Assessment of Aortic Stenosis Severity A Multimodality Approach

被引:8
作者
Ternacle, Julien [1 ,2 ,3 ]
Clavel, Marie-Annick [1 ]
机构
[1] Univ Laval, Quebec Heart & Lung Inst, Inst Univ Cardiol & Pneumol Quebec, 2725 Chemin St Foy, Quebec City, PQ G1V 4G5, Canada
[2] Henri Mondor Hosp, Expert Valve Ctr, Cardiol Dept, 51 Ave Marechal de Lattre de Tassigny, F-94000 Creteil, France
[3] Paris Est Creteil Univ, INSERM, Unit U955, Team 8, 51 Ave Marechal de Lattre de Tassigny, F-94000 Creteil, France
关键词
Aortic stenosis; Aortic valve calcification; Calcium scoring; Echocardiography; Computed tomography; Multimodality imaging; EXERCISE-STRESS ECHOCARDIOGRAPHY; VALVE CALCIFICATION; RISK STRATIFICATION; LOW-FLOW; ASYMPTOMATIC PATIENTS; HEMODYNAMIC SEVERITY; EUROPEAN ASSOCIATION; CONTRACTILE RESERVE; COMPUTED-TOMOGRAPHY; EJECTION FRACTION;
D O I
10.1016/j.ccl.2019.09.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Severe aortic stenosis (AS) is associated with a progressive cardiac remodeling that ultimately leads to heart failure and death if the valve is not replaced. The confirmation of AS severity is therefore crucial to adequately manage patients with AS. Trans-thoracic echocardiography is the first-line examination to confirm AS severity, but it may be inconclusive in discordant cases. In this setting, AS severity should be confirmed using a multimodality imaging approach. This review gives an overview of how to assess and/or confirm AS severity, especially in case of discordance.
引用
收藏
页码:13 / +
页数:11
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