Management of Asymptomatic Severe Aortic Stenosis

Author(s): Robert L. Stewart , Kwan L. Chan .

Journal Name: Current Cardiology Reviews

Volume 5 , Issue 1 , 2009

Become EABM
Become Reviewer

Abstract:

Patients with symptomatic severe aortic stenosis (AS) benefit from aortic valve replacement surgery, but the management of patients with asymptomatic severe AS is more controversial. While cholesterol and angiotensin have been linked to AS progression, we should await the results of ongoing randomized trials before medical therapy to lower cholesterol or inhibit angiotensin can be recommended to limit disease progression. Clinical factors, echocardiographic parameters, valve morphology, exercise stress testing results, and cardiac biomarkers may be useful in identifying patients who will have early development of symptoms during follow-up and require closer monitoring. The risks associated with aortic valve replacement outweigh the benefits in the majority of patients with asymptomatic severe AS.

Keywords: Aortic valve stenosis, symptoms, management, surgery, exercise testing, brain natriuretic peptide

Rights & PermissionsPrintExport Cite as

Article Details

VOLUME: 5
ISSUE: 1
Year: 2009
Page: [29 - 35]
Pages: 7
DOI: 10.2174/157340309787048103

Article Metrics

PDF: 18