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Stress Echocardiography in Regurgitant Valve Disease
by Patrizio Lancellotti, and Julien Magne
Circ Cardiovasc Imaging
Volume 6(5):840-849
September 17, 2013
Copyright © American Heart Association, Inc. All rights reserved.
Stepwise Doppler echocardiography image acquisitions in patients with mitral regurgitation
(MR) or aortic regurgitation. *Estimation of left ventricular (LV) filling pressure (E/e′ ratio) could
be obtained only if chronotropic conditions permit it; SPAP indicates systolic pulmonary arterial
pressure.
Patrizio Lancellotti, and Julien Magne Circ Cardiovasc
Imaging. 2013;6:840-849
Copyright © American Heart Association, Inc. All rights reserved.
Dynamic increase in primary mitral regurgitation severity during exercise.
Patrizio Lancellotti, and Julien Magne Circ Cardiovasc
Imaging. 2013;6:840-849
Copyright © American Heart Association, Inc. All rights reserved.
Moderate primary mitral regurgitation with normal left ventricular longitudinal function but
without contractile reserve.
Patrizio Lancellotti, and Julien Magne Circ Cardiovasc
Imaging. 2013;6:840-849
Copyright © American Heart Association, Inc. All rights reserved.
Dynamic increase in mitral regurgitation severity during exercise echocardiography.
Patrizio Lancellotti, and Julien Magne Circ Cardiovasc
Imaging. 2013;6:840-849
Copyright © American Heart Association, Inc. All rights reserved.
Exercise echocardiographic recordings (end-systolic frames) showing a biphasic response
(viable myocardium at jeopardy) characterized by an improvement in wall motion at low level of
exercise followed by a subsequent deterioration at high level of exercise (white arrows)
secondary to severe right coronary stenosis (red arrow).
Patrizio Lancellotti, and Julien Magne Circ Cardiovasc
Imaging. 2013;6:840-849
Copyright © American Heart Association, Inc. All rights reserved.
Dynamic mitral regurgitation and pulmonary hypertension because of dynamic left ventricular
dyssychrony (arrows: increase in septolateral delay measured using tissue Doppler peak
myocardial systolic velocities assessment) in a patient with systolic left ventricular dysfunction.
Patrizio Lancellotti, and Julien Magne Circ Cardiovasc
Imaging. 2013;6:840-849
Copyright © American Heart Association, Inc. All rights reserved.
A, Successful cardiac resynchronization therapy as indicated by the absence of significant
septolateral delay using tissue Doppler peak myocardial systolic velocity measurements.
Patrizio Lancellotti, and Julien Magne Circ Cardiovasc
Imaging. 2013;6:840-849
Copyright © American Heart Association, Inc. All rights reserved.
A and B, Dynamic exercise mitral regurgitation in a patient admitted with acute pulmonary
edema without evident contributing factors.
Patrizio Lancellotti, and Julien Magne Circ Cardiovasc
Imaging. 2013;6:840-849
Copyright © American Heart Association, Inc. All rights reserved.
Echocardiographic assessment of an asymptomatic patient with severe aortic regurgitation.
Patrizio Lancellotti, and Julien Magne Circ Cardiovasc
Imaging. 2013;6:840-849
Copyright © American Heart Association, Inc. All rights reserved.
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