Peak treadmill exercise echocardiography for ischemia detection

Of the stress echocardiographic methods, exercise should be the first choice for patients able to exercise, according to guidelines. Among ExE modalities, treadmill ExE with acquisition of images at peak exercise has several advantages, including high sensitivity and prognostic value. Overall, sensitivity of ExE is around 80%-85%, although figures for peak imaging on the treadmill are 85%-90%. Despite it, guidelines do not mention this method.

Automated summary

According to guidelines, exercise should be the first choice for stress echocardiography in patients able to exercise. Treadmill exercise with acquisition of images at peak exercise has several advantages, including high sensitivity and prognostic value. However, this method is not mentioned in the guidelines.