•Chronic severe AR progresses slowly with a long asymptomatic compensated phase.•Stress echocardiography (SE) has the ability to uncover subclinical LV dysfunction.•SE can identify patients with severe AR who may benefit from earlier intervention.
Keywords: Left ventricular systolic dysfunction; Severe aortic regurgitation; Stress echocardiography.
2021 by the American Society of Echocardiography. Published by Elsevier Inc.