Assessment of Cardiac Damage in Aortic Stenosis

Miho Fukui; Philippe Généreux; João L Cavalcante

doi:10.1016/j.ccl.2019.09.001

Assessment of Cardiac Damage in Aortic Stenosis

Cardiol Clin. 2020 Feb;38(1):23-31. doi: 10.1016/j.ccl.2019.09.001.

Authors

Miho Fukui¹, Philippe Généreux², João L Cavalcante³

Affiliations

¹ Minneapolis Heart Institute Foundation, Cardiovascular Imaging Research and Valve Science Centers, 920 East 28th Street, Suite 620, Minneapolis, MN 55407, USA. Electronic address: https://twitter.com/Miho_Fukui.
² Division of Cardiology, Morristown Medical Center, 100 Madison Avenue, Morristown, NJ 07960, USA. Electronic address: https://twitter.com/philgenereux.
³ Minneapolis Heart Institute Foundation, Cardiovascular Imaging Research and Valve Science Centers, 920 East 28th Street, Suite 620, Minneapolis, MN 55407, USA; Minneapolis Heart Institute, Abbott Northwestern Hospital, 800 East 28th Street, Suite 300, Minneapolis, MN 55407, USA. Electronic address: Joao.Cavalcante@allina.com.

PMID: 31753174
DOI: 10.1016/j.ccl.2019.09.001

Abstract

Severe aortic stenosis (AS) causes chronic pressure overload of the left ventricle (LV), resulting in the progressive cardiac damage, which extends beyond the LV. Several previous studies have shown a relationship of the cardiac damage to AS, rather than the stenosis severity, with adverse events after aortic valve replacement (AVR) in patients with severe AS. A new staging system for AS patients has important prognostic implications for clinical outcomes after AVR. This review summarizes the importance of assessment of cardiac damage in patients with AS.

Keywords: Aortic stenosis; Aortic valve replacement; Cardiac damage; Classification; Mortality; Readmission.

Publication types

Review

MeSH terms

Aortic Valve Stenosis / complications*
Aortic Valve Stenosis / diagnosis*
Humans
Risk Assessment