The Contemporary Role of Stress Echocardiography in the Diagnosis and Management of Chronic Coronary Syndrome: From Physiology to Clinical Strategy

Fozilov, Khurshid, Bekmetova, Feruza, Ruziyev, Behzod, Orinbayev, Sherzod, Фозилов, Х, Бекметова, Ф, Рузиев, Б, Оринбаев, Ш, Fozilov, Xurshid, Bekmetova, Feruza, Ruziyev, Behzod, Orinbayev, Sherzod

O‘zbekiston кardiologiyasi · 2026-yil

Annotatsiya

Chronic coronary syndrome (CCS) remains one of the leading causes of mortality and disability worldwide, particularly in Central Asian countries and the Republic of Uzbekistan. This review presents a contemporary perspective on the role of stress echocardiography in the diagnosis, risk stratification, and determination of treatment strategies in patients with CCS. The evolution of the CCS concept, the key pathophysiological mechanisms of ischemia (epicardial stenosis, coronary microvascular dysfunction, and vasospasm), and ANOCA/INOCA conditions are discussed. The diagnostic and prognostic value of stress echocardiography is compared with that of other modalities, including exercise electrocardiography, SPECT, PET, and stress cardiac MRI. Particular attention is paid to exercise stress echocardiography performed using a semi-supine bicycle ergometer, the advantages of imaging at peak exercise, and contemporary quantitative techniques, including strain imaging and coronary flow reserve assessment. An analysis of landmark trials (COURAGE, FAME, and ISCHEMIA) and the 2024 ESC Guidelines showed that stress echocardiography serves as an effective gatekeeper for invasive coronary angiography and plays an important role in decision-making regarding endovascular revascularization. The cost-effectiveness, safety, and operator dependence of the method are also discussed. Conclusion. Stress echocardiography is an accessible, safe, and highly effective functional diagnostic method with an optimal cost-effectiveness profile. In the Republic of Uzbekistan and Central Asia, the widespread implementation of stress echocardiography, particularly using a semi-supine bicycle ergometer, may substantially optimize diagnostic algorithms and improve treatment outcomes in patients with chronic coronary syndrome.

Maqola ma’lumotlari
MualliflarFozilov, Khurshid, Bekmetova, Feruza, Ruziyev, Behzod, Orinbayev, Sherzod, Фозилов, Х, Бекметова, Ф, Рузиев, Б, Оринбаев, Ш, Fozilov, Xurshid, Bekmetova, Feruza, Ruziyev, Behzod, Orinbayev, Sherzod
JurnalO‘zbekiston кardiologiyasi
NashriyotЎзбекистон кардиологлар ассоциацияси
ISSN3060-4850
Nashr sanasi2026-06-29
Jild3
Son2
Betlar13-27
TilIngliz
Ilmiy sohaTibbiyot
Indeksga qo‘shilgan2026-10-21

Maqolaning asl sahifasi

Kalit so‘zlar

chronic coronary syndrome, stress echocardiography, semi-supine bicycle ergometer, ischemia, risk stratification, revascularization, coronary flow reserve, strain (myocardial deformation), Central Asia, Uzbekistan, хронический коронарный синдром, стресс-эхокардиография, полулежачий велоэргометр, ишемия, стратификация риска, реваскуляризация, коронарный резерв кровотока, стрейн (деформация миокарда), Центральная Азия, Узбекистан, unkali koronar sindrom, stress-exokardiografiya, yarim yotgan holatdagi veloergometr, ishemiya, xavfni stratifikatsiyalash, revaskulyarizatsiya, koronar qon oqimi zaxirasi, streyn (miokard deformatsiyasi), Markaziy Osiyo, O‘zbekiston

Ilmiy soha

Tibbiyot

Iqtibos keltirish

APAFozilov, Khurshid, Bekmetova, Feruza, Ruziyev, Behzod, Orinbayev, Sherzod, Фозилов, Х, Бекметова, Ф, Рузиев, Б, Оринбаев, Ш, Fozilov, Xurshid, Bekmetova, Feruza, Ruziyev, Behzod, & Orinbayev, Sherzod (2026). The Contemporary Role of Stress Echocardiography in the Diagnosis and Management of Chronic Coronary Syndrome: From Physiology to Clinical Strategy. O‘zbekiston кardiologiyasi, 3(2), 13-27. https://cardiojournal.uz/index.php/index/article/view/146
GOST (OAK)Fozilov, Khurshid va b. The Contemporary Role of Stress Echocardiography in the Diagnosis and Management of Chronic Coronary Syndrome: From Physiology to Clinical Strategy // O‘zbekiston кardiologiyasi. – 2026. – T. 3, № 2. – P. 13-27.
MLAFozilov, Khurshid, Bekmetova, Feruza, Ruziyev, Behzod, Orinbayev, Sherzod, Фозилов, Х, Бекметова, Ф, Рузиев, Б, Оринбаев, Ш, Fozilov, Xurshid, Bekmetova, Feruza, Ruziyev, Behzod, and Orinbayev, Sherzod. “The Contemporary Role of Stress Echocardiography in the Diagnosis and Management of Chronic Coronary Syndrome: From Physiology to Clinical Strategy.” O‘zbekiston кardiologiyasi, 3(2), 13-27, 2026. https://cardiojournal.uz/index.php/index/article/view/146
ChicagoFozilov, Khurshid, Bekmetova, Feruza, Ruziyev, Behzod, Orinbayev, Sherzod, Фозилов, Х, Бекметова, Ф, Рузиев, Б, Оринбаев, Ш, Fozilov, Xurshid, Bekmetova, Feruza, Ruziyev, Behzod, and Orinbayev, Sherzod. “The Contemporary Role of Stress Echocardiography in the Diagnosis and Management of Chronic Coronary Syndrome: From Physiology to Clinical Strategy.” O‘zbekiston кardiologiyasi, 3(2), 13-27 (2026). https://cardiojournal.uz/index.php/index/article/view/146
HarvardFozilov, Khurshid, Bekmetova, Feruza, Ruziyev, Behzod, Orinbayev, Sherzod, Фозилов, Х, Бекметова, Ф, Рузиев, Б, Оринбаев, Ш, Fozilov, Xurshid, Bekmetova, Feruza, Ruziyev, Behzod, and Orinbayev, Sherzod (2026) ‘The Contemporary Role of Stress Echocardiography in the Diagnosis and Management of Chronic Coronary Syndrome: From Physiology to Clinical Strategy’, O‘zbekiston кardiologiyasi, 3(2), 13-27. https://cardiojournal.uz/index.php/index/article/view/146
BibTeX
@article{fozilovkhurshid2026,
  title = {The Contemporary Role of Stress Echocardiography in the Diagnosis and Management of Chronic Coronary Syndrome: From Physiology to Clinical Strategy},
  author = {Fozilov, Khurshid and Bekmetova, Feruza and Ruziyev, Behzod and Orinbayev, Sherzod and Фозилов, Х and Бекметова, Ф and Рузиев, Б and Оринбаев, Ш and Fozilov, Xurshid and Bekmetova, Feruza and Ruziyev, Behzod and Orinbayev, Sherzod},
  journal = {O‘zbekiston кardiologiyasi},
  year = {2026},
  volume = {3},
  number = {2},
  pages = {13-27},
  url = {https://cardiojournal.uz/index.php/index/article/view/146}
}

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