open access

Vol 13, No 6 (2018)
Cardiology Investigation
Published online: 2019-03-04
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Echocardiographic diastolic stress test

Ewa Szczerba, Anna Fojt, Michał Marchel
DOI: 10.5603/FC.2018.0124
·
Folia Cardiologica 2018;13(6):588-594.

open access

Vol 13, No 6 (2018)
Cardiology Investigation
Published online: 2019-03-04

Abstract

Diastolic dysfunction can lead to heart failure symptoms if it causes elevated left atrial pressure. Diastolic function
changes dynamically for example during physical exercise. That is why echocardiography at rest may not detect signs of
left atrial pressure elevation. In this article, we present an outline of diastolic function assessment at rest, and indications
for a diastolic stress test, its protocols and interpretation.

Abstract

Diastolic dysfunction can lead to heart failure symptoms if it causes elevated left atrial pressure. Diastolic function
changes dynamically for example during physical exercise. That is why echocardiography at rest may not detect signs of
left atrial pressure elevation. In this article, we present an outline of diastolic function assessment at rest, and indications
for a diastolic stress test, its protocols and interpretation.

Get Citation

Keywords

echocardiography, diastole, steress test, diastolic dysfunction, heart failure

About this article
Title

Echocardiographic diastolic stress test

Journal

Folia Cardiologica

Issue

Vol 13, No 6 (2018)

Pages

588-594

Published online

2019-03-04

DOI

10.5603/FC.2018.0124

Bibliographic record

Folia Cardiologica 2018;13(6):588-594.

Keywords

echocardiography
diastole
steress test
diastolic dysfunction
heart failure

Authors

Ewa Szczerba
Anna Fojt
Michał Marchel

References (8)
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  4. Nagueh SF, Smiseth OA, Appleton CP, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2016; 29(4): 277–314.
  5. Ponikowski P, Voors AA, Anker SD, et al. Authors/Task Force Members, Document Reviewers, ESC Scientific Document Group. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2016; 37(27): 2129–2200.
  6. Erdei T, Smiseth OA, Marino P, et al. A systematic review of diastolic stress tests in heart failure with preserved ejection fraction, with proposals from the EU-FP7 MEDIA study group. Eur J Heart Fail. 2014; 16(12): 1345–1361.
  7. Takagi T. Diastolic stress echocardiography. J Echocardiogr. 2017; 15(3): 99–109.
  8. Burgess MI, Jenkins C, Sharman JE, et al. Diastolic stress echocardiography: hemodynamic validation and clinical significance of estimation of ventricular filling pressure with exercise. J Am Coll Cardiol. 2006; 47(9): 1891–1900.

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