Asymptomatic severe aortic stenosis with normal left ventricular function – A review
نویسندگان
چکیده
منابع مشابه
Asymptomatic severe aortic stenosis with left ventricular dysfunction: watchful waiting or valve replacement?
Aortic stenosis (AS) is the most common valvular heart disorder in older adults. Patients with severe AS are generally treated nonsurgically if asymptomatic and referred to aortic valve replacement when symptoms develop. However, patients with severe asymptomatic AS with left ventricular dysfunction may benefit from early aortic valve replacement. Although operative mortality in patients with s...
متن کاملExercise Echocardiography in Asymptomatic Patients with Severe Aortic Stenosis and Preserved Left Ventricular Ejection Fraction
The management of asymptomatic patients with severe aortic stenosis (AS) remains controversial. Recent series reported that early aortic valve replacement might be associated with improved clinical outcomes. However, the risk-benefit ratio should be carefully evaluated and early surgery only be proposed to a subset of asymptomatic patients considered at higher risk. Exercise echocardiography ca...
متن کاملCritical aortic stenosis with severe left ventricular dysfunction.
OBJECTIVES Critical aortic valve stenosis (CAS) in the newborn is treated by balloon or surgical aortic valve intervention with nearly equal success, but the subset of patients with severe left ventricular (LV) dilation and dysfunction present a significant mortality risk. We describe a two-stage surgical management approach for those infants who represent an unusually high failure risk for eit...
متن کاملExercise-induced changes in left ventricular global longitudinal strain in asymptomatic severe aortic stenosis.
BACKGROUND The management of patients with asymptomatic severe aortic stenosis (ASAS) is still under discussion. Therefore, it is advisable to search for the parameters of early damage to left ventricular (LV) function. AIM The aim of the study was to assess exercise-induced changes in LV global longitudinal strain (GLS) in ASAS. METHODS The ASAS group consisted of 50 patients (26 women and...
متن کاملThe natural history of asymptomatic patients with aortic regurgitation and normal left ventricular function.
In asymptomatic patients with severe aortic regurgitation and normal left ventricular function, aortic valve replacement has been recommended to preserve left ventricular function. In such patients, however, the natural history without operation is unknown. We therefore performed serial studies in 77 asymptomatic patients with normal left ventricular ejection fraction at rest as determined by r...
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ژورنال
عنوان ژورنال: Indian Heart Journal
سال: 2016
ISSN: 0019-4832
DOI: 10.1016/j.ihj.2016.05.006