Moderate Aortic Stenosis With Cardiac Damage: A New Type of Severe Aortic Stenosis

被引:0
作者
Mihatov, Nino [1 ,2 ]
Pibarot, Philippe [3 ,4 ]
机构
[1] New York Presbyterian Brooklyn Methodist Hosp, Div Cardiol, New York, NY USA
[2] Weill Cornell Med Coll, New York, NY USA
[3] Laval Univ, Quebec Heart & Lung Inst, Dept Cardiol, Quebec City, PQ, Canada
[4] Univ Laval, Quebec Heart & Lung Inst, Inst Univ Cardiol & Pneumol Quebec, Quebec City, PQ, Canada
来源
STRUCTURAL HEART-THE JOURNAL OF THE HEART TEAM | 2024年 / 8卷 / 06期
关键词
aortic valve replacement; cardiac damage; congestive heart failure; moderate aortic stenosis; TAVR; HEART-FAILURE; PROGNOSTIC IMPLICATIONS; VALVULOARTERIAL IMPEDANCE; VALVE-REPLACEMENT; EJECTION FRACTION; IMPACT; MULTICENTER; DYSFUNCTION; PREDICTORS; MORTALITY;
D O I
10.1016/j.shj.2024.100336
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The clinical implications of severe aortic stenosis have been well established. Understanding of moderate aortic stenosis, however, continues to evolve. Athough moderate aortic stenosis may be less clinically impactful in patients with normal ventricular function, it may carry prognostic significance in those patients with a ventricle exhibiting signs of cardiac damage. Moderate aortic stenosis in the presence of cardiac damage or dysfunction may be prognostically comparable to that of severe aortic stenosis. Extravalvular risk parameters can inform aortic stenosis risk stratification. Three ongoing trials seek to evaluate transcatheter aortic valve assessment in patients with moderate aortic stenosis and signs of cardiac damage or left ventricular dysfunction.
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页数:4
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