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Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...

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Advancing Quality in the Evaluation, Surveillance, and Management of Aortic Stenosis: A Report From the AHA Target: AS Registry.

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Population Prevalence of Valvular Heart Disease in the United States: The PREVUE-VALVE Study.

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Age and Procedural Timing for Asymptomatic Severe Aortic Stenosis: Analysis From the EARLY TAVR Trial.

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Automated Alerts to Improve Timely Evaluation and Treatment of Valvular Heart Disease: The ALERT Trial.

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Related Experiment Video

Updated: May 9, 2026

Investigating Aortic Valve Calcification via Isolation and Culture of T Lymphocytes using Feeder Cells from Irradiated Buffy Coat
04:30

Investigating Aortic Valve Calcification via Isolation and Culture of T Lymphocytes using Feeder Cells from Irradiated Buffy Coat

Published on: February 4, 2021

Current management of calcific aortic stenosis.

Brian R Lindman1, Robert O Bonow, Catherine M Otto

  • 1Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, USA.

Circulation Research
|July 9, 2013
PubMed
Summary

Calcific aortic stenosis requires aortic valve replacement (AVR) for severe obstruction. AVR improves survival and symptoms, especially in symptomatic patients, though outcomes depend on comorbidities and disease severity.

Keywords:
aortic valve stenosisheart failureheart valve diseasesheart valve prosthesishypertrophy, left ventricular

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Area of Science:

  • Cardiology
  • Valvular Heart Disease

Background:

  • Calcific aortic stenosis is a progressive condition lacking effective medical treatments.
  • Aortic valve replacement (AVR) is the definitive treatment for severe cases.

Purpose of the Study:

  • To review the diagnosis, prognosis, and management of calcific aortic stenosis.
  • To discuss the role of echocardiography in assessing disease severity and patient response.

Main Methods:

  • Echocardiography is used to evaluate valve anatomy, stenosis severity, and left ventricular function.
  • Disease progression markers in asymptomatic patients include calcification, hemodynamic severity, and ventricular remodeling.
  • Patient outcomes after AVR are influenced by factors like comorbidities and fibrosis.

Main Results:

  • Symptomatic severe aortic stenosis indicates a high mortality risk without AVR.
  • AVR improves symptoms, survival, and cardiac function in symptomatic patients.
  • Transcatheter AVR offers an alternative for high-risk and inoperable patients.

Conclusions:

  • AVR is lifesaving for most symptomatic patients with severe aortic stenosis.
  • Bioprosthetic valves are recommended for patients over 65.
  • Transcatheter AVR is a viable option for specific high-risk patient groups.