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Circulation: Cardiovascular Imaging EDITORIAL Vicious Cycle of Concurrent Low-Flow, Low- Gradient Aortic Stenosis and Atrial Fibrillation Chris Anthony, MD, PhD; Brian P. Griffin , MD ortic stenosis (AS) is the second most prevalent val- AF is the most prevalent dysrhythmia in the elderly vular lesion in the United States and is the most fre- population and unsurprisingly coexists with AS in up to Aquent indication for referral for surgical or aortic valve 50% of patients due to shared comorbidities and risk 1,2 14 replacement (AVR). Patients with severe symptomatic factors. This overlap may also point toward a causal AS suffer from an increased risk of morbidity and mor- relationship between AS and AF, in addition to the more tality, highlighting the importance of early diagnosis and recognized role of AF as a powerful predictor of adverse the impact of physician inertia when initiating surgical or outcomes and progressive symptomatic deterioration in 3,4 15–17 transcatheter intervention. Clinical guidelines are well patients with AS. In addition, there is an overlap of established to ensure that patients with severe symptom- clinical symptoms in patients with concurrent AS and AF atic AS are referred for timely intervention. The decision that may be explained
Circulation Cardiovascular Imaging – Wolters Kluwer Health
Published: Jul 12, 2021
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