Stress echocardiography today appears on the clinical stage as a clean and efficient option for diagnostic imaging of myocardial ischemia. This concise and therefore successful textbook stems from a long-standing experience and describes in a systematic fashion the recent diagnostic entity of stress echocardiography: the pathophysiological and experimental roots, the methodology, the clinical fruits and the new branches of possible future development. But first of all it tries to help the cardiologist in clinical practice to know why, how and when to perform stress echocardiography.