Moderate Aortic Stenosis With Cardiac Damage: A New Type of Severe Aortic Stenosis

The clinical implications of severe aortic stenosis have been well established. Understanding of moderate aortic stenosis, however, continues to evolve. Athough moderate aortic stenosis may be less clinically impactful in patients with normal ventricular function, it may carry prognostic significanc...

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Main Authors: Nino Mihatov, MD, Philippe Pibarot, DVM, PhD
Format: Article
Language:English
Published: Elsevier 2024-11-01
Series:Structural Heart
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Online Access:http://www.sciencedirect.com/science/article/pii/S2474870624000848
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author Nino Mihatov, MD
Philippe Pibarot, DVM, PhD
author_facet Nino Mihatov, MD
Philippe Pibarot, DVM, PhD
author_sort Nino Mihatov, MD
collection DOAJ
description The clinical implications of severe aortic stenosis have been well established. Understanding of moderate aortic stenosis, however, continues to evolve. Athough moderate aortic stenosis may be less clinically impactful in patients with normal ventricular function, it may carry prognostic significance in those patients with a ventricle exhibiting signs of cardiac damage. Moderate aortic stenosis in the presence of cardiac damage or dysfunction may be prognostically comparable to that of severe aortic stenosis. Extravalvular risk parameters can inform aortic stenosis risk stratification. Three ongoing trials seek to evaluate transcatheter aortic valve assessment in patients with moderate aortic stenosis and signs of cardiac damage or left ventricular dysfunction.
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spelling doaj-art-9e46f15945664da592ade8ba0ec8d8522025-08-20T01:54:19ZengElsevierStructural Heart2474-87062024-11-018610033610.1016/j.shj.2024.100336Moderate Aortic Stenosis With Cardiac Damage: A New Type of Severe Aortic StenosisNino Mihatov, MD0Philippe Pibarot, DVM, PhD1Division of Cardiology, New York-Presbyterian Brooklyn Methodist Hospital & Weill Cornell Medical College, New York, New York, United States; Address correspondence to: Nino Mihatov, MD, NewYork-Presbyterian Brooklyn Methodist Hospital.Department of Cardiology, Québec Heart & Lung Institute – Laval University, Québec Canada. Institut Universitaire de Cardiologie et de Pneumologie de Québec/Québec Heart and Lung Institute, Université Laval, Québec City, Québec, CanadaThe clinical implications of severe aortic stenosis have been well established. Understanding of moderate aortic stenosis, however, continues to evolve. Athough moderate aortic stenosis may be less clinically impactful in patients with normal ventricular function, it may carry prognostic significance in those patients with a ventricle exhibiting signs of cardiac damage. Moderate aortic stenosis in the presence of cardiac damage or dysfunction may be prognostically comparable to that of severe aortic stenosis. Extravalvular risk parameters can inform aortic stenosis risk stratification. Three ongoing trials seek to evaluate transcatheter aortic valve assessment in patients with moderate aortic stenosis and signs of cardiac damage or left ventricular dysfunction.http://www.sciencedirect.com/science/article/pii/S2474870624000848aortic valve replacementcardiac damagecongestive heart failuremoderate aortic stenosisTAVR
spellingShingle Nino Mihatov, MD
Philippe Pibarot, DVM, PhD
Moderate Aortic Stenosis With Cardiac Damage: A New Type of Severe Aortic Stenosis
Structural Heart
aortic valve replacement
cardiac damage
congestive heart failure
moderate aortic stenosis
TAVR
title Moderate Aortic Stenosis With Cardiac Damage: A New Type of Severe Aortic Stenosis
title_full Moderate Aortic Stenosis With Cardiac Damage: A New Type of Severe Aortic Stenosis
title_fullStr Moderate Aortic Stenosis With Cardiac Damage: A New Type of Severe Aortic Stenosis
title_full_unstemmed Moderate Aortic Stenosis With Cardiac Damage: A New Type of Severe Aortic Stenosis
title_short Moderate Aortic Stenosis With Cardiac Damage: A New Type of Severe Aortic Stenosis
title_sort moderate aortic stenosis with cardiac damage a new type of severe aortic stenosis
topic aortic valve replacement
cardiac damage
congestive heart failure
moderate aortic stenosis
TAVR
url http://www.sciencedirect.com/science/article/pii/S2474870624000848
work_keys_str_mv AT ninomihatovmd moderateaorticstenosiswithcardiacdamageanewtypeofsevereaorticstenosis
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