This review focuses on the use ofexercise echocardiography in asymptomatic patients with moderate and severe aortic stenosis with preserved left ventricular ejection fraction.It describes the exercise echocardiography protocol, parameters to be evaluated, and its role in guiding the timing of intervention and follow-upin these patients. (Anatol J Cardiol 2020; 23: 312-7)
📌 3 Key Takeaways
🎯
Objective & Hypothesis:The appropriate timing of intervention and follow-up in asymptomatic patients with aortic stenosis remains controversial.
📊
Key Findings & Data:Risk stratification is akey, especially with the use of a multimodality imaging approach, including exercise stress echocardiography.
💡
Conclusion & Impact:This review focuses on the use ofexercise echocardiography in asymptomatic patients with moderate and severe aortic stenosis with preserved left ventricular ejection fraction.It describes the exercise echocardiography protocol, parameters to be evaluated, and its role in guiding the timing of intervention and follow-upin these patients. (Anatol J Cardiol 2020; 23: 312-7)
🔬Design:Review & Systematic Survey
📍Scope:2020 Verileri
⚙️Variables:Domain Parameters
Özet
The appropriate timing of intervention and follow-up in asymptomatic patients with aortic stenosis remains controversial. Risk stratification is akey, especially with the use of a multimodality imaging approach, including exercise stress echocardiography. This review focuses on the use ofexercise echocardiography in asymptomatic patients with moderate and severe aortic stenosis with preserved left ventricular ejection fraction.It describes the exercise echocardiography protocol, parameters to be evaluated, and its role in guiding the timing of intervention and follow-upin these patients. (Anatol J Cardiol 2020; 23: 312-7)
🔖
Cite This Article
POSTOLACHE, A., TRUNG, M. N., TRIDETTI, J., SPERLONGANO, S., CHITROCEANU, A. M., DULGHERU, R., LANCELLOTTİ, P. (2020). Exercise echocardiography in aortic stenosis with preserved ejection fraction. The Anatolian Journal of Cardiology, Cilt: 23 - Sayı: 6, 312–317. https://ajindex.com/articles/365229
Iung B, Baron G, Butchart EG, Delahaye F, Gohlke-Bärwolf C, Levang OW, et al. A prospective survey of patients with valvular heart disease in Europe: The Euro Heart Survey on Valvular Heart Disease. Eur Heart J 2003; 24: 1231-43
Baumgartner H, Falk V, Bax JJ, De Bonis M, Hamm C, Holm PJ, et al.; ESC Scientific Document Group. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J 2017; 38: 2739-91
American College of Cardiology/American Heart Association Task Force on Practice Guidelines; Society of Cardiovascular Anesthesiologists; Society for Cardiovascular Angiography and Interventions; Society of Thoracic Surgeons, Bonow RO, Carabello BA, Kanu C, de Leon AC Jr, Faxon DP, Freed MD, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): developed in collaboration with the Society of Cardiovascular Anesthesiologists: endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. Circulation 2006; 114: e84- 231
Strange G, Stewart S, Celermajer D, Prior D, Scalia GM, Marwick T, et al.; National Echocardiography Database of Australia contributing sites. Poor Long-Term Survival in Patients With Moderate Aortic Stenosis. J Am Coll Cardiol 2019; 74: 1851-63
Lancellotti P, Pellikka P, Budts W, Chaudhry FA, Donal E, Dulgheru R et al. The clinical use of stress echocardiography in nonischaemic heart disease: recommendations from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. Eur Heart J Cardiovasc Imaging 2016; 17: 1191-229
Tastet L, Tribouilloy C, Maréchaux S, Vollema EM, Delgado V, Salaun E, et al. Staging Cardiac Damage in Patients With Asymptomatic Aortic Valve Stenosis. J Am Coll Cardiol 2019; 74: 550-63
Lancellotti P, Vannan MA. Timing of intervention in aortic stenosis. N Engl J Med 2020; 382: 191-3
Lancellotti P, Magne J, Dulgheru R, Clavel MA, Donal E, Vannan MA et al. Outcomes of Patients With Asymptomatic Aortic Stenosis Followed Up in Heart Valve Clinics. JAMA Cardiol 2018; 3: 1060-8
Huded CP, Masri A, Kusunose K, Goodman AL, Grimm RA, Gillinov AM, et al. Outcomes in Asymptomatic Severe Aortic Stenosis With Preserved Ejection Fraction Undergoin