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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Radcliffe Medical Media
2021
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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) |
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DOAJ |
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Diseases of the circulatory (Cardiovascular) system RC666-701 |
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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 |
_version_ |
1718372682541563904 |