Hemodynamic Mechanisms of Exercise-Induced Pulmonary Hypertension in Patients with Lymphangioleiomyomatosis: The Role of Exercise Stress Echocardiography

2018 ◽  
Vol 31 (8) ◽  
pp. 888-901 ◽  
Author(s):  
Andrea Sonaglioni ◽  
Massimo Baravelli ◽  
Roberto Cassandro ◽  
Olga Torre ◽  
Davide Elia ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Stress Echocardiography ◽  
Exercise Stress ◽  
Exercise Stress Echocardiography ◽  
Exercise Induced

PREVALENCE AND SIGNIFICANCE OF RESTING PULMONARY HYPERTENSION IN PATIENTS REFERRED FOR EXERCISE STRESS ECHOCARDIOGRAPHY

CHEST Journal ◽  
2008 ◽  
Vol 134 (4) ◽  
pp. 135P
Author(s):  
Garvan C. Kane ◽  
Naser M. Ammash ◽  
Jae K. Oh ◽  
Thomas Behrenbeck ◽  
Patricia A. Pellikka ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Stress Echocardiography ◽  
Exercise Stress ◽  
Exercise Stress Echocardiography

The Role of Exercise Stress Echocardiography for Determination of Subclinical Cardiac Involvement in β-Thalassemia Major

Hemoglobin ◽  
2019 ◽  
Vol 43 (1) ◽  
pp. 34-37
Author(s):  
Mozhgan Parsaee ◽  
Hamidreza Pouraliakbar ◽  
Azita Azarkeivan ◽  
Behshid Ghadrdoost ◽  
Mohaddeseh Behjati
Keyword(s):  
Stress Echocardiography ◽  
Cardiac Involvement ◽  
Thalassemia Major ◽  
Exercise Stress ◽  
Exercise Stress Echocardiography

scholarly journals P794 Treadmill exercise stress echocardiography in children; our experience.

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
C Cotrim ◽  
I Joao ◽  
J Guardado ◽  
P Cordeiro ◽  
M ANA Sampaio ◽  
...  
Keyword(s):  
Chest Pain ◽  
Stress Echocardiography ◽  
Continuous Wave ◽  
Left Ventricular ◽  
Exercise Stress ◽  
Exercise Stress Echocardiography ◽  
Group I ◽  
Ecg Alterations ◽  
Group Ii ◽  
Exercise Induced

Abstract Background Exercise stress echocardiography (ESE) is routinely used in adults but its role in children (C) is less established Purpose To assess the feasibility and clinical value of ESE in outpatient children Methods We enrolled 309 consecutive C (mean age = 14,1 ± 2,6 years, range 6-17 yrs) who underwent treadmill ESE between 2002 and 2019: One group (Group I) of 258 C including: 237 with exercise related symptoms (chest pain and/or dyspnea and/ or lypotimia-syncope), 15 with resting ECG alterations, 6 with positive ECG stress test and other group of C (Group II) including: 10 asymptomatic for screening requested by parents, 11 with symptoms unrelated to exercise, 12 with antecedents of sudden death in the family, and 17 with known pathology - 10 with hypertrophic cardiomyopathy, 2 with aortic coarctation, 1 each with Cortriatriatum sinister, pulmonary stenosis, subaortic stenosis, bicuspid aortic valve, left ventricular hypertrophy related to arterial hypertension, aortic switch operation. Regional wall motion abnormalities (RWMA) by 2-D and continuous wave Doppler (transvalvular or transaortic or intraventricular (IVG) gradients were assessed in all. Results The success rate was 309/309 (100%). Only one complication (allowing asthma diagnosis by serendipity) occurred: a severe asthmatic crisis in one girl studied because of chest pain with exercise (with ESE negativity), Stress-induced RWMA occurred in 2 pts (one with HCM, the other with normal coronary arteries). A significant orthostatic exercise induced IVG (> 30 mmHg) was present in 101 of the 258 C (39%) studied due to symptoms, ECG alterations or positive stress ECG. In group II the C with induced IVG attained greater heart rate (HR) 184 ± 12 vs 174 ± 16 (p < 0,001); greater blood pressure (BP) 150 ± 19 mmHg vs 136 ± 23 mmHg (p < 0,001). The OR to the reproduced symptoms that motivated the exam during the SE comparing the 101 C with IVG with the 158 without IVG was 8,22 (4,83-13,99) p < 0,001 (95% CI). Conclusions Treadmill ESE is feasible and safe in young people. RWMA are of limited usefulness in our outpatient C group. Doppler often documents significant exercise induced IVG, occult at rest that associate with symptoms. Abstract P794 Figure. ESE Induced IVG in a C with chest pain

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