Document Detail

Asymptomatic aortic stenosis: management revisited.
MedLine Citation:
PMID:  22734366     Owner:  NLM     Status:  In-Process    
Aortic stenosis (AS) is common and is the commonest reason for valve surgery in the Western hemisphere. Calcific or a degenerative process is the most common cause of this pathological process and increases with aging population. The current guidelines recommend aortic valve replacement (AVR) only for symptoms or LV dysfunction unless a concomitant cardiac surgery is planned There are no randomized studies to guide therapy. AVR is forbidden by guidelines in severe AS patients with no symptoms. The guidelines are based on an analysis of natural history studies of AS and risk and durability of AVR. We will analyze the basis of current recommendations, unreliability of symptoms for such an important decision and more contemporary data on the natural and unnatural history of asymptomatic aortic stenosis. Based on these data, we recommend that asymptomatic AS should not be a class III recommendation for AVR and surgical options should be considered in most of severe AS patients with high risk profiles.
Ramdas G Pai; Ajit D Pai
Related Documents :
22436646 - Clinical application of an original flexible mk stent-graft for nonruptured thoracic ao...
22304956 - Mdct to guide transcatheter aortic valve replacement and mitral valve repair.
6226226 - Impairment of hypoxic pulmonary artery remodeling by heparin in mice.
14697406 - Effects of endogenous carbon monoxide on collagen synthesis in pulmonary artery in rats...
11252736 - Portal vein stenting to treat portal vein tumor thrombus in hepatocellular carcinoma.
20924326 - Arterial elastic fiber structure. function and potential roles in acute aortic dissection.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian heart journal     Volume:  63     ISSN:  0019-4832     ISO Abbreviation:  Indian Heart J     Publication Date:    2011 Mar-Apr
Date Detail:
Created Date:  2012-06-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0374675     Medline TA:  Indian Heart J     Country:  India    
Other Details:
Languages:  eng     Pagination:  180-4     Citation Subset:  IM    
Department of Cardiology, Loma Linda University School of Medicine, Loma Linda, CA 92354, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Principles and clinical applications of strain imaging.
Next Document:  Pocket carried ultrasound: its usefulness in clinical practice--a pilot study.