Energy Loss Index in Aortic Stenosis

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Energy Loss Index in Aortic Stenosis

In the American Heart Association–American College of Cardiology and European Society of Cardiology–European Association for Cardio-Thoracic Surgery guidelines, aortic valve replacement (AVR) is considered a class I indication in patients with aortic stenosis (AS) if the stenosis is severe and the patient has symptoms or left ventricular ejection fraction <50%. Hence, accurate assessment of the...

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Prognostic value of energy loss index in asymptomatic aortic stenosis.

BACKGROUND Aortic valve area index adjusted for pressure recovery (energy loss index [ELI]) has been suggested as a more accurate measure of aortic stenosis (AS) severity, but its prognostic value has not been determined in a prospective study. METHODS AND RESULTS The relation between baseline ELI and rate of aortic valve events and combined total mortality and hospitalization for heart failu...

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Energy loss index in aortic stenosis: from fluid mechanics concept to clinical application.

aortic valve replacement (AVR) is considered a class I indication in patients with aortic stenosis (AS) if the stenosis is severe and the patient has symptoms or left ventricular ejection fraction <50%. Hence, accurate assessment of the hemodynamic severity of the valvular stenosis is crucial for clinical decision making. The stenosis severity is generally determined by measuring the transvalvu...

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Assessment of aortic valve stenosis severity: A new index based on the energy loss concept.

BACKGROUND Fluid energy loss across stenotic aortic valves is influenced by factors other than the valve effective orifice area (EOA). We propose a new index that will provide a more accurate estimate of this energy loss. METHODS AND RESULTS An experimental model was designed to measure EOA and energy loss in 2 fixed stenoses and 7 bioprosthetic valves for different flow rates and 2 different...

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SUPRAVALVAR AORTIC STENOSIS IN CHILDREN REPORT OF THIRTEEN CASES

During 15 years from 1975 to 1990, thirteen cases of supravalvar aortic stenosis were admitted at the pediatrics department of Shahid Rajai Heart Hospital, Tehran. All patients were subjected to cardiac catheterization and a angiocardiography. Patients ranged in age from 3.5 years to 14 years with a mean of 8.7 years. Seventy seven percent of childen were male. Eight cases (61.5%) had Wil...

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ژورنال

عنوان ژورنال: Circulation

سال: 2013

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circulationaha.113.001130