2015


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2015/№3

Stress echocardiography in aortic valve defects. State of the art

Ryabova T. R., Sokolov A. A., Ryabov V. V.
Federal State Budgetary Institution, “Research Institute of Cardiology” at the Siberian Division of the Russian Academy of Medical Sciences, Kievskaya 111a, Tomsk 634012

Keywords: aortic valve defect, EchoCG

DOI: 10.18087/rhj.2015.3.2068

The review presents capabilities of the modern stress-EchoCG in patients with acquired defects of the aortic valve (AV). The authors provide a pathophysiological justification of the method, indications, methodological approaches, and prospects of using stress-EchoCG for evaluation of heart functionality in different variants of aortic stenosis (AS).
  1. Picano E. Stress Echocardiography. – Springer-Verlag Berlin Heidelberg, 2009. – 612 p.
  2. McMurray JJ, Adamopoulos S, Anker SD et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2012 Aug;14 (8):803–69.
  3. Chenzbraun A. Non-ischaemic cardiac conditions: role of stress echocardiography. Echo Res Pract. 2014 Sep;1 (1):R1–7.
  4. Pellikka PA, Nagueh SF, Elhendy AA et al. American Society of Echocardiography recommendations for performance, interpretation, and application of stress echocardiography. J Am Soc Echocardiogr. 2007 Sep;20 (9):1021–41.
  5. Sicari R, Nihoyannopoulos P, Evangelista A et al. Stress echocardiography expert consensus statement: European Association of Echocardiography (EAE) (a registered branch of the ESC). Eur J Echocardiogr. 2008 Jul;9 (4):415–37.
  6. Bonow RO, Carabello BA, Chatterjee K et al. 2008 Focused update Pincorported into the ACC / AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology / American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation. 2008 Oct 7;118 (15):e523–661.
  7. Vahanian A, Alfieri O, Andreotti F et al. Guidelines on the management of valvular heart disease (version 2012). Eur Heart J. 2012 Oct;33 (19):2451–96.
  8. Nishimura RA, Otto CM, Bonow RO et al. 2014 AHA / ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology / American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Jun 10;129 (23):e521–643.
  9. Bhattacharyya S, Khattar R, Chahal N et al. Dynamic assessment of stenotic valvular heart disease by stress echocardiography. Circ Cardiovasc Imaging. 2013 Jul;6 (4):583–9.
  10. Picano E, Pellikka PA. Stress echo applications beyond coronary artery disease. Eur Heart J. 2014 Apr;35 (16):1033–40.
  11. Бобров А. Л., Бобров Л. Л. Количественные методы анализа в стресс-эхокардиографии. Российский кардиологический журнал. 2014; 2 (106):96–103.
  12. Рябова Т. Р., Соколов А. А., Рябов В. В. Возможности стресс-эхокардиографии при хронической сердечной недостаточности. Журнал Сердечная Недостаточность. 2014;15 (1):56–64.
  13. Henkel DM, Malouf JF, Connolly HM et al. Asymptomatic left ventricular systolic dysfunction in patients with severe aortic stenosis: characteristics and outcomes. J Am Coll Cardiol. 2012 Dec 4;60 (22):2325–9.
  14. Miller LE, Miller VM, Acers LD. Asymptomatic severe aortic stenosis with left ventricular dysfunction: watchful waiting or valve replacement? Clin Med Res. 2013 Jun;11 (2):51–3.
  15. Pellikka PA, Sarano ME, Nishimura RA et al. Outcome of 622 adults with asymptomatic hemodynamically significant aortic stenosis during prolonged follow-up. Circulation. 2005 Jun 21;111 (24):3290–5.
  16. Rosenhek R, Zilberszac R, Schemper M et al. Natural history of very severe aortic stenosis. Circulation. 2010 Jan 5;121 (1):151–6.
  17. Rafique AM, Biner S, Ray I et al. Meta-analysis of prognostic value of stress testing in patients with asymptomatic severe aortic stenosis. Am J Cardiol. 2009 Oct 1;104 (7):972–7.
  18. Lancellotti P, Lebois F, Simon M et al. Prognostic importance of quantitative exercise Doppler echocardiography in asymptoma­tic valvular aortic stenosis. Circulation. 2005 Aug 30;112 (9 Suppl): I377–82.
  19. Marechaux S, Hachicha Z, Bellouin A et al. Usefulness of exercise-stress echocardiography for risk stratification of true asymptomatic patients with aortic valve stenosis. Eur Heart J. 2010 Jun;31 (11):1390–7.
  20. Lancellotti P, Magne J, Donal E et al. Determinants and prognostic significance of exercise pulmonary hypertension in asymptomatic severe aortic stenosis. Circulation. 2012 Aug 14;126 (7):851–9.
  21. O'Connor K, Lancellotti P, Donal E, Pierard LA. Exercise echocardiography in severe asymptomatic aortic stenosis. Arch Cardiovasc Dis. 2010 Apr;103 (4):262–9.
  22. Lancellotti P, Karsera D, Tumminello G et al. Determinants of an abnormal response to exercise in patients with asymptomatic valvular aortic stenosis. Eur J Echocardiogr. 2008 May;9 (3):338–43.
  23. Laskey WK, Kussmaul WG 3rd, Noordergraaf A. Systemic arterial response to exercise in patients with aortic valve stenosis. Circulation. 2009 Feb 24;119 (7):996–1004.
  24. Baumgartner H, Hung J, Bermejo J et al. Echocardiographic assessment of valve stenosis: EAE / ASE recommendations for clinical practice. Eur J Echocardiogr. 2009 Jan;10 (1):1–25.
