Comparing Early Intervention to Watchful Waiting: A Review on Risk Stratification and Management in Asymptomatic Aortic Stenosis

Aortic stenosis is a progressive condition with substantial implications for morbidity and mortality. In recent years, attention has shifted toward risk stratification and the development of individualized management plans to optimize treatment outcomes. The management of asymptomatic patients has b...

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Main Authors: Ahmed E. Khedr, Nour B. Odeh, George Bcharah, Hesham M. Abdalla, Abdulrahman Senjab, Rawan M. Zeineddine, Jaikrishnan Ram, Juan M. Farina, Owen R. Crystal, Bryan Barrus, Steven J. Lester, Justin Shipman, Said Alsidawi, Chadi Ayoub, Kristen A. Sell-Dottin, Reza Arsanjani
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/61/3/448
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Summary:Aortic stenosis is a progressive condition with substantial implications for morbidity and mortality. In recent years, attention has shifted toward risk stratification and the development of individualized management plans to optimize treatment outcomes. The management of asymptomatic patients has become a topic of significant controversy, as emerging studies challenge traditional watchful waiting guidelines and propose the potential benefits of early intervention. While early intervention may reduce overall morbidity and mortality in this patient population, the associated procedural risks remain a critical consideration. This review seeks to analyze the existing literature, offering an updated perspective on patient risk stratification and evidence evaluating both management approaches.
ISSN:1010-660X
1648-9144