News | Stress Test Systems | February 03, 2017

Experts Address Complex Heart Condition Diagnoses with Stress Echo

New joint ASE/EACVI document outlines technical considerations and imaging techniques for using stress echocardiography to assess conditions other than ischemic heart disease

stress echo, complex heart conditions, guideline document, ASE, EACVI

February 3, 2017 — For over 20 years, stress echocardiography (SE) has been widely used to help clinicians diagnose ischemic heart disease, in which coronary arteries have narrowed, leading to restricted blood flow and damage to the heart.  However, in recent years, stress echocardiography has also become an established method to assess a much wider array of complex heart conditions, such as heart failure and valvular heart disease. A new document, The Clinical Use of Stress Echocardiography in Non-Ischaemic Heart Disease: Recommendations from the European Association of Cardiovascular Imaging (EACVI) and the American Society of Echocardiography (ASE), aims to establish guidance for how best to apply, perform and interpret SE for patients with a multitude of conditions.

The paper, a joint project between ASE and EACVI, will appear in the February issue of the Journal of the American Society of Echocardiography (JASE). ASE’s co-chair of the writing group, Patricia A. Pellikka, M.D., FACC, FASE, ASE past president and the director of the Mayo Clinic Echocardiography Laboratory in Rochester, Minnesota, commented, “This is the first guidelines document on the topic of stress echocardiography in non-ischemic conditions. It should be a valuable reference for practitioners and echocardiographers caring for some of the most complex and diverse patients.

The document outlines in detail the technical considerations and imaging techniques, as well as the value that stress echocardiography can add to the management of specific heart conditions other than ischemic heart disease. It details the use of stress echocardiography to help identify patients with valvular disease for whom intervention is truly needed, as well as to detect diastolic dysfunction, which is considered to be the main cause of heart failure in roughly 40 percent of patients with clinical heart failure. The document includes several useful tables summarizing techniques and advantages of stress echocardiography for specific conditions, as well as 27 figures to illustrate various concepts.

In conjunction with the publication of the guideline document, Pellikka will conduct a live webinar, including a question and answer section, on Friday, March 24, 2017 at 1:00 PM Eastern Time. The webinar will be available for free to all ASE members and open to all other clinicians for just $25; registration for the webinar will open in mid-February. This webinar, and all ASE-hosted guideline webinars, are available on ASEUniversity.org to facilitate education for those who cannot attend the live webcast.

The full guideline document is available on the Journal of American Society of Echocardiography (JASE) website. This document and all ASE Guideline documents are also available to the medical community at www.asecho.org/guidelines.

For more information: www.asecho.org

Related Content

A Philips Healthcare transesophageal echocardiography (TEE) system in use in a hybrid OR.

A Philips Healthcare transesophageal echocardiography (TEE) system in use in a hybrid OR.

News | Cardiovascular Ultrasound | June 04, 2020
June 4, 2020 — Intra-operative...
An example of strain imaging cardiac echocardiography software offered on Canon's cardiac ultrasound systems. It is highly automated to speed workflow. It color codes areas of different strain values, graphs these in a visual plot and pulls quantification measurements. Photo by Dave Fornell.

An example of strain imaging cardiac echocardiography software offered on Canon's cardiac ultrasound systems. It is highly automated to speed workflow. It color codes areas of different strain values, graphs these in a visual plot and pulls quantification measurements. Photo by Dave Fornell.

Feature | Cardiovascular Ultrasound | April 30, 2020 | Dave Fornell, Editor
The biggest trend across healthcare the past two years is the emergence of artificial intelligence (AI) and its integ
Figure 1 from the new ASE ischemia cardiac ultrasound imaging guidelines, showing a side-by-side views of apical 4- and 2-chamber images, at rest and immediately post-exercise. In the four-chamber view, the left ventricle is shown on the left-hand side of the screen. With exercise, the echocardiogram shows the LV cavity dilates (right quadrants) and there are regional wall motion abnormalities in the LAD territory.

Figure 1 from the guidelines, showing a side-by-side views of apical 4- and 2-chamber images, at rest and immediately post-exercise. In the four-chamber view, the left ventricle is shown on the left-hand side of the screen. With exercise, the LV cavity dilates (right quadrants) and there are regional wall motion abnormalities in the LAD territory. 

News | Cardiovascular Ultrasound | January 07, 2020
The  American Society of Echocardiography (ASE) has updated its guidelines for using echocardiography to image ischemia...
Videos | Cardiovascular Ultrasound | December 20, 2019
This is the LVivo auto cardiac ejection fraction (EF) app that uses...
EchoGo uses AI to calculate cardiac ultrasound left ventricular ejection fraction (EF), the most frequently used measurement of heart function, left ventricular volumes (LV) and, for the first time for an AI application, automated cardiac strain.

EchoGo uses artificial intelligence (AI) to calculate cardiac ultrasound left ventricular ejection fraction (EF), the most frequently used measurement of heart function, left ventricular volumes (LV) and, for the first time for an AI application, automated cardiac strain.

News | Cardiovascular Ultrasound | November 14, 2019
November 14, 2019 — Ultromics has received 510(k) clearance from the U.S.
Global Echocardiography Normal Values Study Presented at European Society of Cardiology Congress
News | Cardiovascular Ultrasound | September 04, 2019
September 4, 2019 — Final data from the World Alliance Societies of Echocardiography (WASE) Normal Values...
Terason Partners With DiA Imaging Analysis for Point-of-care Cardiac Ultrasound AI
News | Cardiovascular Ultrasound | August 26, 2019
Ultrasound imaging company Terason has partnered with DiA Imaging Analysis, provider of artificial intelligence (AI)-...
Contrast Use in First Transthoracic Echocardiogram for Heart Failure Reduces Repeat Testing
News | Cardiovascular Ultrasound | August 07, 2019
Heart failure is the fourth most common cause for all admission to U.S. hospitals, and it is the most common reason for...