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Asymptomatic Patients With Severe Aortic Stenosis Are Not All Created Equal

Asymptomatic Patients With Severe Aortic Stenosis Are Not All Created Equal Editorial Asymptomatic Patients With Severe Aortic Stenosis Are Not All Created Equal A Role for Stress Performance and Heart Rate Recovery During Stress Echocardiography? Linda D. Gillam, MD, MPH; Leo Marcoff, MD ortic stenosis (AS) is a relentless disease that, once in left ventricular ejection fraction have also been shown to 5–8 Asymptomatic, carries a grim prognosis with 2-year be predictive of spontaneous symptom onset, symptom- 5,7 5–7 survival in the absence of aortic valve replacement (AVR) driven AVR, and sudden cardiac death. However, the link of <50%. Associated left ventricular systolic dysfunction between ESE results other than symptoms and outcomes has defined as a left ventricular ejection fraction of <50% is also not been entirely consistent, and death has been a rare event prognostically important, so that symptoms or reduced left typically occurring only after patients have become symp- 6,7 ventricular ejection fraction carry class I indications for AVR tomatic. In particular, ECG changes have been reported in both the American College of Cardiology and American to be inadequately discriminating, particularly in women. Heart Association (ACC/AHA) and the European Society of Thus, these ESE measures of test positivity carry no (EKG Cardiology (ESC) guidelines for the management of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Circulation: Cardiovascular Imaging Wolters Kluwer Health

Asymptomatic Patients With Severe Aortic Stenosis Are Not All Created Equal

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Publisher
Wolters Kluwer Health
Copyright
© 2016 American Heart Association, Inc.
ISSN
1941-9651
eISSN
1942-0080
DOI
10.1161/CIRCIMAGING.116.005194
pmid
27406846
Publisher site
See Article on Publisher Site

Abstract

Editorial Asymptomatic Patients With Severe Aortic Stenosis Are Not All Created Equal A Role for Stress Performance and Heart Rate Recovery During Stress Echocardiography? Linda D. Gillam, MD, MPH; Leo Marcoff, MD ortic stenosis (AS) is a relentless disease that, once in left ventricular ejection fraction have also been shown to 5–8 Asymptomatic, carries a grim prognosis with 2-year be predictive of spontaneous symptom onset, symptom- 5,7 5–7 survival in the absence of aortic valve replacement (AVR) driven AVR, and sudden cardiac death. However, the link of <50%. Associated left ventricular systolic dysfunction between ESE results other than symptoms and outcomes has defined as a left ventricular ejection fraction of <50% is also not been entirely consistent, and death has been a rare event prognostically important, so that symptoms or reduced left typically occurring only after patients have become symp- 6,7 ventricular ejection fraction carry class I indications for AVR tomatic. In particular, ECG changes have been reported in both the American College of Cardiology and American to be inadequately discriminating, particularly in women. Heart Association (ACC/AHA) and the European Society of Thus, these ESE measures of test positivity carry no (EKG Cardiology (ESC) guidelines for the management of

Journal

Circulation: Cardiovascular ImagingWolters Kluwer Health

Published: Jul 1, 2016

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