{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:23:28Z","timestamp":1791919408228,"version":"4.3.4"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:00:00Z","timestamp":1707955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:00:00Z","timestamp":1707955200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Echocardiogr"],"published-print":{"date-parts":[[2024,3]]},"DOI":"10.1007\/s12574-024-00643-1","type":"journal-article","created":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T07:02:39Z","timestamp":1707980559000},"page":"1-15","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Practice guidance for stress echocardiography"],"prefix":"10.1007","volume":"22","author":[{"given":"Yutaka","family":"Hirano","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masashi","family":"Amano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaru","family":"Obokata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaki","family":"Izumo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroto","family":"Utsunomiya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,15]]},"reference":[{"key":"643_CR1","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1007\/s12574-022-00588-3","volume":"20","author":"M Daimon","year":"2022","unstructured":"Daimon M, Iwano H, Onishi T, et al. Guideline from the Japanese society of echocardiography guidance for the management and maintenance of echocardiography equipment: 2022 focused update. J Echocardiogr. 2022;20:195\u2013200.","journal-title":"J Echocardiogr"},{"key":"643_CR2","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1111\/j.1742-1241.2012.02900.x","volume":"66","author":"A Banerjee","year":"2012","unstructured":"Banerjee A, Newman DR, Van den Bruel A, et al. Diagnostic accuracy of exercise stress testing for coronary artery disease: a systematic review and meta-analysis of prospective studies. Int J Clin Pract. 2012;66:477\u201392.","journal-title":"Int J Clin Pract"},{"key":"643_CR3","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1111\/j.1540-8175.2011.01621.x","volume":"29","author":"K Ryo","year":"2012","unstructured":"Ryo K, Tanaka H, Kaneko A, et al. Efficacy of longitudinal speckle tracking strain in conjunction with isometric handgrip stress test for detection of ischemic myocardial segments. Echocardiography. 2012;29:411\u20138.","journal-title":"Echocardiography"},{"key":"643_CR4","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1016\/j.amjcard.2021.04.018","volume":"151","author":"Y Harada","year":"2021","unstructured":"Harada Y, Utsunomiya H, Hitoshi Susawa H, et al. Determinants of exercise-induced mitral regurgitation using three-dimensional transesophageal echocardiography combined with isometric handgrip exercise. Am J Cardiol. 2021;151:78\u201385.","journal-title":"Am J Cardiol"},{"key":"643_CR5","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1159\/000006772","volume":"89","author":"H Yamada","year":"1998","unstructured":"Yamada H, Oki T, Tabata T, et al. Differences in transmitral flow velocity pattern during increase in preload in patients with abnormal left ventricular relaxation. Cardiology. 1998;89:152\u20138.","journal-title":"Cardiology"},{"key":"643_CR6","doi-asserted-by":"publisher","first-page":"1440","DOI":"10.1016\/j.echo.2005.10.005","volume":"18","author":"RM Lang","year":"2005","unstructured":"Lang RM, Bierig M, Devereux RB, et al. Recommendations for chamber quantification: a report from the European society of echocardiography\u2019s guidelines and standards committee and the chamber quantification writing group, developed in conjunction with the European association of echocardiography, a branch of the European society of cardiology. J Am Soc Echocardiogr. 2005;18:1440\u201363.","journal-title":"J Am Soc Echocardiogr"},{"key":"643_CR7","doi-asserted-by":"publisher","first-page":"1434","DOI":"10.1016\/j.echo.2013.08.007","volume":"26","author":"C Caiati","year":"2013","unstructured":"Caiati C, Lepera ME, Carretta D, et al. Head-to-head comparison of peak upright bicycle and post-treadmill echocardiography in detecting coronary artery disease: a randomized, single-blind crossover study. J Am Soc Echocardiogr. 2013;26:1434\u201343.","journal-title":"J Am Soc Echocardiogr"},{"key":"643_CR8","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1161\/CIRCIMAGING.113.000989","volume":"7","author":"T Biering-S\u00f8rensen","year":"2014","unstructured":"Biering-S\u00f8rensen T, Hoffmann S, Mogelvang R, et al. Myocardial strain analysis by 2-dimensional speckle tracking echocardiography improves diagnostics of coronary artery stenosis in stable angina pectoris. Circ Cardiovasc Imaging. 