A Review of “Access to Care” Issues in Aortic Stenosis Patients: A Negative Report Card
The identification and management of patients with aortic stenosis exist along a continuum that includes healthy living, latent progression, diagnosis, treatment, and posttreatment recovery. Barriers to the provision of appropriate care for these patients can occur at any stage along this continuum....
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| Language: | English |
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Elsevier
2025-01-01
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| Series: | Structural Heart |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2474870624001064 |
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| author | Adam M. Reisman, MD Sammy Elmariah, MD, MPH |
| author_facet | Adam M. Reisman, MD Sammy Elmariah, MD, MPH |
| author_sort | Adam M. Reisman, MD |
| collection | DOAJ |
| description | The identification and management of patients with aortic stenosis exist along a continuum that includes healthy living, latent progression, diagnosis, treatment, and posttreatment recovery. Barriers to the provision of appropriate care for these patients can occur at any stage along this continuum. Despite the presence of diagnostic echocardiograms, many patients with aortic stenosis are never clinically recognized, and the rate of mismanagement worsens among underrepresented minority groups and women. Regarding the treatment of clinically recognized aortic stenosis, only about half of patients with symptomatic severe aortic stenosis actually undergo aortic valve replacement within 2 years of diagnosis. Treatment rates are even lower among patients with symptomatic low-gradient severe aortic stenosis. Although several strategies have been raised by experts within the field to help and improve the diagnosis and treatment of patients with aortic valve disease, timely referral to a heart valve team specialist whenever aortic valve replacement is being considered likely remains the most pertinent intervention. Connecting these patients with fully informed aortic valve disease experts helps facilitate shared decision-making discussions, thus ensuring that patients have the opportunity to learn about and potentially receive the lifesaving interventions available to them. |
| format | Article |
| id | doaj-art-4635e6fa0c4c48f696d669422772e327 |
| institution | Kabale University |
| issn | 2474-8706 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Structural Heart |
| spelling | doaj-art-4635e6fa0c4c48f696d669422772e3272025-02-10T04:34:40ZengElsevierStructural Heart2474-87062025-01-0191100351A Review of “Access to Care” Issues in Aortic Stenosis Patients: A Negative Report CardAdam M. Reisman, MD0Sammy Elmariah, MD, MPH1Mount Sinai Fuster Heart Hospital, Icahn School of Medicine at Mount Sinai, New York, New York; Address correspondence to: Adam M. Reisman, MD, One Gustave L. Levy Place, New York, NY, 10029.Division of Cardiology, Department of Medicine, University of California San Francisco, San Francisco, CaliforniaThe identification and management of patients with aortic stenosis exist along a continuum that includes healthy living, latent progression, diagnosis, treatment, and posttreatment recovery. Barriers to the provision of appropriate care for these patients can occur at any stage along this continuum. Despite the presence of diagnostic echocardiograms, many patients with aortic stenosis are never clinically recognized, and the rate of mismanagement worsens among underrepresented minority groups and women. Regarding the treatment of clinically recognized aortic stenosis, only about half of patients with symptomatic severe aortic stenosis actually undergo aortic valve replacement within 2 years of diagnosis. Treatment rates are even lower among patients with symptomatic low-gradient severe aortic stenosis. Although several strategies have been raised by experts within the field to help and improve the diagnosis and treatment of patients with aortic valve disease, timely referral to a heart valve team specialist whenever aortic valve replacement is being considered likely remains the most pertinent intervention. Connecting these patients with fully informed aortic valve disease experts helps facilitate shared decision-making discussions, thus ensuring that patients have the opportunity to learn about and potentially receive the lifesaving interventions available to them.http://www.sciencedirect.com/science/article/pii/S2474870624001064Access to careAortic stenosisAortic valve diseaseAortic valve replacementHealth disparitiesTAVR |
| spellingShingle | Adam M. Reisman, MD Sammy Elmariah, MD, MPH A Review of “Access to Care” Issues in Aortic Stenosis Patients: A Negative Report Card Structural Heart Access to care Aortic stenosis Aortic valve disease Aortic valve replacement Health disparities TAVR |
| title | A Review of “Access to Care” Issues in Aortic Stenosis Patients: A Negative Report Card |
| title_full | A Review of “Access to Care” Issues in Aortic Stenosis Patients: A Negative Report Card |
| title_fullStr | A Review of “Access to Care” Issues in Aortic Stenosis Patients: A Negative Report Card |
| title_full_unstemmed | A Review of “Access to Care” Issues in Aortic Stenosis Patients: A Negative Report Card |
| title_short | A Review of “Access to Care” Issues in Aortic Stenosis Patients: A Negative Report Card |
| title_sort | review of access to care issues in aortic stenosis patients a negative report card |
| topic | Access to care Aortic stenosis Aortic valve disease Aortic valve replacement Health disparities TAVR |
| url | http://www.sciencedirect.com/science/article/pii/S2474870624001064 |
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