EDUCATION IN HEART

Valve disease

Stress testing in valve disease

Luc A Piérard¹, Patrizio Lancellotti²

¹ Faculté de Médecine, Université de Liège, Chef de Service, Service de Cardiologie, CHU Sart Tilman, Liege, Belgique
² Responsable de l’Unité de Soins Intensifs Cardiologiques, CHU Sart Tilman, Liege, Belgique

Correspondence to:
Correspondence to:
Professor Luc Piérard
Hôpital Universitaire Sart Tilman, Service de Cardiologie, CHU Sart Tilman, Liege, Belgique; lpierard@chu.ulg.ac.be

The first 150 words of the full text of this article appear below.

Stress testing is a cornerstone in the evaluation of patients with coronary artery disease and its results are always integrated into any clinical decisions. In contrast, valvular heart disease is usually considered static and its management relies upon resting evaluation only. However, most valve diseases have a dynamic component. Changes in loading conditions and contractility during a patient’s life may lead to alterations in the severity of lesions, good or poor ventricular contractile reserve, altered volume-dependent compliance of heart chambers, and ventricular arterial coupling. Thus, there may be a need for stress testing and imaging in this setting. Exercise testing in particular can induce symptoms, reveal the dynamics of the valve and the ventricle, and evaluate the changes in forward output, retrograde flow and pulmonary pressures. The current primary role of stress testing in valve disease is to provide an objective assessment of functional disability which is of . . . [Full text of this article]

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