2014;7:58\u201365.","journal-title":"Circ Cardiovasc Imaging"},{"key":"643_CR9","doi-asserted-by":"publisher","first-page":"2037","DOI":"10.1253\/circj.CJ-20-0135","volume":"84","author":"C Izumi","year":"2020","unstructured":"Izumi C, Eishi K, Ashihara K, et al. JCS\/JSCS\/JATS\/JSVS 2020 Guidelines on the management of valvular heart disease. Circ J. 2020;84:2037\u2013119.","journal-title":"Circ J."},{"key":"643_CR10","doi-asserted-by":"publisher","first-page":"2045","DOI":"10.1253\/circj.CJ-22-0026","volume":"86","author":"N Ohte","year":"2022","unstructured":"Ohte N, Ishizu T, Izumi C, et al. JCS 2021 Guideline on the clinical application of echocardiography. Circ J. 2022;86:2045\u2013119.","journal-title":"Circ J"},{"key":"643_CR11","doi-asserted-by":"publisher","first-page":"676","DOI":"10.1067\/mje.2001.112585","volume":"14","author":"RJ Aviles","year":"2001","unstructured":"Aviles RJ, Nishimura RA, Pellikka PA, et al. A utility of stress Doppler echocardiography in patients undergoing percutaneous mitral balloon valvotomy. J Am Soc Echocardiogr. 2001;14:676\u201381.","journal-title":"J Am Soc Echocardiogr"},{"key":"643_CR12","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1016\/j.echo.2011.01.006","volume":"24","author":"E Brochet","year":"2011","unstructured":"Brochet E, D\u00e9taint D, Fondard O, et al. Early hemodynamic changes versus peak values: what is more useful to predict occurrence of dyspnea during stress echocardiography in patients with asymptomatic mitral stenosis? J Am Soc Echocardiogr. 2011;24:392\u20138.","journal-title":"J Am Soc Echocardiogr"},{"key":"643_CR13","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1093\/ejechocard\/jer269","volume":"13","author":"A Grimaldi","year":"2012","unstructured":"Grimaldi A, Olivotto I, Figini F, et al. Dynamic assessment of \u2018valvular reserve capacity\u2019 in patients with rheumatic mitral stenosis. Eur Heart J Cardiovasc Imaging. 2012;13:476\u201382.","journal-title":"Eur Heart J Cardiovasc Imaging"},{"key":"643_CR14","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1016\/j.jacc.2009.12.073","volume":"56","author":"J Magne","year":"2010","unstructured":"Magne J, Lancellotti P, Pierard LA. Exercise-induced changes in degenerative mitral regurgitation. J Am Coll Cardiol. 2010;56:300\u20139.","journal-title":"J Am Coll Cardiol"},{"key":"643_CR15","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1161\/CIRCULATIONAHA.110.938241","volume":"122","author":"J Magne","year":"2010","unstructured":"Magne J, Lancellotti P, Pierard LA. Exercise pulmonary hypertension in asymptomatic degenerative mitral regurgitation. Circulation. 2010;122:33\u201341.","journal-title":"Circulation"},{"key":"643_CR16","doi-asserted-by":"publisher","first-page":"1608","DOI":"10.1093\/eurheartj\/eht345","volume":"35","author":"J Magne","year":"2014","unstructured":"Magne J, Mahjoub H, Dulgheru R, et al. Left ventricular contractile reserve in asymptomatic primary mitral regurgitation. Eur Heart J. 2014;35:1608\u201316.","journal-title":"Eur Heart J"},{"key":"643_CR17","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1161\/CIRCIMAGING.112.000162","volume":"6","author":"K Kusunose","year":"2013","unstructured":"Kusunose K, Popovic ZB, Motoki H, et al. Prognostic significance of exercise-induced right ventricular dysfunction in asymptomatic degenerative mitral regurgitation. Circ Cardiovasc Imaging. 2013;6:167\u201376.","journal-title":"Circ Cardiovasc Imaging"},{"key":"643_CR18","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.117.007282","volume":"11","author":"H Utsunomiya","year":"2018","unstructured":"Utsunomiya H, Hidaka T, Susawa H, et al. Exercise-stress echocardiography and effort intolerance in asymptomatic\/minimally symptomatic patients with degenerative mitral regurgitation combined invasive-noninvasive hemodynamic monitoring. Circ Cardiovasc Imaging. 2018;11: e007282.","journal-title":"Circ Cardiovasc Imaging"},{"key":"643_CR19","doi-asserted-by":"publisher","first-page":"1713","DOI":"10.1161\/01.CIR.0000087599.49332.05","volume":"108","author":"P Lancellotti","year":"2003","unstructured":"Lancellotti P, Troisfontaines P, Toussaint AC, et al. Prognostic importance of exercise-induced changes in mitral regurgitation in patients with chronic ischemic left ventricular dysfunction. Circulation. 