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Published on: February 20, 2017
Echocardiographic evaluation of calcific aortic stenosis in the older adult
Ayodeji Adegunsoye1, Mallika Mundkur, Navin C Nanda
1Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, Alabama Section of Cardiology, Birmingham Veteran's Administration Medical Center, Birmingham, Alabama.
Insights
Aortic stenosis is common in older adults. Echocardiography, especially real-time 3D echocardiography, is crucial for assessing this valvular pathology and guiding management in the aging population.
Area of Science:
- Cardiology
- Geriatrics
- Medical Imaging
Background:
- Aortic stenosis is the most prevalent valvular heart disease in the elderly.
- The aging population presents unique challenges due to comorbidities and varied clinical symptoms.
Purpose of the Study:
- To review the pathophysiology and clinical presentation of aortic stenosis in older adults.
- To highlight the critical role of echocardiography in evaluating this condition.
Main Methods:
- Review of existing literature on aortic stenosis in the elderly.
- Discussion of various echocardiographic modalities.
- Emphasis on real-time three-dimensional echocardiography.
Main Results:
- Echocardiography is essential for assessing valvular structure and hemodynamics.
- Real-time 3D echocardiography offers significant value in diagnosis and management.
Conclusions:
- Understanding the specific challenges of aortic stenosis in older adults is key.
- Advanced echocardiographic techniques are vital for optimal patient care.
Abstract:
Aortic stenosis is the most predominant valvular pathology occurring in older adults with an expected increase over time. Multiple comorbidities and highly variable clinical presentations which characterize the aging population necessitate the use of echocardiography in the assessment of valvular structure and real time hemodynamic evaluation. This article reviews the pathophysiology and clinical presentation of aortic stenosis in this unique population and the critical role of various echocardiographic modalities. The value of real time three-dimensional real time echocardiography in the assessment and management of aortic stenosis in older adults is emphasized.
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