scholarly journals Risk stratification in asymptomatic severe aortic stenosis: a critical appraisal

2012 ◽  
Vol 33 (19) ◽  
pp. 2377-2387 ◽  
Author(s):  
S. Bhattacharyya ◽  
C. Hayward ◽  
J. Pepper ◽  
R. Senior
Keyword(s):  
Aortic Stenosis ◽  
Risk Stratification ◽  
Critical Appraisal ◽  
Severe Aortic Stenosis

scholarly journals A model based on clinical parameters to identify myocardial late gadolinium enhancement by magnetic resonance in patients with aortic stenosis: An observational study

2020 ◽  
Vol 9 ◽  
pp. 204800402092240
Author(s):  
Mariya Kuk ◽  
Simon Newsome ◽  
Francisco Alpendurada ◽  
Marc Dweck ◽  
Dudley J Pennell ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Aortic Stenosis ◽  
Risk Stratification ◽  
Myocardial Fibrosis ◽  
Surgical Intervention ◽  
Severe Aortic Stenosis ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Study Patient ◽  
Ventricular Ejection Fraction

Objective With increasing age, the prevalence of aortic stenosis grows exponentially, increasing left heart pressures and potentially leading to myocardial hypertrophy, myocardial fibrosis and adverse outcomes. To identify patients who are at greatest risk, an outpatient model for risk stratification would be of value to better direct patient imaging, frequency of monitoring and expeditious management of aortic stenosis with possible earlier surgical intervention. In this study, a relatively simple model is proposed to identify myocardial fibrosis in patients with a diagnosis of moderate or severe aortic stenosis. Design Patients with moderate to severe aortic stenosis were enrolled into the study; patient characteristics, blood work, medications as well as transthoracic echocardiography and cardiovascular magnetic resonance were used to determine potential identifiers of myocardial fibrosis. Setting The Royal Brompton Hospital, London, UK Participants One hundred and thirteen patients in derivation cohort and 26 patients in validation cohort. Main outcome measures Identification of myocardial fibrosis. Results Three blood biomarkers (serum platelets, serum urea, N-terminal pro-B-type natriuretic peptide) and left ventricular ejection fraction were shown to be capable of identifying myocardial fibrosis. The model was validated in a separate cohort of 26 patients. Conclusions Although further external validation of the model is necessary prior to its use in clinical practice, the proposed clinical model may direct patient care with respect to earlier magnetic resonance imagining, frequency of monitoring and may help in risk stratification for surgical intervention for myocardial fibrosis in patients with aortic stenosis.

The SURTAVI model: proposal for a pragmatic risk stratification for patients with severe aortic stenosis

2012 ◽  
Vol 8 (2) ◽  
pp. 258-266 ◽  
Author(s):  
Nicolas M. van Mieghem ◽  
Stuart J. Head ◽  
Robert van der Boon ◽  
Nicolo Piazza ◽  
Peter P. de Jaegere ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Risk Stratification ◽  
Severe Aortic Stenosis

scholarly journals Risk stratification of severe aortic stenosis according to new guidelines: long term outcomes

2018 ◽  
Vol 10 (10) ◽  
pp. 5833-5841 ◽  
Author(s):  
Andrea Colli ◽  
Eleonora Bizzotto ◽  
Laura Besola ◽  
Dario Gregori ◽  
Francesca Toto ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Risk Stratification ◽  
Severe Aortic Stenosis ◽  
Long Term Outcomes ◽  
New Guidelines

scholarly journals Usefulness of atrial function for risk stratification in asymptomatic severe aortic stenosis

