Evaluating Patients With Low-Flow, Low-Gradient Aortic Stenosis by Dobutamine Echocardiography
نویسندگان
چکیده
منابع مشابه
Dobutamine stress echocardiography in patients with low-gradient aortic stenosis.
In adults with moderate or severe aortic stenosis (AS), valve replacement surgery is recommended when symptoms (ie, angina, syncope, or congestive heart failure) appear.1 In such patients, valve replacement surgery alleviates symptoms and improves survival, even in those with a depressed left ventricular ejection fraction (LVEF). Although a minority of patients with symptomatic AS have a reduce...
متن کاملDobutamine challenge for low-gradient aortic stenosis.
In adults with valvular aortic stenosis (AS), valve replacement is recommended in the presence of symptoms and severely reduced aortic valve area (AVA).1 In such patients, valve replacement improves symptoms and survival, even in the setting of left ventricular (LV) dysfunction. LV dysfunction in severe AS is usually due to afterload mismatch; valve replacement relieves the afterload excess imp...
متن کاملParadoxical Low-Flow, Low-Gradient Aortic Stenosis
Low-flow, low-gradient aortic stenosis (AS) is a highly challenging condition in terms of diagnosis and therapeutic management. The transvalvular pressure gradient is inversely related to the square of aortic valve area (AVA) and directly related to the square of flow. Hence, a patient with severe AS may nonetheless present with a low gradient if his or her left ventricular (LV) output is reduc...
متن کاملLow "gradient", low flow aortic stenosis.
Correspondence to: Dr John Chambers, Cardiothoracic Centre, St Thomas Hospital, London SE1 7EH, UK; jboydchambers@ aol.com _________________________ A ortic stenosis is thought to have a long, asymptomatic latent phase during which the risk of sudden death is low. In fact symptoms can be revealed by treadmill exercise in a large proportion of apparently asymptomatic patients. Patients may limit...
متن کاملAssessment of low-gradient aortic stenosis with dobutamine.
Low-gradient aortic stenosis (AS) has been a vexing problem for cardiologists since its original description in 1980 by Carabello et al.1 In that study, 3 of 4 patients with low-gradient AS died at surgery, and the other patient had persistent severe heart failure postoperatively. Subsequent studies showed that although operative mortality is high, most patients survive aortic valve replacement...
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ژورنال
عنوان ژورنال: Journal of the American College of Cardiology
سال: 2018
ISSN: 0735-1097
DOI: 10.1016/j.jacc.2017.12.017