Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Jul-Aug;68(4):576-80.
doi: 10.1016/j.ihj.2016.05.006. Epub 2016 May 21.

Asymptomatic severe aortic stenosis with normal left ventricular function - A review

I Sathyamurthy  1 , K Jayanthi  2
Affiliations
Review

Asymptomatic severe aortic stenosis with normal left ventricular function - A review

I Sathyamurthy et al. Indian Heart J. 2016 Jul-Aug.

Abstract

Aortic stenosis (AS) is one of the commonest forms of acquired valvular heart disease. Aortic valve replacement (AVR) is the treatment of choice for symptomatic severe AS. Conservative management is usually advocated for asymptomatic severe AS. But there are data on predictors to identify subsets of asymptomatic AS patients at high risk of cardiac events in whom early surgical intervention is warranted. Non-invasive tests like exercise stress test, exercise echocardiography will help us to identify those who are at high risk of developing early symptoms due to LV dysfunction and also those at high risk of sudden death. In this article, an attempt is made to review the literature on this subset of asymptomatic severe AS to help clinicians to decide regarding the need for early aortic valve replacement in them.

Keywords: Aortic stenosis with normal LV function; Aortic valve replacement surgery; Asymptomatic aortic stenosis.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Flow chart shows non-invasive stress testing in asymptomatic severe AS with preserved LV function.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Ross J., Braunwald E. Aortic stenosis. Circulation. 1968;36:381–386. - PubMed
    1. Schwartz F., Baumann P., Manthey J. The effect of aortic valve replacement on survival. Circulation. 1982;66:1105–1110. - PubMed
    1. Bonow R.O., Carabello B.A., Chatterjee K. 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 patient 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. J Am Coll Cardiol. 2006;48:e1–e148. - PubMed
    1. Iung B., Baron G., Butchart E.G. A prospective survey of patients with valvular heart disease in Europe: the Euro Heart Survey on Valvular Heart Disease. Eur Heart J. 2003;24:1231–1243. - PubMed
    1. Cannegieter S.C., Rosendaal F.R., Briet E. Thromboembolic and bleeding complications in patients with mechanical heart valve prostheses. Circulation. 1994;89:635–641. - PubMed

MeSH terms