Should we routinely assess coronary artery Doppler in daily echocardiography practice?

Acta Cardiol. 2022 Sep;77(7):573-579. doi: 10.1080/00015385.2021.1973771. Epub 2021 Sep 19.


A lot of people with coronary artery disease do not have specific symptoms, and myocardial infarction or death are the first manifestation of the disease. New accurate, non-invasive and safe screening methods are required that can assess the prognosis of patients during routine examinations performed on millions of people. The aim of this review was to discuss the current literature regarding the utility of non-invasive ultrasound imaging of the coronary artery in assessing a patient's prognosis in daily practice. Assessment of coronary artery flow during common stress echocardiography or echocardiography can provide additive incremental prognostic information without the burden of radiation. Exercise or pharmacologic stress echocardiography tests combined with coronary flow velocity reserve assessment has advantages over stress tests based only on regional wall motion abnormalities. Scanning of main coronary arteries as an addition to routine echocardiography can reveal patients at high risk of adverse cardiac events in the near future.

Keywords: CFR; Coronary artery disease; coronary Doppler; coronary artery velocity; coronary flow velocity reserve; prognosis; transthoracic echo.

Publication types

  • Review

MeSH terms

  • Blood Flow Velocity
  • Coronary Artery Disease* / diagnostic imaging
  • Coronary Circulation
  • Coronary Vessels* / diagnostic imaging
  • Echocardiography
  • Echocardiography, Stress / methods
  • Humans
  • Prognosis