Customized exercise echocardiography: Beyond detection of coronary artery disease

Yukitaka Shizukuda, Sandra L. Plummer, Allan Harrelson

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations


Exercise echocardiography has been established as a reliable diagnostic tool for assessment of myocardial ischemia. However, more recent advances in its technique have expanded its routine clinical use to include quantification of exercise-induced diastolic dysfunction, exercise-induced pulmonary hypertension, and dynamic assessment of mitral and aortic valve function. The indications for exercise echocardiography have increased to include cardiac symptoms such as exertional dyspnea, fatigue, and limited exercise capacity. In light of its expanded capability for evaluating cardiovascular function, we believe that exercise echocardiography should be utilized in a new paradigm of personalized cardiology, in which we regularly investigate individual patient symptoms for endpoints beyond critical myocardial ischemia, for example, exercise-induced pulmonary hypertension. We refer to this refocused use of exercise echocardiography as "customized exercise echocardiography." In this review article, we present current scientific evidence to support our proposed role and discuss the logistical requirements for proper test performance of customized exercise echocardiography.

Original languageEnglish (US)
Pages (from-to)186-194
Number of pages9
Issue number2
StatePublished - Feb 1 2010
Externally publishedYes


  • Cadiopulmonary function
  • Customization
  • Exercise echocardiography
  • Exercise physiology
  • Personalized cardiology

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine


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