Stressing the Cardiopulmonary Vascular System

The Role of Echocardiography

Lawrence G. Rudski, Luna Gargani, William F. Armstrong, Patrizio Lancellotti, Steven Jay Lester, Ekkehard Grünig, Michele D'Alto, Meriam Åström Aneq, Francesco Ferrara, Rajeev Saggar, Rajan Saggar, Robert Naeije, Eugenio Picano, Nelson B. Schiller, Eduardo Bossone

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

The cardiopulmonary vascular system represents a key determinant of prognosis in several cardiorespiratory diseases. Although right heart catheterization is considered the gold standard for assessing pulmonary hemodynamics, a comprehensive noninvasive evaluation including left and right ventricular reserve and function and cardiopulmonary interactions remains highly attractive. Stress echocardiography is crucial in the evaluation of many cardiac conditions, typically coronary artery disease but also heart failure and valvular heart disease. In stress echocardiographic applications beyond coronary artery disease, the assessment of the cardiopulmonary vascular system is a cornerstone. The possibility of coupling the left and right ventricles with the pulmonary circuit during stress can provide significant insight into cardiopulmonary physiology in healthy and diseased subjects, can support the diagnosis of the etiology of pulmonary hypertension and other conditions, and can offer valuable prognostic information. In this state-of-the-art document, the topic of stress echocardiography applied to the cardiopulmonary vascular system is thoroughly addressed, from pathophysiology to different stress modalities and echocardiographic parameters, from clinical applications to limitations and future directions.

Original languageEnglish (US)
JournalJournal of the American Society of Echocardiography
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Blood Vessels
Echocardiography
Stress Echocardiography
Heart Ventricles
Coronary Artery Disease
Right Ventricular Function
Lung
Heart Valve Diseases
Cardiac Catheterization
Pulmonary Hypertension
Healthy Volunteers
Heart Failure
Hemodynamics
Direction compound

Keywords

  • Cardiopulmonary vascular system
  • Pulmonary circulation
  • Pulmonary hypertension
  • Right heart
  • Stress echocardiography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Stressing the Cardiopulmonary Vascular System : The Role of Echocardiography. / Rudski, Lawrence G.; Gargani, Luna; Armstrong, William F.; Lancellotti, Patrizio; Lester, Steven Jay; Grünig, Ekkehard; D'Alto, Michele; Åström Aneq, Meriam; Ferrara, Francesco; Saggar, Rajeev; Saggar, Rajan; Naeije, Robert; Picano, Eugenio; Schiller, Nelson B.; Bossone, Eduardo.

In: Journal of the American Society of Echocardiography, 01.01.2018.

Research output: Contribution to journalArticle

Rudski, LG, Gargani, L, Armstrong, WF, Lancellotti, P, Lester, SJ, Grünig, E, D'Alto, M, Åström Aneq, M, Ferrara, F, Saggar, R, Saggar, R, Naeije, R, Picano, E, Schiller, NB & Bossone, E 2018, 'Stressing the Cardiopulmonary Vascular System: The Role of Echocardiography', Journal of the American Society of Echocardiography. https://doi.org/10.1016/j.echo.2018.01.002
Rudski, Lawrence G. ; Gargani, Luna ; Armstrong, William F. ; Lancellotti, Patrizio ; Lester, Steven Jay ; Grünig, Ekkehard ; D'Alto, Michele ; Åström Aneq, Meriam ; Ferrara, Francesco ; Saggar, Rajeev ; Saggar, Rajan ; Naeije, Robert ; Picano, Eugenio ; Schiller, Nelson B. ; Bossone, Eduardo. / Stressing the Cardiopulmonary Vascular System : The Role of Echocardiography. In: Journal of the American Society of Echocardiography. 2018.
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