Grading of Aortic Stenosis: Is it More Complicated in Women?
Aortic stenosis (AS) is the most common valvular heart disease and the main indication for valvular replacement in older women. Correct AS grading is mandatory for an adequate selection of patients for both surgical and transcatheter aortic valve replacement. Women and men have different AS severity...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2022-11-01
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| Series: | European Cardiology Review |
| Online Access: | https://www.ecrjournal.com/articleindex/ecr.2022.13 |
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| _version_ | 1849220227101884416 |
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| author | Dana Cramariuc Edda Bahlmann Eva Gerdts |
| author_facet | Dana Cramariuc Edda Bahlmann Eva Gerdts |
| author_sort | Dana Cramariuc |
| collection | DOAJ |
| description | Aortic stenosis (AS) is the most common valvular heart disease and the main indication for valvular replacement in older women. Correct AS grading is mandatory for an adequate selection of patients for both surgical and transcatheter aortic valve replacement. Women and men have different AS severity grades at the same level of aortic valve calcification. Moreover, besides having smaller cardiac volumes, left ventricular outflow tract and aortic size, women have a specific pattern of left ventricular structural and functional remodelling in response to the AS-related chronic pressure overload. Here, the sex-specific cardiac changes in AS that make AS grading more challenging in women, with consequences for the management and outcome of this group of patients, are reviewed. |
| format | Article |
| id | doaj-art-2920b8c2e564448cbe8a8e6cc5b440e9 |
| institution | Kabale University |
| issn | 1758-3756 1758-3764 |
| language | English |
| publishDate | 2022-11-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | European Cardiology Review |
| spelling | doaj-art-2920b8c2e564448cbe8a8e6cc5b440e92024-12-14T16:03:56ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642022-11-011710.15420/ecr.2022.13Grading of Aortic Stenosis: Is it More Complicated in Women?Dana Cramariuc0Edda Bahlmann1Eva Gerdts2Department of Heart Disease, Haukeland University Hospital, Bergen, Norway; Department of Clinical Science, University of Bergen, Bergen, NorwayDepartment of Cardiology, Asklepios Kliniken St. Georg, Hamburg, GermanyDepartment of Clinical Science, University of Bergen, Bergen, NorwayAortic stenosis (AS) is the most common valvular heart disease and the main indication for valvular replacement in older women. Correct AS grading is mandatory for an adequate selection of patients for both surgical and transcatheter aortic valve replacement. Women and men have different AS severity grades at the same level of aortic valve calcification. Moreover, besides having smaller cardiac volumes, left ventricular outflow tract and aortic size, women have a specific pattern of left ventricular structural and functional remodelling in response to the AS-related chronic pressure overload. Here, the sex-specific cardiac changes in AS that make AS grading more challenging in women, with consequences for the management and outcome of this group of patients, are reviewed.https://www.ecrjournal.com/articleindex/ecr.2022.13 |
| spellingShingle | Dana Cramariuc Edda Bahlmann Eva Gerdts Grading of Aortic Stenosis: Is it More Complicated in Women? European Cardiology Review |
| title | Grading of Aortic Stenosis: Is it More Complicated in Women? |
| title_full | Grading of Aortic Stenosis: Is it More Complicated in Women? |
| title_fullStr | Grading of Aortic Stenosis: Is it More Complicated in Women? |
| title_full_unstemmed | Grading of Aortic Stenosis: Is it More Complicated in Women? |
| title_short | Grading of Aortic Stenosis: Is it More Complicated in Women? |
| title_sort | grading of aortic stenosis is it more complicated in women |
| url | https://www.ecrjournal.com/articleindex/ecr.2022.13 |
| work_keys_str_mv | AT danacramariuc gradingofaorticstenosisisitmorecomplicatedinwomen AT eddabahlmann gradingofaorticstenosisisitmorecomplicatedinwomen AT evagerdts gradingofaorticstenosisisitmorecomplicatedinwomen |