Stress echocardiography with semi-supine bicycle

Tidsskr Nor Laegeforen. 2012 Oct 16;132(19):2175-8. doi: 10.4045/tidsskr.11.1538.
[Article in English, Norwegian]


Background: Stress-related symptoms are often the reason that patients with cardiac disease are referred for echocardiographic assessment. We present a method for echocardiographic assessment with concurrent physiological stress where the patient is tested on a semi-supine bicycle, in a half-sitting, tilted position.

Material and method: The paper is based on a literature search of PubMed and own experience of the method.

Results: Ergometric stress echocardiography can be used for a number of cardiac conditions where an assessment of cardiac and haemodynamic response to physiological stress is wanted. Evaluation and follow-up of patients with hypertrophic cardiomyopathy, coarctation/recoarctation, mitral and aortic valve disorders have hitherto been the most important groups. The method can also provide important information about pulmonary hypertension and congenital heart defects.

Interpretation: Ergometric stress echocardiography is a non-invasive method with little risk. It is a test that is relatively simple to conduct, and an important supplement to invasive methods.

Publication types

  • Review

MeSH terms

  • Cardiomyopathy, Hypertrophic / diagnostic imaging
  • Echocardiography, Doppler / methods
  • Echocardiography, Stress / methods*
  • Exercise Test / methods*
  • Heart Defects, Congenital / diagnostic imaging
  • Heart Diseases / diagnostic imaging*
  • Heart Valve Diseases / diagnostic imaging
  • Humans
  • Hypertension, Pulmonary / diagnostic imaging
  • Risk Factors
  • Supine Position