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Invasive hemodynamic versus D oppler echocardiographic assessment of aortic stenosis severity
Author(s) -
Feldman Ted,
Guerrero Mayra
Publication year - 2016
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.26434
Subject(s) - medicine , hemodynamics , guideline , stenosis , cardiology , doppler effect , doppler echocardiography , radiology , echo (communications protocol) , blood pressure , diastole , pathology , computer network , physics , astronomy , computer science
Key Points Recent real world comparisons of echo and invasive assessment of transaortic pressure gradients in aortic stenosis often show a poor correlation. The guideline recommended use of Doppler echo without hemodynamic assessments may not reflect the variability of echo measurements in practice, particularly in unselected patients. An approach using both echo and invasive data is often used in practice today. The guideline recommended use of echo assessments alone should be critically revisited.