  25. Monin JL, Quere JP, Monchi M et al. Low-gradient aortic stenosis; operative risk stratification and predictors for long-term outcome: a multicenter study using dobutamine stress hemodynamics. Circulation. 2003 Jul 22;108 (3):319–24.
  26. Hachicha Z, Dumesnil JG, Bogaty P, Pibarot P. Paradoxical low-flow, low-gradient severe aortic stenosis despite preserved ejection fraction is associated with higher afterload and reduced survival. Circulation. 2007 Jun 5;115 (22):2856–64.
  27. Adda J, Mielot C, Giorgi R et al. Low-flow, low-gradient severe aortic stenosis despite normal ejection fraction is associated with severe left ventricular dysfunction as assessed by speckle-tracking echocardiography: a multicenter study. Circ Cardiovasc Imaging. 2012 Jan;5 (1):27–35.
  28. Agricola E, Oppizzi M, Pisani M, Margonato A. Stress echocardio­graphy in heart failure. Cardiovasc Ultrasound. 2004 Jul 30;2:11–25.
  29. Picano E, Pibarot P, Lancellotti P et al. The emerging role of exercise testing and stress echocardiography in valvular heart disease. J Am Coll Cardiol. 2009 Dec 8;54 (24):2251–60.
  30. Yavagal ST, Deshpande N, Admane P. Stress echo for evaluation of valvular heart disease. Indian Heart J. 2014 Jan-Feb;66 (1):131–8.
  31. Blais C, Burwash IG, Mundigler G et al. Projected valve area at normal flow rate improves the assessment of stenosis severity in patients with low-flow, low-gradient aortic stenosis: the multicenter TOPAS (Truly or Pseudo-Severe Aortic Stenosis) study. Circulation. 2006 Feb 7;113 (5):711–21.
  32. Clavel MA, Burwash IG, Mundigler G et al. Validation of conventional and simplified methods to calculate projected valve area at normal flow rate in patients with low flow, low gradient aortic stenosis: the multicenter TOPAS (True or Pseudo Severe Aortic Stenosis) study. J Am Soc Echocardiogr. 2010 Apr;23 (4):380–6.
  33. Pibarot P, Dumesnil JG. Low-flow, low-gradient aortic stenosis with normal and depressed left ventricular ejection fraction. J Am Coll Cardiol. 2012 Nov 6;60 (19):1845–53.
  34. Monin JL, Quéré JP, Monchi M et al. Low-gradient aortic stenosis: operative risk stratification and predictors for long-term outcome: a multicenter study using dobutamine stress hemodynamics. Circulation. 2003 Jul 22;108 (3):319–24.
  35. Tribouilloy C, Levy F, Rusinaru D et al. Outcome after aortic valve replacement for low-flow / low-gradient aortic stenosis without contractile reserve on dobutamine stress echocardiography. J Am Coll Cardiol. 2009 May 19;53 (20):1865–73.
  36. De Filippi CR, Willett DL, Brickner ME et al. Usefulness dobutamine echocardiography in distinguishing severe from nonsevere valvular aortic stenosis in patients with depressed left ventricular function of and low transvalvular gradients. Am J Cardiol. 1995 Jan 15;75 (2):191–4.
  37. Clavel MA, Ennezat PV, Maréchaux S et al.. Stress echocardiography to assess stenosis severity and predict outcome in patients with paradoxical low-flow, low-gradient aortic stenosis and preserved LVEF. JACC Cardiovasc Imaging. 2013 Feb;6 (2):175–83.
  38. Minners J, Allgeier M, Gohlke-Baerwolf C et al. Inconsistencies ofechocardiographic criteria for the grading of aortic valve stenosis. Eur Heart J. 2008 Apr;29 (8):1043–8.
  39. Jander N, Minners J, Holme I et al. Outcome of patients with low-gradient «severe» aortic stenosis and preserved ejection fraction. Circulation. 2011 Mar 1;123 (8):887–95.
  40. Dumesnil JG, Pibarot P. Letter by Dumesnil and Pibarot regarding article, «Outcome of patients with low-gradient «severe» aortic stenosis and preserved ejection fraction». Circulation. 2011 Sep 27;124 (13):е360.
  41. Barasch E, Fan D, Chukwu EO et al. Severe isolated aortic stenosis with normal left systolic function and low transvalvular gradient: pathophysiologic and prognostic insights. J Heart Valve Dis. 2008 Jan;17 (1):81–8.
  42. Dumesnil JG, Pibarot P, Carabello B. Paradoxical low flow and / or low gradient severe aortic stenosis despite preserved left ventricular ejection fraction: implications for diagnosis and treatment. Eur Heart J. 2010 Feb;31 (3):281–9.
  43. Clavel MA, Dumesnil JG, Capoulade R et al. Outcome of patients with aortic stenosis, small valve area, and low flow, low gradient despite preserved left ventricular ejection fraction. J Am Coll Cardiol. 2012 Oct 2;60 (14):1259–67.
  44. Ozkan A, Hachamovitch R, Kapadia SR et al. Impact of aortic valve replacement on outcome of symptomatic patients with severe aortic stenosis with low gradient and preserved left ventricular ejection fraction. Circulation. 2013 Aug 6;128 (6):622–31.
  45. Tandon А, Grayburn PA. Imaging of low-gradient severe aortic stenosis. JACC Cardiovasc Imaging. 2013 Feb;6 (2):184–95.
  46. Lancellotti P, Magne J, Donal E et al. Clinical outcome in asymptoma­tic severe aortic stenosis: insights from the new proposed aortic stenosis grading classification. J Am Coll Cardiol. 2012 Jan 17;59 (3):235–43.
Ryabova T. R ., Sokolov A. A., Ryabov V. V. Stress echocardiography in aortic valve defects. State of the art. Russian Heart Journal. 2015;14 (3):170–179

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