Two young athletes with Tetralogy of Fallot—stress echocardiography in therapeutic decision-making: a case report

In athletes with congenital heart disease (CHD), disease worsening might be masked by above-normal exercise capacity, and detailed assessment, including cardiopulmonary exercise testing and exercise echocardiography, might be needed to detect underlying pathophysiology and hence guide the therapeutic approach. Two-strain during exercise echocardiography can be used to quantify cardiac function but also decipher interventricular dyssynchrony in CHD.

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Publication Details

Journal
European Heart Journal - Case Reports
Published
2026-01-22
DOI
https://doi.org/10.1093/ehjcr/ytag045
Primary Topic
Cardiovascular Effects of Exercise
Type
article
Field-Weighted Citation Impact
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article

Two young athletes with Tetralogy of Fallot—stress echocardiography in therapeutic decision-making: a case report

Guido E. Pieles, Melina Winkler, N Novas Duarte, A Graham Stuart
European Heart Journal - Case Reports
Cardiovascular Effects of Exercise
article

Two young athletes with Tetralogy of Fallot—stress echocardiography in therapeutic decision-making: a case report

Guido E. Pieles, Melina Winkler, N Novas Duarte, A Graham Stuart
article en

Abstract

In athletes with congenital heart disease (CHD), disease worsening might be masked by above-normal exercise capacity, and detailed assessment, including cardiopulmonary exercise testing and exercise echocardiography, might be needed to detect underlying pathophysiology and hence guide the therapeutic approach. Two-strain during exercise echocardiography can be used to quantify cardiac function but also decipher interventricular dyssynchrony in CHD.

European Heart Journal - Case ReportsVol. 10(2)
English Institute of Sport (GB), Medical University of Graz (AT), University Hospitals Bristol NHS Foundation Trust (GB), Qatar Orthopaedic and Sports Medicine Hospital (QA), University College London (GB)
Peace, Justice and strong institutions
Openalex Percentile: Top 80%
Cardiovascular Effects of Exercise
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