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
来源：
CARDIOLOGY CLINICS | 2020年 / 38卷 / 01期
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
相关论文
共 33 条
  • [11] Delgado V, 2019, JACC-CARDIOVASC IMAG, V12, P268, DOI 10.1016/j.jcmg.2018.11.027
  • [12] Outcomes of pseudo-severe aortic stenosis under conservative treatment
    Fougeres, Emilie
    Tribouilloy, Christophe
    Monchi, Mehran
    Petit-Eisenmann, Helene
    Baleynaud, Serge
    Pasquet, Agnes
    Chauvel, Christophe
    Metz, Damien
    Adams, Catherine
    Rusinaru, Dan
    Gueret, Pascal
    Monin, Jean-Luc
    [J]. EUROPEAN HEART JOURNAL, 2012, 33 (19) : 2426 - 2433
  • [13] Prognostic Value of Exercise-Stress Echocardiography in Asymptomatic Patients With Aortic Valve Stenosis
    Goublaire, Coppelia
    Melissopoulou, Maria
    Lobo, David
    Kubota, Naozumi
    Verdonk, Constance
    Cimadevilla, Claire
    Codogno, Isabelle
    Brochet, Eric
    Vahanian, Alec
    Messika-Zeitoun, David
    [J]. JACC-CARDIOVASCULAR IMAGING, 2018, 11 (06) : 787 - 795
  • [14] Clinical Significance of Ejection Dynamics Parameters in Patients with Aortic Stenosis: An Outcome Study
    Griguer, Anne Ringle
    Tribouilloy, Christophe
    Truffier, Ariane
    Castel, Anne-Laure
    Delelis, Francois
    Levy, Franck
    Vincentelli, Andre
    Bohbot, Yohann
    Marechaux, Sylvestre
    [J]. JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2018, 31 (05) : 551 - +
  • [15] Low gradient severe aortic stenosis with preserved ejection fraction: reclassification of severity by fusion of Doppler and computed tomographic data
    Kamperidis, Vasileios
    van Rosendael, Philippe J.
    Katsanos, Spyridon
    van der Kley, Frank
    Regeer, Madelien
    Al Amri, Ibtihal
    Sianos, Georgios
    Marsan, Nina Ajmone
    Delgado, Victoria
    Bax, Jeroen J.
    [J]. EUROPEAN HEART JOURNAL, 2015, 36 (31) : 2087 - 2096
  • [16] Grading of aortic stenosis severity: a head-to-head comparison between cardiac magnetic resonance imaging and echocardiography
    Mantini, Cesare
    Di Giammarco, Gabriele
    Pizzicannella, Jacopo
    Gallina, Sabina
    Ricci, Fabrizio
    D'Ugo, Emilia
    Marchetti, Marziale
    Cotroneo, Antonio Raffaele
    Ahmed, Nauman
    Bucciarelli-Ducci, Chiara
    Tartaro, Armando
    De Caterina, Raffaele
    [J]. RADIOLOGIA MEDICA, 2018, 123 (09): : 643 - 654
  • [17] Usefulness of exercise-stress echocardiography for risk stratification of true asymptomatic patients with aortic valve stenosis
    Marechaux, Sylvestre
    Hachicha, Zeineb
    Bellouin, Annaik
    Dumesnil, Jean G.
    Meimoun, Patrick
    Pasquet, Agnes
    Bergeron, Sebastien
    Arsenault, Marie
    Le Tourneau, Thierry
    Ennezat, Pierre Vladimir
    Pibarot, Philippe
    [J]. EUROPEAN HEART JOURNAL, 2010, 31 (11) : 1390 - 1397
  • [18] Predictors of Long-Term Outcomes in Asymptomatic Patients With Severe Aortic Stenosis and Preserved Left Ventricular Systolic Function Undergoing Exercise Echocardiography
    Masri, Ahmad
    Goodman, Andrew L.
    Barr, Tyler
    Grimm, Richard A.
    Sabik, Joseph F.
    Gillinov, A. Marc
    Rodriguez, L. Leonardo
    Svensson, Lars G.
    Griffin, Brian P.
    Desai, Milind Y.
    [J]. CIRCULATION-CARDIOVASCULAR IMAGING, 2016, 9 (07)
  • [19] Low-gradient aortic stenosis -: Operative risk stratification and predictors for long-term outcome:: A multicenter study using dobutamine stress hemodynamics
    Monin, JL
    Quéré, JP
    Monchi, M
    Petit, H
    Baleynaud, S
    Chauvel, C
    Pop, C
    Ohlmann, P
    Lelguen, C
    Dehant, P
    Tribouilloy, C
    Guéret, P
    [J]. CIRCULATION, 2003, 108 (03) : 319 - 324
  • [20] Aortic stenosis with severe left ventricular dysfunction and low transvalvular pressure gradients - Risk stratification by low-dose dobutamine echocardiography
    Monin, JL
    Monchi, M
    Gest, V
    Duval-Moulin, AM
    Dubois-Rande, JL
    Gueret, P
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 37 (08) : 2101 - 2107
1234