2016 ◽  
Vol 67 (1) ◽  
pp. 71-79 ◽  
Author(s):  
Maria Chiara Todaro ◽  
Scipione Carerj ◽  
Bijoy Khandheria ◽  
Maurizio Cusmà-Piccione ◽  
Salvatore La Carrubba ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Risk Stratification ◽  
Severe Aortic Stenosis ◽  
Atrial Function

scholarly journals P981Lvot area measurement using gated ct data reclassifies aortic stenosis severity as graded by echocardiographyP982Paradoxical low-flow low-gradient aortic stenosis: an intermediate state between moderate and severe aortic stenosis?P983Can rheumatic significant mitral stenosis be a cause of paradoxical low gradient, low flow, in patients with severe aortic stenosis? an echocardiographic and outcome studyP984Clinical and hemodynamic comparison of isolated versus combined aortic and mitral stenosisP985Echocardiographic end-diastolic velocity in the proximal descending aorta should be interpreted with caution when the ascending aorta is dilated: insights from cardiovascular magnetic resonanceP987Prevalence of atrial mitral regurgitation in patients with severe mitral regurgitationP988Role of 2D/3D echocardiography in the risk stratification of endocardial lead-related tricuspid regurgitation: a single-centre study among?241 patientsP989When TEE is needed in patients with staphylococcus aureus bacteremia for the assessment of risk profile of infective endocarditis?P990Appropriateness criteria to echocardiograms for suspected infective endocarditis: experience of a tertiary referral centerP991Independent predictors of outcome in infective endocarditisP992The role of transesophageal cardiography in clinical course and prognosis of complicated infective endocarditis in critically ill patients: our 15 years experienceP993Left bundle branch block atypical pattern as a prognostic determinant in patients taken to TAVIP994Efficacy of long-term ivabradine therapy in severe systolic chronic heart failure patients with and without type 2 diabetes mellitusP995Relations between left ventricular reverse remodeling and serum markers of extracellular matrix fibrosis in dilated cardiomyopathyP996The healthy left ventricle accommodates an increasing vortex formation time for volume transfer in diastolic filling :Implications for heart failureP997Evolutionary changes of pulmonary artery pressure after left ventricular assist device implantP998Functional correlates and prognostic value of coronary flow velocity reserve by vasodilator stress echocardiography in hypertrophic cardiomyopathyP999Quantification of myocardial performance in patients with non-obstructive versus latent-obstructive hypertrophic cardiomyopathyP1000Lifelong arrhythmic risk stratification in arrhythmogenic right ventricular cardiomyopathy: distribution of events and impact of periodical reassessmentP1001Impact of fibrosis visualized by CMR in vectorcardiogram recordings of patients with suspected arrhythmogenic cardiomyopathyP1002Determinants of the beneficial effect of aldosterone antagonism on exercise capacity in heart failure with reduced ejection fractionP1003Myocardial strain values in patients with acute myocarditis and preserved ejection fraction. A magnetic resonance feature tracking studyP1004Detection of subclinical left ventricular dysfunction by speckle tracking echocardiography in patients with myocarditis without prominent wall motion abnormalitiesP1005Aborted sudden cardiac death patients aged <50 years show only mild alterations on cardiac magnetic resonance imagingP1006Relationships between subepicardial and subendocardial longitudinal strain with late gadolinium enhancement in uncomplicated hypertensive patients

2016 ◽  
Vol 17 (suppl 2) ◽  
pp. ii193-ii201 ◽  
Author(s):  
L. Moderato ◽  
C. Di Nora ◽  
A. Soufiani ◽  
A. Soufiani ◽  
O. Bech-Hanssen ◽  
...  
Keyword(s):  
Heart Failure ◽  
Infective Endocarditis ◽  
Magnetic Resonance ◽  
Aortic Stenosis ◽  
Risk Stratification ◽  
Severe Aortic Stenosis ◽  
Left Ventricular ◽  
Area Measurement ◽  
Low Flow ◽  
Reverse Remodeling

Current and new imaging techniques in risk stratification of asymptomatic severe aortic stenosis

2021 ◽  
pp. 1-9
Author(s):  
Ikram Kammoun ◽  
Ahmed Sghaier ◽  
Emna Bennour ◽  
Lobna Laroussi ◽  
Manel Miled ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Risk Stratification ◽  
Severe Aortic Stenosis ◽  
Imaging Techniques
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