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Asymptomatic severe aortic stenosis with normal left ventricular function - A review.

I Sathyamurthy1, K Jayanthi2

  • 1Apollo Main Hospitals, Chennai, India.

Indian Heart Journal
|August 21, 2016
PubMed
Summary
This summary is machine-generated.

Asymptomatic severe aortic stenosis (AS) patients may benefit from early aortic valve replacement (AVR) if they show high-risk indicators. Non-invasive tests help identify these patients for timely intervention.

Keywords:
Aortic stenosis with normal LV functionAortic valve replacement surgeryAsymptomatic aortic stenosis

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Valvular Heart Disease

Background:

  • Aortic stenosis (AS) is a prevalent acquired valvular heart disease.
  • Aortic valve replacement (AVR) is standard for symptomatic severe AS.
  • Conservative management is typical for asymptomatic severe AS.

Purpose of the Study:

  • To review literature on identifying high-risk asymptomatic severe AS patients.
  • To guide clinicians on early AVR decisions for specific patient subsets.

Main Methods:

  • Literature review of studies on asymptomatic severe AS.
  • Analysis of predictors for cardiac events in asymptomatic severe AS.
  • Evaluation of non-invasive tests for risk stratification.

Main Results:

  • Certain predictors identify asymptomatic severe AS patients at high risk for cardiac events.
  • Exercise stress tests and echocardiography can detect LV dysfunction and sudden death risk.
  • Early intervention may be warranted for selected high-risk asymptomatic patients.

Conclusions:

  • Non-invasive testing is crucial for risk-stratifying asymptomatic severe AS.
  • Identifying high-risk individuals enables timely consideration of early aortic valve replacement.
  • This review aids clinical decision-making for asymptomatic severe AS management.