{"id":3144,"date":"2020-03-19T10:38:03","date_gmt":"2020-03-19T10:38:03","guid":{"rendered":"https:\/\/caremedic.gr\/stress-echo-dynamic-echocardiography\/"},"modified":"2026-10-23T09:38:51","modified_gmt":"2026-10-23T09:38:51","slug":"stress-echo-dynamic-echocardiography","status":"publish","type":"page","link":"https:\/\/caremedic.gr\/en\/stress-echo-dynamic-echocardiography\/","title":{"rendered":"Stress Echo\u2014Dynamic Echocardiography"},"content":{"rendered":"\t\t
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WHAT IS IT?<\/h4>\n

A stress echocardiogram is also known as a dynamic echocardiogram or dynamic ultrasound of the heart. It is a test used to assess the function of the heart, the heart valves, and the coronary arteries. <\/p>\n

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HOW IT WORKS<\/h4>\n

The test can be performed either through exercise (on a treadmill or stationary bike) or with medication. During the test, your doctor monitors your blood pressure and heart rate while taking ultrasound images. When your heart rate reaches its peak, the ultrasound images from all stages are compared. This allows us to determine whether the heart walls are receiving enough blood and oxygen during periods of high demand or if there is variability in valve function.

At the clinics CarE MediC<\/strong><\/em> stress echocardiograms are performed on a reclining exercise bike or with medication.<\/p>\n

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WHEN DO I DO IT?<\/h4>\n

Your cardiologist may recommend a stress echocardiogram if, for example, you have angina <\/strong><\/a>(chest pain that may be caused by coronary artery disease) or impending valvular heart disease that may require treatment. It also helps determine how much exercise you can safely tolerate if you are undergoing cardiac rehabilitation. Information is also gathered on how well you respond to treatments such as coronary artery bypass grafting (CABG)<\/strong>, angioplasty<\/strong>, and antianginal or antiarrhythmic medications. Finally, the \u201cviability\u201d of the myocardium is assessed, which provides essential information regarding the prognosis and potential revascularization\u2014revascularization\u2014in patients with chronic coronary artery disease or a recent myocardial infarction. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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TYPES OF STRESS ECHO

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Exercising on a treadmill
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Ultrasound imaging should be performed at rest, at peak exertion, and during recovery, when feasible. It preserves the normal electromechanical response and can provide important prognostic information regarding functional status. It is recommended for individuals who are able to exercise. <\/p>\n

Exercising on a stationary bike

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Ultrasound imaging is feasible at rest, during all stages of fatigue, at peak fatigue, and during recovery. As with treadmill testing, it preserves the normal electromechanical response and can provide important prognostic information regarding functional status. It is recommended for individuals who are able to exercise and offers advantages in the evaluation of diastolic dysfunction and valvular heart disease, while it also allows for the assessment of coronary reserve, just as in pharmacological stress echocardiography. <\/p>\n

Pharmaceuticals (DSE)

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Ultrasound imaging can be performed at rest, during all stages of exercise, at peak exertion, and during recovery. It is recommended for individuals who are unable to exercise and is the most common method for assessing myocardial viability. <\/p>\n

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LATEST INFORMATION<\/h4>\n


According to the latest guidelines from the American Society of Echocardiography\u2014January 2020\u2014the following applies to the various types of stress echocardiography:<\/p>\n


\u2022 Stress echocardiography with exercise is more natural than pharmacological testing and provides the prognostically significant finding of the patient\u2019s exercise capacity. Therefore, if a patient is able to exercise, this is the preferred method. (Recommendation Class I, Level of Evidence A)

\u2022 Stress echocardiography using a stationary bicycle (in an upright or supine position) is technically more feasible for evaluating both coronary reserve and for diagnosis.

\u2022 The DSE is the preferred alternative test for evaluating myocardial ischemia when the patient is unable to exercise.

\u2022 Diagnostic endpoints include reaching at least 80% of the maximum heart rate predicted for the individual\u2019s age and sex.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

WHAT IS IT? A stress echocardiogram is also known as a dynamic echocardiogram or dynamic ultrasound of the heart. It is a test used to assess the function of the heart, the heart valves, and the coronary arteries. HOW IT WORKS The test can be performed either through exercise (on a treadmill or stationary bike) […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3144","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/caremedic.gr\/en\/wp-json\/wp\/v2\/pages\/3144","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/caremedic.gr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/caremedic.gr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/caremedic.gr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/caremedic.gr\/en\/wp-json\/wp\/v2\/comments?post=3144"}],"version-history":[{"count":4,"href":"https:\/\/caremedic.gr\/en\/wp-json\/wp\/v2\/pages\/3144\/revisions"}],"predecessor-version":[{"id":3148,"href":"https:\/\/caremedic.gr\/en\/wp-json\/wp\/v2\/pages\/3144\/revisions\/3148"}],"wp:attachment":[{"href":"https:\/\/caremedic.gr\/en\/wp-json\/wp\/v2\/media?parent=3144"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}