The clinical use of stress echocardiography in non-ischaemic heart disease: recommendations from the European Association of Cardiovascular Imaging and the American Society of Echocardiography

Eur Heart J Cardiovasc Imaging. 2016 Nov;17(11):1191-1229. doi: 10.1093/ehjci/jew190.


A unique and highly versatile technique, stress echocardiography (SE) is increasingly recognized for its utility in the evaluation of non-ischaemic heart disease. SE allows for simultaneous assessment of myocardial function and haemodynamics under physiological or pharmacological conditions. Due to its diagnostic and prognostic value, SE has become widely implemented to assess various conditions other than ischaemic heart disease. It has thus become essential to establish guidance for its applications and performance in the area of non-ischaemic heart disease. This paper summarizes these recommendations.

Keywords: Cardiomyopathy; Congenital heart disease; Heart failure; Pulmonary hypertension; Stress echocardiography; Stress test; Valvular heart disease.

Publication types

  • Review

MeSH terms

  • American Heart Association
  • Cardiac Imaging Techniques / methods*
  • Cardiomyopathy, Hypertrophic / diagnostic imaging*
  • Cardiomyopathy, Hypertrophic / pathology
  • Coronary Artery Disease / diagnostic imaging*
  • Echocardiography, Stress / methods*
  • Echocardiography, Three-Dimensional*
  • Europe
  • Female
  • Humans
  • Male
  • Myocardial Ischemia
  • Practice Guidelines as Topic*
  • Sensitivity and Specificity
  • Societies, Medical
  • United States