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Aortic stenosis

Wilbert S Aronow1

  • 1Depatment of Medicine, Divisions of Cardiology, Geriatrics, and Pulmonary/Critical Care, New York Medical College, Macy Pavilion, Room 138, Valhalla, NY 10595, USA. wsaronow@aol.com

Comprehensive Therapy
|November 21, 2007
PubMed

Insights

Aortic stenosis (AS) patients face higher risks of heart issues. Early diagnosis and timely aortic valve replacement (AVR) are crucial for managing severe AS and preventing complications.

Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Aortic stenosis (AS) is linked to increased coronary risk factors and atherosclerotic disease.
  • Statins may potentially slow AS progression.
  • Classic severe AS symptoms include angina, syncope, and heart failure.

Purpose of the Study:

  • To outline the diagnosis and management of aortic stenosis.
  • To detail treatment strategies based on AS severity and patient factors.

Main Methods:

  • Physical examination findings, including murmur characteristics, aid in differentiating AS severity.
  • Doppler echocardiography is the primary diagnostic tool for AS presence and severity assessment.

Main Results:

  • Severe AS necessitates aortic valve replacement (AVR) once symptoms manifest.
  • Anticoagulation post-AVR depends on valve type and patient risk factors.

Conclusions:

  • Warfarin is indicated for mechanical valves or bioprosthetic valves with specific risk factors (atrial fibrillation, thromboembolism, LV dysfunction, hypercoagulable state).
  • Aspirin (75-100 mg daily) is recommended for bioprosthetic valves without these risk factors.

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