Echocardiographic Diastolic Stress Testing: What Does It Add?

Kyung Hee Kim, Garvan M Kane, Christina L. Luong, Jae Kuen Oh

Research output: Contribution to journalReview article

Abstract

PURPOSE OF REVIEW: Diastolic stress echocardiography may help facilitate the attribution of exertional dyspnea to cardiac and non-cardiac disease. It represents a non-invasive hemodynamic test to assess the patients with unexplained dyspnea. It can improve the diagnosis of heart failure with preserved ejection fraction (HFpEF) or diastolic heart failure. RECENT FINDINGS: A number of studies have validated exercise E/e' as a measure of left ventricular (LV) filling pressure against invasively measured LV filling pressure using simultaneous exercise echocardiography-catheterization studies. Addition of E/e' during exercise echocardiography improved sensitivity for diagnosis of HFpEF compared with resting assessment alone, and its specificity can be improved if tricuspid regurgitation velocity also increases above the normal range with exercise. The independent prognostic value of exercise E/e' has also been well delineated in a number of studies. Diastolic stress exercise echocardiography should be considered for all patients with unexplained or exertional dyspnea and normal diastolic filling pressure or grade 1 diastolic dysfunction on resting echocardiography. Addition of diastolic assessment with exercise echocardiography improves the sensitivity of the test in patients with dyspnea and there are sufficient data to integrate diastolic exercise test into our clinical practice.

Original languageEnglish (US)
Number of pages1
JournalCurrent cardiology reports
Volume21
Issue number9
DOIs
StatePublished - Aug 3 2019

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Exercise
Dyspnea
Echocardiography
Stress Echocardiography
Ventricular Pressure
Heart Failure
Diastolic Heart Failure
Tricuspid Valve Insufficiency
Exercise Test
Catheterization
Reference Values
Hemodynamics
Blood Pressure

Keywords

  • Diastolic dysfunction
  • Echocardiography
  • Stress test

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Echocardiographic Diastolic Stress Testing : What Does It Add? / Kim, Kyung Hee; Kane, Garvan M; Luong, Christina L.; Oh, Jae Kuen.

In: Current cardiology reports, Vol. 21, No. 9, 03.08.2019.

Research output: Contribution to journalReview article

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