Document Detail

How often do we operate too late in aortic stenosis?
MedLine Citation:
PMID:  9697066     Owner:  NLM     Status:  MEDLINE    
The management of asymptomatic severe aortic stenosis remains controversial. Despite a good outcome in terms of mortality, the left ventricle may not recover fully after aortic valve replacement and patients may have impaired exercise ability. Routine assessment of the left ventricle is dominated by transverse systolic function to the relative neglect of long-axis and diastolic function. Long-axis dysfunction develops earlier than transverse dysfunction and may correlate with exercise ability. Reported symptoms can be unreliable and exercise testing reveals significant limitation in many apparently asymptomatic patients. Exercise testing and echocardiographic markers of early LV systolic dysfunction may help to refine the timing of surgery in patients with apparently asymptomatic severe aortic stenosis.
S Takeda; H Rimington; J Chambers
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Publication Detail:
Type:  Editorial    
Journal Detail:
Title:  The Journal of heart valve disease     Volume:  7     ISSN:  0966-8519     ISO Abbreviation:  J. Heart Valve Dis.     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-10-19     Completed Date:  1998-10-19     Revised Date:  2006-05-04    
Medline Journal Info:
Nlm Unique ID:  9312096     Medline TA:  J Heart Valve Dis     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  428-30     Citation Subset:  IM    
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MeSH Terms
Aortic Valve Stenosis / mortality,  surgery*
Heart Valve Prosthesis Implantation*
Postoperative Complications / diagnosis
Survival Analysis
Time Factors

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

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