Abstract
Exercise echocardiography has been widely used in adult cardiology, and is mainly used for assessing regional myocardial function in patients with known or suspected coronary artery disease. In addition, it is also useful in the evaluation of the haemodynamic significance of valve disease, such as aortic stenosis and mitral regurgitation. In children, exercise echocardiography has found its place in the detection of ischaemia in patients with coronary artery abnormalities such as Kawasaki disease, and abnormal origin of coronary arteries. Other indications include assessment of haemodynamic and myocardial response in patients with different types of congenital heart disease, the early detection of myocardial dysfunction in specific populations such as patients after chemotherapy exposure. The incorporation of tissue Doppler and strain imaging with exercise echocardiography has allowed a more quantitative analysis of regional and global systolic and diastolic function.
Highlights
Exercise echocardiography is a well-established technique to evaluate adults with ischaemic heart disease, valvular disorder [Aortic Stenosis (AS), mitral regurgitation, and prosthetic valves], subclinical pulmonary hypertension, and for the assessment of heart function
The aim of this review is to provide a brief overview of the current utility of exercise echocardiography in children
Exercise echocardiography can be used in children older than8 years of age who are cooperative and able to perform an exercise test
Summary
Exercise echocardiography is a well-established technique to evaluate adults with ischaemic heart disease, valvular disorder [Aortic Stenosis (AS), mitral regurgitation, and prosthetic valves], subclinical pulmonary hypertension, and for the assessment of heart function. The utilization of exercise echocardiographyis relatively limited, and is mainly relegated to the realm of research. It may yield important diagnostic information in paediatric heart diseases. The aim of this review is to provide a brief overview of the current utility of exercise echocardiography in children
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