Timing of Intervention in Asymptomatic Patients with Aortic Stenosis

Aortic stenosis is a very common disease. Current guidelines recommend intervention mainly in symptomatic patients; aortic valve replacement can be considered in asymptomatic patients under specific conditions, but the evidence supporting these indications is poor. Continuous advances in both surgic...

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Autores principales: Teresa Sevilla, Ana Revilla-Orodea, J Alberto San Román
Formato: article
Lenguaje:EN
Publicado: Radcliffe Medical Media 2021
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Acceso en línea:https://doaj.org/article/7e0277da8bbd4a70ba21fdd8758a8991
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spelling oai:doaj.org-article:7e0277da8bbd4a70ba21fdd8758a89912021-12-04T16:04:57ZTiming of Intervention in Asymptomatic Patients with Aortic Stenosis10.15420/ecr.2021.111758-37641758-3756https://doaj.org/article/7e0277da8bbd4a70ba21fdd8758a89912021-09-01T00:00:00Zhttps://www.ecrjournal.com/articleindex/ecr.2021.11https://doaj.org/toc/1758-3756https://doaj.org/toc/1758-3764Aortic stenosis is a very common disease. Current guidelines recommend intervention mainly in symptomatic patients; aortic valve replacement can be considered in asymptomatic patients under specific conditions, but the evidence supporting these indications is poor. Continuous advances in both surgical and percutaneous techniques have substantially decreased rates of perioperative complications and mortality; with this in mind, many authors suggest that earlier intervention in patients with severe aortic stenosis, when they are still asymptomatic, may be indicated. This paper summarises what is known about the natural history of severe aortic stenosis and the scientific evidence available about the optimal timing for aortic valve replacement.Teresa SevillaAna Revilla-OrodeaJ Alberto San RománRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENEuropean Cardiology Review , Vol 16, Iss , Pp - (2021)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
Teresa Sevilla
Ana Revilla-Orodea
J Alberto San Román
Timing of Intervention in Asymptomatic Patients with Aortic Stenosis
description Aortic stenosis is a very common disease. Current guidelines recommend intervention mainly in symptomatic patients; aortic valve replacement can be considered in asymptomatic patients under specific conditions, but the evidence supporting these indications is poor. Continuous advances in both surgical and percutaneous techniques have substantially decreased rates of perioperative complications and mortality; with this in mind, many authors suggest that earlier intervention in patients with severe aortic stenosis, when they are still asymptomatic, may be indicated. This paper summarises what is known about the natural history of severe aortic stenosis and the scientific evidence available about the optimal timing for aortic valve replacement.
format article
author Teresa Sevilla
Ana Revilla-Orodea
J Alberto San Román
author_facet Teresa Sevilla
Ana Revilla-Orodea
J Alberto San Román
author_sort Teresa Sevilla
title Timing of Intervention in Asymptomatic Patients with Aortic Stenosis
title_short Timing of Intervention in Asymptomatic Patients with Aortic Stenosis
title_full Timing of Intervention in Asymptomatic Patients with Aortic Stenosis
title_fullStr Timing of Intervention in Asymptomatic Patients with Aortic Stenosis
title_full_unstemmed Timing of Intervention in Asymptomatic Patients with Aortic Stenosis
title_sort timing of intervention in asymptomatic patients with aortic stenosis
publisher Radcliffe Medical Media
publishDate 2021
url https://doaj.org/article/7e0277da8bbd4a70ba21fdd8758a8991
work_keys_str_mv AT teresasevilla timingofinterventioninasymptomaticpatientswithaorticstenosis
AT anarevillaorodea timingofinterventioninasymptomaticpatientswithaorticstenosis
AT jalbertosanroman timingofinterventioninasymptomaticpatientswithaorticstenosis
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