منابع مشابه
Low-gradient aortic stenosis
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...
متن کاملLow-Gradient Aortic Valve Stenosis
Accreditation and Designation Statement The American College of Cardiology Foundation (ACCF) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The ACCF designates this Journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the exten...
متن کاملLow Gradient, Low Ejection Fraction Aortic Stenosis.
Low gradient aortic stenosis can be caused by critical aortic stenosis causing left ventricular impairment or by more moderate aortic stenosis coexisting with another cause of left ventricular impairment. The main challenges are to differentiate these two states and then to determine whether the left ventricle is likely to recover after aortic valve surgery. Exhaustive echocardiography is neces...
متن کاملLow output, low gradient aortic stenosis.
T his picture shows the chest of a 51 year old man recently admitted to a district general hospital where a diagnosis of myocardial infarction was made. The patient received thrombolysis in the form of streptokinase and subsequently underwent angioplasty and stenting of his right coronary artery. He was informed that the use of streptokinase should not be repeated. Concerned that he would forge...
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...
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ژورنال
عنوان ژورنال: Circulation
سال: 2011
ISSN: 0009-7322,1524-4539
DOI: 10.1161/circulationaha.111.075853