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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.

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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

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