New considerations in the assessment of aortic stenosis

Lucy M Safi1, Jonathan J Passeri2, Michael H Picard3

  • 1Director of Interventional Echocardiography, Hackensack University Medical Center, Hackensack, NJ 07601, USA.

Future Cardiology
|August 23, 2017
PubMed

Insights

Calcific aortic stenosis (AS) is a common heart valve disease. Future assessment will integrate advanced imaging, biomarkers, and genetics for better patient risk stratification.

Area of Science:

  • Cardiology
  • Valvular Heart Disease
  • Medical Diagnostics

Background:

  • Calcific aortic stenosis (AS) is a prevalent acquired valvular heart disease in industrialized nations.
  • The aging population is increasing the prevalence of AS.
  • Current preventative medications for AS have proven unsuccessful.

Purpose of the Study:

  • To explore advancements in identifying and risk-assessing patients with calcific aortic stenosis.
  • To discuss the evolving landscape of AS assessment beyond traditional echocardiography.

Main Methods:

  • Utilizing Doppler echocardiography for initial stenosis severity classification.
  • Investigating advanced imaging modalities for improved patient assessment.
  • Exploring the role of serum biomarkers in risk stratification.
  • Considering genetic assessment as a future diagnostic tool.

Main Results:

  • Doppler echocardiography remains the standard for classifying stenosis severity.
  • Research is ongoing to enhance patient identification and risk assessment.
  • No current medications have been successful in preventing AS.

Conclusions:

  • AS assessment is shifting from solely echocardiographic gradients to a multimodal approach.
  • Future surveillance will incorporate advanced imaging, serum biomarkers, and genetic data.
  • This transition aims for more precise patient management and risk stratification.

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