ArticleJournal of clinical medicine2025
Stress Echocardiography in Aortic Stenosis: From Diagnostic Challenges to Guideline-Endorsed Clinical Applications.
Article in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- The Prognostic Value of Exercise Stress Echocardiography in Asymptomatic Moderate and Severe Aortic Stenosis: A Systematic Review of Stress-Derived Hemodynamic and Functional Markers.Journal of clinical medicine · 2026Review
- External Validation of Two Different Cardiac Damage Staging Systems for Aortic Stenosis in Patients Treated with Surgical Aortic Valve Replacement.Journal of clinical medicine · 2026Article
- Myocardial Work Indices Predict Survival Post TAVI in Aortic Stenosis Patients.Journal of clinical medicine · 2026Article
- Integrating Cardiopulmonary Exercise Testing in the Assessment of Aortic Stenosis: A Comprehensive Review.Healthcare (Basel, Switzerland) · 2026Review
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aortic stenosis (AS) is the most common valvular heart disease in industrialized countries. Stress echocardiography (SE), using either exercise or dobutamine protocols, has emerged as a critical tool to overcome limitations of resting echocardiography, refine risk stratification, and guide the timing of aortic valve replacement. This review synthesizes contemporary evidence on the diagnostic, prognostic, and therapeutic role of SE in AS. Studies from all main databases (2000-2025) were systematically analyzed including prospective studies, consensus statements, and international guidelines. We highlight the physiological rationale, key prognostic markers, applications in asymptomatic severe and low-flow, low-gradient AS, and integration with multimodality imaging. SE is now guideline-endorsed for risk stratification in asymptomatic severe AS and the diagnosis of true severe versus pseudo-severe AS in low-flow, low-gradient disease. Future directions include advanced strain imaging, artificial intelligence, and broader adoption in the transcatheter era.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.