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Catheterization and Cardiovascular... May 2020The aortic pulse contour displays characteristic changes associated with the progression of aortic stenosis (AS). A diminished and delayed aortic pulse contour is... (Review)
Review
The aortic pulse contour displays characteristic changes associated with the progression of aortic stenosis (AS). A diminished and delayed aortic pulse contour is indicative of significant AS, but the aortic contour may also be affected by factors including aging, hypertension and increased peripheral arterial elastance. This review describes the components of the aortic pulse contour in AS and how it can be affected by different conditions and interventions.
Topics: Aorta; Aortic Valve; Aortic Valve Stenosis; Arterial Pressure; Calcinosis; Disease Progression; Humans; Predictive Value of Tests; Prognosis; Severity of Illness Index
PubMed: 31868287
DOI: 10.1002/ccd.28674 -
JACC. Cardiovascular Imaging Mar 2023
Topics: Humans; Predictive Value of Tests; Aortic Valve Stenosis; Aortic Valve; Disease Progression
PubMed: 36752439
DOI: 10.1016/j.jcmg.2022.12.002 -
International Journal of Cardiology Mar 2021
Topics: Aortic Valve; Aortic Valve Stenosis; Fluoroscopy; Humans; Transcatheter Aortic Valve Replacement
PubMed: 33359281
DOI: 10.1016/j.ijcard.2020.12.041 -
Heart (British Cardiac Society) Mar 2024
Topics: Humans; Aortic Valve Stenosis; Aortic Valve; Severity of Illness Index
PubMed: 38086613
DOI: 10.1136/heartjnl-2023-323499 -
Future Cardiology Sep 2021Aortic valve stenosis (AS) is the third most frequent cardiovascular abnormality after coronary artery disease and hypertension. A bicuspid aortic valve is the most...
Aortic valve stenosis (AS) is the third most frequent cardiovascular abnormality after coronary artery disease and hypertension. A bicuspid aortic valve is the most common cause for AS until seventh decade and calcific valve degeneration is responsible thereafter. In symptomatic patients, The risk of death increases from ≤1%/year to 2%/month. An echo valve area ≤1 cm, peak transaortic velocity ≥4 m/s, mean valve gradient ≥40 mmHg and/or computerized tomography valve calcium score >2000 Agatston units (AU) for males or more than 1200 AU for females indicate severe AS. AS stages and management are discussed. Valve replacement is based on surgical risk, valve durability/hemodynamics, need for anticoagulation and patient preferences. EuroSCORE ≥20%, Society of Thoracic Surgeons Predicted Risk of Mortality ≥8% and co-morbidities indicate high surgical risk. Surgery is recommended for low-intermediate risk patients. Transcatheter aortic valve implantation is an alternative in older patients at low, intermediate, high or prohibitive risk. Transaortic valve implantation/replacement trials are summarized.
Topics: Aged; Aortic Valve Stenosis; Comorbidity; Female; Heart Valve Prosthesis Implantation; Humans; Male; Transcatheter Aortic Valve Replacement
PubMed: 33728942
DOI: 10.2217/fca-2020-0140 -
Heart (British Cardiac Society) Mar 2023
Topics: Humans; Heart Rate; Aortic Valve Stenosis; Aortic Valve; Treatment Outcome; Transcatheter Aortic Valve Replacement
PubMed: 37552609
DOI: 10.1136/heartjnl-2023-322619 -
European Heart Journal. Cardiovascular... May 2021
Topics: Aortic Valve Stenosis; Heart Valve Prosthesis Implantation; Humans
PubMed: 33279975
DOI: 10.1093/ehjci/jeaa334 -
Open Heart Oct 2021
Topics: Aortic Valve; Aortic Valve Stenosis; Humans
PubMed: 34625466
DOI: 10.1136/openhrt-2021-001749 -
Journal of the American College of... Mar 2022
Topics: Aortic Valve Stenosis; Humans; Transcatheter Aortic Valve Replacement
PubMed: 35241221
DOI: 10.1016/j.jacc.2021.12.024 -
Kardiologia Polska 2022
Topics: Humans; Constriction, Pathologic; Heart Valve Diseases; Aortic Valve; Aortic Valve Stenosis; Aortic Valve Insufficiency
PubMed: 35979642
DOI: 10.33963/KP.a2022.0195