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Asymptomatic Aortic Stenosis: From Risk Stratification to Treatment

Banovic, Marko ; Iung, Bernard ; Putnik, Svetozar ; Mahendiran, Thabo ; Vanderheyden, Marc ; Barbato, Emanuele ; Bartunek, Jozef

The American journal of cardiology, 2024-05, Vol.218, p.51-62 [Periódico revisado por pares]

United States: Elsevier Inc

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Título:
Asymptomatic Aortic Stenosis: From Risk Stratification to Treatment
Autor: Banovic, Marko ; Iung, Bernard ; Putnik, Svetozar ; Mahendiran, Thabo ; Vanderheyden, Marc ; Barbato, Emanuele ; Bartunek, Jozef
Assuntos: Aorta ; Aortic stenosis ; Aortic valve ; Aortic Valve - surgery ; Aortic Valve Stenosis - surgery ; Asymptomatic ; Asymptomatic Diseases ; Cardiology ; diagnosis ; Disease ; Dyspnea ; Ejection fraction ; Heart ; Heart rate ; Heart Valve Prosthesis Implantation - adverse effects ; Heart valves ; Humans ; Medical prognosis ; Mortality ; Patients ; Prognosis ; Risk ; Risk Assessment ; risk stratification ; Stratification ; Transcatheter Aortic Valve Replacement ; treatment
É parte de: The American journal of cardiology, 2024-05, Vol.218, p.51-62
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
Descrição: Our understanding of the natural history of aortic stenosis has significantly increased over the last decade. There have been considerable advances in the diagnosis and risk stratification of patients with aortic stenosis and in surgical and anesthetic techniques. In addition, transcatheter aortic valve replacement has established itself as a viable alternative to surgical management. Inevitably, these developments have raised questions regarding the merits of waiting for symptom onset in asymptomatic patients with severe aortic stenosis before offering treatment. Recent observational and randomized trial data suggest that early intervention in asymptomatic patients with severe aortic stenosis and normal left ventricular function may confer a prognostic advantage to a watchful waiting strategy. In this review, we highlight advances in the management and risk stratification of patients with asymptomatic severe aortic stenosis with particular consideration of recent findings supporting early valvular intervention.
Editor: United States: Elsevier Inc
Idioma: Inglês

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Asymptomatic Aortic Stenosis: From Risk Stratification to Treatment

Banovic, Marko ; Iung, Bernard ; Putnik, Svetozar ; Mahendiran, Thabo ; Vanderheyden, Marc ; Barbato, Emanuele ; Bartunek, Jozef

United States: Elsevier Inc

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