2003;108:1713\u20137.","journal-title":"Circulation"},{"key":"643_CR20","doi-asserted-by":"publisher","first-page":"1454","DOI":"10.1016\/j.amjcard.2015.02.028","volume":"115","author":"P Lancellotti","year":"2015","unstructured":"Lancellotti P, Magne J, Dulgheru R, et al. Clinical significance of exercise pulmonary hypertension in secondary mitral regurgitation. Am J Cardiol. 2015;115:1454\u201361.","journal-title":"Am J Cardiol"},{"key":"643_CR21","doi-asserted-by":"publisher","first-page":"972","DOI":"10.1016\/j.amjcard.2009.05.044","volume":"104","author":"AM Rafique","year":"2009","unstructured":"Rafique AM, Biner S, Ray I, et al. Meta-analysis of prognostic value of stress testing in patients with asymptomatic severe aortic stenosis. Am J Cardiol. 2009;104:972\u20137.","journal-title":"Am J Cardiol"},{"key":"643_CR22","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1093\/ehjci\/jeu291","volume":"16","author":"N Cardim","year":"2015","unstructured":"Cardim N, Galderisi M, Edvardsen T, et al. Role of multimodality cardiac imaging in the management of patients with hypertrophic cardiomyopathy: an expert consensus of the European Association of Cardiovascular Imaging Endorsed by the Saudi Heart Association. Eur Heart J Cardiovasc Imaging. 2015;16:280.","journal-title":"Eur Heart J Cardiovasc Imaging"},{"key":"643_CR23","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1016\/j.jcmg.2013.08.010","volume":"7","author":"MY Desai","year":"2014","unstructured":"Desai MY, Bhonsale A, Patel P, et al. Exercise echocardiography in asymptomatic HCM: exercise capacity, and not Lvoutflow tract gradient predicts long-term outcomes. JACC Cardiovasc Imaging. 2014;7:26\u201336.","journal-title":"JACC Cardiovasc Imaging"},{"key":"643_CR24","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1007\/s12574-021-00535-8","volume":"21","author":"M Ishiyama","year":"2023","unstructured":"Ishiyama M, Sugiura E, Ito H, et al. Refractory exercise-induced severe mitral regurgitation in a patient with hypertrophic cardiomyopathy. J Echocardiogr. 2023;21:40\u20131.","journal-title":"J Echocardiogr"},{"key":"643_CR25","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1161\/CIRCULATIONAHA.116.024822","volume":"135","author":"M Obokata","year":"2017","unstructured":"Obokata M, Kane GC, Reddy YN, et al. Role of diastolic stress testing in the evaluation for heart failure with preserved ejection fraction: a simultaneous invasive-echocardiographic study. Circulation. 2017;135:825\u201338.","journal-title":"Circulation"},{"key":"643_CR26","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1530\/ERP-16-0006","volume":"3","author":"GC Kane","year":"2016","unstructured":"Kane GC, Sachdev A, Villarraga HR, et al. Impact of age on pulmonary artery systolic pressures at rest and with exercise. Echo Res Pract. 2016;3:53\u201361.","journal-title":"Echo Res Pract"},{"issue":"1470\u20139","key":"643_CR27","first-page":"58","volume":"128","author":"GD Lewis","year":"2013","unstructured":"Lewis GD, Bossone E, Naeije R, et al. Pulmonary vascular hemodynamic response to exercise in cardiopulmonary diseases. Circulation. 2013;128(1470\u20139):58.","journal-title":"Circulation"},{"key":"643_CR28","doi-asserted-by":"publisher","first-page":"3618","DOI":"10.1093\/eurheartj\/ehac237","volume":"43","author":"M Humbert","year":"2022","unstructured":"Humbert M, Kovacs G, Hoeper MM, et al. 2022 ESC\/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Heart J. 2022;43:3618\u2013731.","journal-title":"Eur Heart J"},{"key":"643_CR29","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.echo.2012.10.009","volume":"26","author":"E Bossone","year":"2013","unstructured":"Bossone E, D\u2019Andrea A, D\u2019Alto M, et al. Echocardiography in pulmonary arterial hypertension: from diagnosis to prognosis. J Am Soc Echocardiogr. 2013;26:1\u201314.","journal-title":"J Am Soc Echocardiogr"},{"key":"643_CR30","doi-asserted-by":"publisher","first-page":"851","DOI":"10.1161\/CIRCULATIONAHA.111.088427","volume":"126","author":"P Lancellotti","year":"2012","unstructured":"Lancellotti P, Magne J, Donal E, et al. Determinants and prognostic significance of exercise pulmonary hypertension in asymptomatic severe aortic stenosis. Circulation. 