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Open Access 01-11-2013 | Original Article – E-Learning

The role of exercise echocardiography in the management of mitral valve disease

Authors: R. Jansen, P. A. M. Kracht, M. J. Cramer, W. J. Tietge, L. A. van Herwerden, R. J. M. Klautz, J. Kluin, S. A. J. Chamuleau

Published in: Netherlands Heart Journal | Issue 11/2013

Abstract

Purpose

Exercise echocardiography can assess the dynamic component of mitral valve (MV) disease and may therefore be helpful for the clinical decision-making by the heart team. The purpose of this study is to determine the role of exercise echocardiography in the management of disproportionately symptomatic or otherwise atypical patients with mitral regurgitation (MR) and stenosis (MS) in clinical practice.

Methods

Data of 14 MR and 14 MS patients, including echocardiograms at rest, were presented retrospectively to an experienced heart team to determine treatment strategy. Subsequently, exercise echo data were provided whereupon once again the treatment strategy was determined. This resulted in: value of exercise echo by means of 1) alteration or 2) confirmation of treatment strategy or 3) no additional value.

Results

During exercise the echocardiographic severity of MV disease increased in 9 (64 %) MR and 8 (57 %) MS patients. Based upon alteration or confirmation of the treatment strategy, the value of exercise echocardiography in the management of MR and MS was 86 % and 57 %, respectively.

Conclusion

This study showed that physical exercise echo can have an important role in the clinical decision-making of challenging patients with MV disease. Exercise echocardiography had additional value to the treatment strategy in 71 % of these patients.

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Title: The role of exercise echocardiography in the management of mitral valve disease
Authors: R. Jansen
P. A. M. Kracht
M. J. Cramer
W. J. Tietge
L. A. van Herwerden
R. J. M. Klautz
J. Kluin
S. A. J. Chamuleau
Publication date: 01-11-2013
Publisher: Bohn Stafleu van Loghum
Published in: Netherlands Heart Journal / Issue 11/2013
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI: https://doi.org/10.1007/s12471-013-0452-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The role of exercise echocardiography in the management of mitral valve disease

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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