Moderate Aortic Stenosis: What is it and When Should We Intervene?

Current guidelines recommend aortic valve replacement in patients with severe aortic stenosis in the presence of symptoms or a left ventricular ejection fraction <50%. However, patients with less than severe aortic stenosis may also experience symptoms and recent literature suggests that the prog...

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Autores principales:	Sveeta Badiani, Sanjeev Bhattacharyya, Nikoo Aziminia, Thomas A Treibel, Guy Lloyd
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2021
Materias:	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/485048d925784757bedf907cd5332bdf
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spelling	oai:doaj.org-article:485048d925784757bedf907cd5332bdf2021-12-04T16:04:35ZModerate Aortic Stenosis: What is it and When Should We Intervene?10.15420/icr.2021.041756-14851756-1477https://doaj.org/article/485048d925784757bedf907cd5332bdf2021-05-01T00:00:00Zhttps://www.icrjournal.com/articleindex/icr.2021.04https://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485Current guidelines recommend aortic valve replacement in patients with severe aortic stenosis in the presence of symptoms or a left ventricular ejection fraction <50%. However, patients with less than severe aortic stenosis may also experience symptoms and recent literature suggests that the prognosis is not as benign as previously reported. There are no recommendations for patients with moderate aortic stenosis and left ventricular dysfunction, despite the high associated morbidity and mortality. There is also some evidence that these patients may benefit from early aortic valve intervention. It is recognised that aortic stenosis not only affects the valve but also has a complex myocardial response. This review discusses the natural history of moderate aortic stenosis along with the role of multimodality imaging in risk stratification in these patients.Sveeta BadianiSanjeev BhattacharyyaNikoo AziminiaThomas A TreibelGuy LloydRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 16, Iss , Pp - (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Sveeta Badiani Sanjeev Bhattacharyya Nikoo Aziminia Thomas A Treibel Guy Lloyd Moderate Aortic Stenosis: What is it and When Should We Intervene?
description	Current guidelines recommend aortic valve replacement in patients with severe aortic stenosis in the presence of symptoms or a left ventricular ejection fraction <50%. However, patients with less than severe aortic stenosis may also experience symptoms and recent literature suggests that the prognosis is not as benign as previously reported. There are no recommendations for patients with moderate aortic stenosis and left ventricular dysfunction, despite the high associated morbidity and mortality. There is also some evidence that these patients may benefit from early aortic valve intervention. It is recognised that aortic stenosis not only affects the valve but also has a complex myocardial response. This review discusses the natural history of moderate aortic stenosis along with the role of multimodality imaging in risk stratification in these patients.
format	article
author	Sveeta Badiani Sanjeev Bhattacharyya Nikoo Aziminia Thomas A Treibel Guy Lloyd
author_facet	Sveeta Badiani Sanjeev Bhattacharyya Nikoo Aziminia Thomas A Treibel Guy Lloyd
author_sort	Sveeta Badiani
title	Moderate Aortic Stenosis: What is it and When Should We Intervene?
title_short	Moderate Aortic Stenosis: What is it and When Should We Intervene?
title_full	Moderate Aortic Stenosis: What is it and When Should We Intervene?
title_fullStr	Moderate Aortic Stenosis: What is it and When Should We Intervene?
title_full_unstemmed	Moderate Aortic Stenosis: What is it and When Should We Intervene?
title_sort	moderate aortic stenosis: what is it and when should we intervene?
publisher	Radcliffe Medical Media
publishDate	2021
url	https://doaj.org/article/485048d925784757bedf907cd5332bdf
work_keys_str_mv	AT sveetabadiani moderateaorticstenosiswhatisitandwhenshouldweintervene AT sanjeevbhattacharyya moderateaorticstenosiswhatisitandwhenshouldweintervene AT nikooaziminia moderateaorticstenosiswhatisitandwhenshouldweintervene AT thomasatreibel moderateaorticstenosiswhatisitandwhenshouldweintervene AT guylloyd moderateaorticstenosiswhatisitandwhenshouldweintervene
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Moderate Aortic Stenosis: What is it and When Should We Intervene?

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