Aortic Stenosis: Case-Based Diagnosis and Therapy by Amr E. Abbas

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 know-how. As such, picking the genuine severity of aortic stenosis is changing into paramount. Many scientific situations happen the place the world and gradient estimates of severity don't fit. This ebook will current case via case examples of other sufferers with a wide selection of aortic stenosis. it is going to help cardiologists in opting for sufferers with actual aortic stenosis who may gain advantage from valve alternative. it's going to additionally spotlight the position and introduction of recent know-how because the position of CTA, MRI, and 3D echo for prognosis and TAVR and mini surgical procedure for treatment​. The viewers will variety from medical cardiologists, imaging cardiologists and interventionalists alike.

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Prospective study of asymptomatic valvular aortic stenosis clinical, echocardiographic and exercise predictors of outcome. Circulation. 1997;95:2262–70. Rosenhek R, Binder T, Porenta G, Lang I, Christ G, Schemper M, Maurer G, Baumgartner H. Predictors of outcome in severe, asymptomatic aortic stenosis. N Engl J Med. 2000;343:611–7. Pellikka PA, Sarano ME, Nishimura RA, Malouf JF, Bailey KR, Scott CG, Barnes ME, Tajik AJ. Outcome of 622 adults with asymptomatic, hemodynamically significant aortic stenosis during prolonged followup.

Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP, Guyton RA, O’Gara PT, Ruiz CE, Skubas NJ, Sorajja P, Sundt TM, Thomas JD. 2014 AHA/ ACC guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;129(23):2440–92. Ussia GP, Mule M, Barbanti M, Cammalleri V, Scarabelli M, Imme S, Capodanno D, Ciriminna S, 20 Tamburino C. Quality of life assessment after percutaneous aortic valve implantation.

2). Cardiac catheterization measures an invasive ∆P that progressively decreases as the site of the catheter placement in the aorta moves downstream from the vena contracta, where the pressure measured is partially recovered, until the extent of Prec has reached its plateau, at which ∆Pnet is achieved.  Utilizing a catheter placed in the LV and another placed in the femoral artery will lead to an overestimation of the true ∆Pnet due to the delay that occurs in pressure transmission from the proximal aorta to the femoral artery and should not be used.

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