Timing of Intervention in Asymptomatic Patients with Aortic Stenosis

Aortic stenosis is a very common disease. Current guidelines recommend intervention mainly in symptomatic patients; aortic valve replacement can be considered in asymptomatic patients under specific conditions, but the evidence supporting these indications is poor. Continuous advances in both surgic...

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Main Authors: Teresa Sevilla, Ana Revilla-Orodea, J Alberto San Román
Format: Article
Language:English
Published: Radcliffe Medical Media 2021-09-01
Series:European Cardiology Review
Online Access:https://www.ecrjournal.com/articleindex/ecr.2021.11
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author Teresa Sevilla
Ana Revilla-Orodea
J Alberto San Román
author_facet Teresa Sevilla
Ana Revilla-Orodea
J Alberto San Román
author_sort Teresa Sevilla
collection DOAJ
description Aortic stenosis is a very common disease. Current guidelines recommend intervention mainly in symptomatic patients; aortic valve replacement can be considered in asymptomatic patients under specific conditions, but the evidence supporting these indications is poor. Continuous advances in both surgical and percutaneous techniques have substantially decreased rates of perioperative complications and mortality; with this in mind, many authors suggest that earlier intervention in patients with severe aortic stenosis, when they are still asymptomatic, may be indicated. This paper summarises what is known about the natural history of severe aortic stenosis and the scientific evidence available about the optimal timing for aortic valve replacement.
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spelling doaj.art-7e0277da8bbd4a70ba21fdd8758a89912024-04-20T16:02:22ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642021-09-011610.15420/ecr.2021.11Timing of Intervention in Asymptomatic Patients with Aortic StenosisTeresa Sevilla0Ana Revilla-Orodea1J Alberto San Román2Department of Cardiology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares, Madrid, SpainDepartment of Cardiology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares, Madrid, SpainDepartment of Cardiology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares, Madrid, SpainAortic stenosis is a very common disease. Current guidelines recommend intervention mainly in symptomatic patients; aortic valve replacement can be considered in asymptomatic patients under specific conditions, but the evidence supporting these indications is poor. Continuous advances in both surgical and percutaneous techniques have substantially decreased rates of perioperative complications and mortality; with this in mind, many authors suggest that earlier intervention in patients with severe aortic stenosis, when they are still asymptomatic, may be indicated. This paper summarises what is known about the natural history of severe aortic stenosis and the scientific evidence available about the optimal timing for aortic valve replacement.https://www.ecrjournal.com/articleindex/ecr.2021.11
spellingShingle Teresa Sevilla
Ana Revilla-Orodea
J Alberto San Román
Timing of Intervention in Asymptomatic Patients with Aortic Stenosis
European Cardiology Review
title Timing of Intervention in Asymptomatic Patients with Aortic Stenosis
title_full Timing of Intervention in Asymptomatic Patients with Aortic Stenosis
title_fullStr Timing of Intervention in Asymptomatic Patients with Aortic Stenosis
title_full_unstemmed Timing of Intervention in Asymptomatic Patients with Aortic Stenosis
title_short Timing of Intervention in Asymptomatic Patients with Aortic Stenosis
title_sort timing of intervention in asymptomatic patients with aortic stenosis
url https://www.ecrjournal.com/articleindex/ecr.2021.11
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