By Amr E. Abbas
With the appearance of much less invasive remedies for aortic stenosis together with percutaneous and apical substitute, extra sufferers are being provided this expertise. As such, picking the real severity of aortic stenosis is turning into paramount. Many scientific situations ensue the place the world and gradient estimates of severity don't fit. This ebook will current case via case examples of alternative sufferers with a large choice of aortic stenosis. it's going to support cardiologists in deciding upon sufferers with real aortic stenosis who may gain advantage from valve alternative. it's going to additionally spotlight the function and introduction of latest know-how because the function of CTA, MRI, and 3D echo for prognosis and TAVR and mini surgical procedure for treatment. The viewers will diversity from medical cardiologists, imaging cardiologists and interventionalists alike.
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Additional resources for Aortic Stenosis: Case-Based Diagnosis and Therapy
Symptoms typically develop only with at least moderate AS. Once symptoms occur, the prognosis varies according to the clinical presentation. Classic symptoms associated with AS include exertional dyspnea, angina, and syncope. Patients with known AS may also complain of progressive fatigue and decreased exercise tolerance. As the severity of aortic stenosis progresses, heart failure will progress and left ventricular function will eventually be compromised. Other associated findings with AS include gastrointestinal bleeding and infective endocarditis .
2nd ed. Philadelphia: Saunders; 1990. p. 292. 5. Harvey WP. Cardiac pearls. Newton: Laennec; 1993. p. 345. 6. Munt B, et al. Physical examination in valvular aortic stenosis: correlation with stenosis severity and prediction of clinical outcome. Am Heart J. 1999;137(2):298–306. 7. Carabello BA. Evaluation and management of patients with aortic stenosis. Circulation. 2002;105(15):1746–50. 6 cm2/m2, and/or a maximum transaortic velocity (AVVel) >4 m/s with or without symptoms. Surgical or transcatheter aortic valve replacement for symptomatic, severe AS results in significant improvement in survival and quality of life across a spectrum of surgical risk profiles.
55. Makker RR, Fontana GP, Jilaihawi H, Kapadia S, Pichard AD, Doublas PS, Thouruani VH, Babaliasros VC, Webb JC, Herrmann HC, Bavaria JE, Kodali S, Brown DL, Bowers B, Dewey TM, Svenssson LG, Tuzcu M, Moses JW, Williams MR, Siegel RJ, Akin JJ, Anderson WN, Pocock S, Smith CR, Leon MB, PARTNER Trial Investigators. Transcatheter aorticvalve replacement for inoperable severe aortic stenosis. NEJM. 2012;366:1697–704. 56. Adams DH, Popma JJ, Reardon MJ, Yakubov SJ, Coselli JS, Deeb GM, Gleason TG, Buchbinder M, Hermiller Jr J, Kleiman NS, Chetcuti S, Heiser J, Merhi W, Zorn G, Tadros P, Robinson N, Petrossian G, Hughes GC, Harrison JK, Conte J, Maini B, Mumtaz M, Chenoweth S, Oh JK, U.
Aortic Stenosis: Case-Based Diagnosis and Therapy by Amr E. Abbas