The Clinical Use of Stress Echocardiography in Non-Ischaemic Heart Disease: Recommendations from the European Association of Cardiovascular Imaging and the American Society of Echocardiography

Patrizio Lancellotti; Patricia A Pellikka; Werner Budts; Farooq A Chaudhry; Erwan Donal; Raluca Dulgheru; Thor Edvardsen; Madalina Garbi; Jong Won Ha; Garvan C Kane; Joe Kreeger; Luc Mertens; Philippe Pibarot; Eugenio Picano; Thomas Ryan; Jeane M Tsutsui; Albert Varga

doi:10.1016/j.echo.2016.10.016

The Clinical Use of Stress Echocardiography in Non-Ischaemic Heart Disease: Recommendations from the European Association of Cardiovascular Imaging and the American Society of Echocardiography

J Am Soc Echocardiogr. 2017 Feb;30(2):101-138. doi: 10.1016/j.echo.2016.10.016.

Authors

Patrizio Lancellotti¹, Patricia A Pellikka², Werner Budts³, Farooq A Chaudhry⁴, Erwan Donal⁵, Raluca Dulgheru⁶, Thor Edvardsen⁷, Madalina Garbi⁸, Jong Won Ha⁹, Garvan C Kane², Joe Kreeger¹⁰, Luc Mertens¹¹, Philippe Pibarot¹², Eugenio Picano¹³, Thomas Ryan¹⁴, Jeane M Tsutsui¹⁵, Albert Varga¹⁶

Affiliations

¹ Department of Cardiology, University of Liège Hospital, GIGA-Cardiovascular Sciences, Liège, Belgium; Gruppo Villa Maria Care and Research, Anthea Hospital, Bari, Italy. Electronic address: plancellotti@chu.ulg.ac.be.
² Division of Cardiovascular Ultrasound, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
³ Congenital and Structural Cardiology University Hospitals Leuven, Leuven, Belgium.
⁴ Echocardiography Laboratories, Mount Sinai Heart Network Icahn School of Medicine at Mount Sinai, Zena and Michael A. Wiener Cardiovascular Institute and Marie-Josée and Henry R. Kravis Center for Cardiovascular Health, New York, New York.
⁵ Service de Cardiologie, CHU RENNES et LTSI U 1099 - Université Rennes-1, Rennes, France.
⁶ Department of Cardiology, University of Liège Hospital, GIGA-Cardiovascular Sciences, Liège, Belgium.
⁷ Department of Cardiology, Oslo University Hospital, Rikshospitalet and University of Oslo, Oslo, Norway.
⁸ King's Health Partners, King's College Hospital NHS Foundation Trust, London, UK.
⁹ Cardiology Division, Yonsei University College of Medicine Seoul, Seoul, South Korea.
¹⁰ Echo Lab, Children's Healthcare of Atlanta, Emory University School of Medicine Atlanta, Atlanta, Georgia.
¹¹ Echocardiography, The Hospital for Sick Children, University of Toronto, Toronto, Canada.
¹² Québec Heart & Lung Institute/Institut Universitaire de Cardiology et de Pneumologie de Québec, Department of Cardiology, Laval University and Canada Research Chair in Valvular Heart Disease, Québec, Canada.
¹³ Institute of Clinical Physiology, National Research Council, Pisa, Italy.
¹⁴ Ohio State University, Columbus, Ohio.
¹⁵ Heart Institute - University of São Paulo Medical School and Fleury Group, São Paulo, Brazil.
¹⁶ Department of Medicine and Cardilogy Center, University of Szeged, Dugonics tér 13, Szeged, Hungary.

PMID: 28164802
DOI: 10.1016/j.echo.2016.10.016

Abstract

A unique and highly versatile technique, stress echocardiography (SE) is increasingly recognized for its utility in the evaluation of non-ischaemic heart disease. SE allows for simultaneous assessment of myocardial function and haemodynamics under physiological or pharmacological conditions. Due to its diagnostic and prognostic value, SE has become widely implemented to assess various conditions other than ischaemic heart disease. It has thus become essential to establish guidance for its applications and performance in the area of non-ischaemic heart disease. This paper summarizes these recommendations.

Keywords: Cardiomyopathy; Congenital heart disease; Heart failure; Pulmonary hypertension; Stress echocardiography; Stress test; Valvular heart disease.

MeSH terms

Cardiac Imaging Techniques / standards*
Cardiology / standards
Echocardiography, Stress / standards*
Evidence-Based Medicine
Heart Diseases / diagnostic imaging*
Humans
Image Enhancement / standards*
Myocardial Ischemia / diagnostic imaging
Practice Guidelines as Topic*
Radiology / standards
Reproducibility of Results
Sensitivity and Specificity