2012;126:851\u20139.","journal-title":"Circulation"},{"key":"643_CR31","doi-asserted-by":"publisher","first-page":"588","DOI":"10.1161\/CIRCHEARTFAILURE.109.930701","volume":"3","author":"BA Borlaug","year":"2010","unstructured":"Borlaug BA, Nishimura RA, Sorajja P, et al. Exercise hemodynamics enhance diagnosis of early heart failure with preserved ejection fraction. Circ Heart Fail. 2010;3:588\u201395.","journal-title":"Circ Heart Fail"},{"key":"643_CR32","doi-asserted-by":"publisher","first-page":"1417","DOI":"10.1136\/hrt.2010.220467","volume":"97","author":"CY Shim","year":"2011","unstructured":"Shim CY, Kim SA, Choi D, et al. Clinical outcomes of exercise-induced pulmonary hypertension in subjects with preserved left ventricular ejection fraction: implication of an increase in left ventricular filling pressure during exercise. Heart. 2011;97:1417\u201324.","journal-title":"Heart"},{"key":"643_CR33","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1016\/j.jacc.2015.05.032","volume":"66","author":"K Kusunose","year":"2015","unstructured":"Kusunose K, Yamada H, Hotchi J, et al. Prediction of future overt pulmonary hypertension by 6-min walk stress echocardiography in patients with Connective tissue disease. J Am Coll Cardiol. 2015;66:376\u201384.","journal-title":"J Am Coll Cardiol"},{"key":"643_CR34","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1016\/j.echo.2007.08.028","volume":"21","author":"GC Kane","year":"2008","unstructured":"Kane GC, Hepinstall MJ, Kidd GM, et al. Safety of stress echocardiography supervised by registered nurses: results of a 2-year audit of 15,404 patients. J Am Soc Echocardiogr. 2008;21:337\u201341.","journal-title":"J Am Soc Echocardiogr"},{"key":"643_CR35","doi-asserted-by":"publisher","first-page":"1756","DOI":"10.1161\/CIRCULATIONAHA.109.859264","volume":"121","author":"ML Geleijnse","year":"2010","unstructured":"Geleijnse ML, Krenning BJ, Nemes A, et al. Incidence, pathophysiology, and treatment of complications during dobutamine-atropine stress echocardiography. Circulation. 2010;121:1756\u201367.","journal-title":"Circulation"},{"key":"643_CR36","doi-asserted-by":"publisher","first-page":"1191","DOI":"10.1093\/ehjci\/jew190","volume":"17","author":"P Lancellotti","year":"2016","unstructured":"Lancellotti P, Pellikka PA, Budts W, et al. 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;17:1191\u2013229.","journal-title":"Eur Heart J Cardiovasc Imaging"},{"key":"643_CR37","doi-asserted-by":"publisher","first-page":"40B","DOI":"10.1016\/S0828-282X(07)71009-7","volume":"23","author":"P Pibarot","year":"2007","unstructured":"Pibarot P, Dumesnil JG. New concepts in valvular hemodynamics: implications for diagnosis and treatment of aortic stenosis. Can J Cardiol. 2007;23:40B-47B.","journal-title":"Can J Cardiol."}],"container-title":["Journal of Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12574-024-00643-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12574-024-00643-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12574-024-00643-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T16:19:28Z","timestamp":1709741968000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12574-024-00643-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,15]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["643"],"URL":"https:\/\/doi.org\/10.1007\/s12574-024-00643-1","relation":{},"ISSN":["1349-0222","1880-344X"],"issn-type":[{"value":"1349-0222","type":"print"},{"value":"1880-344X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,15]]},"assertion":[{"value":"26 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 December 2023","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 January 2024","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 February 2024","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Dr. Izumo is a clinical proctor of Abbott Medical Japan and a screening proctor of Edwards Lifesciences. Dr. Utsunomiya is an advisor and clinical proctor of Abbott Medical Japan, and is a speaker honoraria from Bayer Yakuhin, Ono Pharmaceutical, AstraZeneca, and Bristol Myers Squibb. Dr. Obokata received research grants from Nippon Boehringer-Ingelheim and AMI Inc. and speaker honoraria from Novartis, Otsuka Pharmaceutical, Eli Lilly, AstraZeneca, and Nippon Boehringer-Ingelheim. The other authors declare that no funds, grants, or other support were received during the preparation of this manuscript.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interests"}}]}}