Low-Gradient, Low Ejection Fraction Severe Aortic Stenosis: Still a Management Conundrum
The management of patients with severe symptomatic aortic stenosis and a high transvalvular gradient is straightforward. It requires aortic valve replacement. Management of aortic stenosis patients with low flow, low ejection fraction and low gradient is fraught. Such patients rarely fulfill all the...
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| Format: | Article |
| Language: | English |
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Compuscript Ltd
2018-01-01
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| Series: | Cardiovascular Innovations and Applications |
| Online Access: | https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2017.0021 |
| _version_ | 1797793621051703296 |
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| author | Blase A. Carabello |
| author_facet | Blase A. Carabello |
| author_sort | Blase A. Carabello |
| collection | DOAJ |
| description | The management of patients with severe symptomatic aortic stenosis and a high transvalvular gradient is straightforward. It requires aortic valve replacement. Management of aortic stenosis patients with low flow, low ejection fraction and low gradient is fraught. Such patients rarely fulfill all the tenets of “severity” and also have severe left ventricular dysfunction. Both circumstances make the outcome of aortic valve replacement uncertain. Thus the management of this group of patients requires integration of all diagnostic modalities available. The physical examination, degree of valve calcification, the appearance of the valve during sonographic examination and the presence of inotropic reserve all contribute importantly in judging stenosis severity and the likelihood of successful valve replacement. |
| first_indexed | 2024-03-13T02:49:55Z |
| format | Article |
| id | doaj.art-e2a2729545db43eb87613ea9ba136434 |
| institution | Directory Open Access Journal |
| issn | 2009-8618 2009-8782 |
| language | English |
| last_indexed | 2024-03-13T02:49:55Z |
| publishDate | 2018-01-01 |
| publisher | Compuscript Ltd |
| record_format | Article |
| series | Cardiovascular Innovations and Applications |
| spelling | doaj.art-e2a2729545db43eb87613ea9ba1364342023-06-28T13:58:22ZengCompuscript LtdCardiovascular Innovations and Applications2009-86182009-87822018-01-012441510.15212/CVIA.2017.0021Low-Gradient, Low Ejection Fraction Severe Aortic Stenosis: Still a Management ConundrumBlase A. CarabelloThe management of patients with severe symptomatic aortic stenosis and a high transvalvular gradient is straightforward. It requires aortic valve replacement. Management of aortic stenosis patients with low flow, low ejection fraction and low gradient is fraught. Such patients rarely fulfill all the tenets of “severity” and also have severe left ventricular dysfunction. Both circumstances make the outcome of aortic valve replacement uncertain. Thus the management of this group of patients requires integration of all diagnostic modalities available. The physical examination, degree of valve calcification, the appearance of the valve during sonographic examination and the presence of inotropic reserve all contribute importantly in judging stenosis severity and the likelihood of successful valve replacement.https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2017.0021 |
| spellingShingle | Blase A. Carabello Low-Gradient, Low Ejection Fraction Severe Aortic Stenosis: Still a Management Conundrum Cardiovascular Innovations and Applications |
| title | Low-Gradient, Low Ejection Fraction Severe Aortic Stenosis: Still a Management Conundrum |
| title_full | Low-Gradient, Low Ejection Fraction Severe Aortic Stenosis: Still a Management Conundrum |
| title_fullStr | Low-Gradient, Low Ejection Fraction Severe Aortic Stenosis: Still a Management Conundrum |
| title_full_unstemmed | Low-Gradient, Low Ejection Fraction Severe Aortic Stenosis: Still a Management Conundrum |
| title_short | Low-Gradient, Low Ejection Fraction Severe Aortic Stenosis: Still a Management Conundrum |
| title_sort | low gradient low ejection fraction severe aortic stenosis still a management conundrum |
| url | https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2017.0021 |
| work_keys_str_mv | AT blaseacarabello lowgradientlowejectionfractionsevereaorticstenosisstillamanagementconundrum |