Impact of Aortic Valve Replacement on Outcome of Symptomatic Patients With Severe Aortic Stenosis With Low Gradient and Preserved Left Ventricular Ejection Fraction | Zendy

Alper Özkan | Zendy; Rory Hachamovitch | Zendy; Samir Kapadia | Zendy; E. Murat Tuzcu | Zendy; Thomas H. Marwick | Zendy

Open Access

Impact of Aortic Valve Replacement on Outcome of Symptomatic Patients With Severe Aortic Stenosis With Low Gradient and Preserved Left Ventricular Ejection Fraction

Author(s) -

Alper Özkan,

Rory Hachamovitch,

Samir Kapadia,

E. Murat Tuzcu,

Thomas H. Marwick

Publication year - 2013

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/circulationaha.112.001094

Subject(s) - medicine , aortic valve replacement , cardiology , ejection fraction , hazard ratio , stenosis , aortic valve stenosis , aortic valve , confidence interval , heart failure

The optimal management of low-gradient "severe" aortic stenosis (mean gradient <40 mm Hg, indexed aortic valve area ≤0.6 cm2/m2) with preserved left ventricular ejection fraction remains controversial because gradients may be similar after aortic valve replacement (AVR). We compared outcomes of low-gradient severe aortic stenosis with AVR or medical therapy.

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