and Research, Maria Cecilia Hospital, Cotignola, and Anthea Hospital; Bari-Italy
2Unit of Cardiology, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli”, Monaldi Hospital; Naples-Italy
3Unit of Cardiovascular Research, University and Emergency Hospital, University of Medicine and Pharmacy Carol Davila; Bucharest-Romania
4Gruppo Villa Maria Care and Research, Maria Cecilia Hospital, Cotignola, and Anthea Hospital; Bari-Italy
Abstract
The appropriate timing of intervention and follow-up in asymptomatic patients with aortic stenosis remains controversial. Risk stratification is a key, especially with the use of a multimodality imaging approach, including exercise stress echocardiography. This review focuses on the use of exercise echocardiography in asymptomatic patients with moderate and severe aortic stenosis with preserved left ventricular ejection fraction. It describes the exercise echocardiography protocol, parameters to be evaluated, and its role in guiding the timing of intervention and follow-up in these patients.
Keywords: Exercise echocardiography, aortic stenosis, outcome.