Resting echocardiographic predictors for true-severe aortic stenosis in patients with low-gradient severe aortic stenosis: A dobutamine stress echocardiography study.
aortic stenosis
dobutamine stress echocardiography
low-gradient severe aortic stenosis
Journal
Echocardiography (Mount Kisco, N.Y.)
ISSN: 1540-8175
Titre abrégé: Echocardiography
Pays: United States
ID NLM: 8511187
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
revised:
31
07
2021
received:
29
03
2021
accepted:
25
08
2021
pubmed:
24
9
2021
medline:
7
1
2022
entrez:
23
9
2021
Statut:
ppublish
Résumé
Dobutamine stress echocardiography (DSE) is not always feasible in patients with low-gradient severe aortic stenosis (LG-SAS), and there are limited data available on the resting echocardiographic predictors for true-severe aortic stenosis (TSAS). This study investigated resting echocardiographic predictors for TSAS. Clinical data of 106 LG-SAS patients who underwent DSE were retrospectively analyzed. LG-SAS was defined as an aortic valve area index (AVAi) < .6 cm The mean age was 79.3 ± 7.3 years, and 45 (42.5%) were men. The resting AV data were as follows: AVAi, .50 ± .07 cm Resting AVAi and VR were independent predictors of TSAS in LG-SAS patients. The true severity might be predictable using the combination of resting parameters.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1731-1740Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Carabello BA. Evaluation and management of patients with aortic stenosis. Circulation. 2002;105(15):1746-1750.
Supino PG, Borer JS, Preibisz J, Bornstein A. The epidemiology of valvular heart disease: a growing public health problem. Heart Fail Clin. 2006;2(4):379-393.
Berthelot-Richer M, Pibarot P, Capoulade R, et al. Discordant grading of aortic stenosis severity: echocardiographic predictors of survival benefit associated with aortic valve replacement. JACC Cardiovasc Imag. 2016;9(7):797-805.
Minners J, Allgeier M, Gohlke-Baerwolf C, Kienzle RP, Neumann FJ, Jander N. Inconsistent grading of aortic valve stenosis by current guidelines: haemodynamic studies in patients with apparently normal left ventricular function. Heart. 2010;96(18):1463-1468.
Baumgartner H, Hung J, Bermejo J, et al. Recommendations on the echocardiographic assessment of aortic valve stenosis: a focused update from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. J Am Soc Echocardiogr. 2017;30(4):372-392.
Lancellotti P, Pellikka PA, Budts W, et al. The clinical use of stress echocardiography in non-ischaemic heart disease: recommendations from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. J Am Soc Echocardiogr. 2017;30(2):101-138.
Baumgartner H, Falk V, Bax JJ, et al. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2017;38(36):2739-2791.
Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;129(23):e521-643.
Saeed S, Vamvakidou A, Seifert R, Khattar R, Li W, Senior R. The impact of aortic valve replacement on survival in patients with normal flow low gradient severe aortic stenosis: a propensity-matched comparison. Eur Heart J Cardiovasc Imag. 2019;20(10):1094-1101.
Zusman O, Pressman GS, Banai S, Finkelstein A, Topilsky Y. Intervention versus observation in symptomatic patients with normal flow low gradient severe aortic stenosis. JACC Cardiovasc Imag. 2018;11(9):1225-1232.
Romero J, Chavez P, Goodman-Meza D, et al. Outcomes in patients with various forms of aortic stenosis including those with low-flow low-gradient normal and low ejection fraction. Am J Cardiol. 2014;114(7):1069-1074.
Gonzalez Gomez A, Fernandez-Golfin C, Monteagudo JM, et al. Severe aortic stenosis patients with preserved ejection fraction according to flow and gradient classification: prevalence and outcomes. Int J Cardiol. 2017;248:211-215.
Rusinaru D, Bohbot Y, Ringle A, Marechaux S, Diouf M, Tribouilloy C. Impact of low stroke volume on mortality in patients with severe aortic stenosis and preserved left ventricular ejection fraction. Eur Heart J. 2018;39(21):1992-1999.
Clavel MA, Burwash IG, Pibarot P. Cardiac imaging for assessing low-gradient severe aortic stenosis. JACC Cardiovasc Imag. 2017;10(2):185-202.
Clavel MA, Magne J, Pibarot P. Low-gradient aortic stenosis. Eur Heart J. 2016;37(34):2645-2657.
Clavel MA, Ennezat PV, Marechaux S, et al. Stress echocardiography to assess stenosis severity and predict outcome in patients with paradoxical low-flow, low-gradient aortic stenosis and preserved LVEF. JACC Cardiovasc Imag. 2013;6(2):175-183.
Blais C, Burwash IG, Mundigler G, et al. Projected valve area at normal flow rate improves the assessment of stenosis severity in patients with low-flow, low-gradient aortic stenosis: the multicenter TOPAS (Truly or Pseudo-Severe Aortic Stenosis) study. Circulation. 2006;113(5):711-721.
Annabi MS, Touboul E, Dahou A, et al. Dobutamine stress echocardiography for management of low-flow, low-gradient aortic stenosis. J Am Coll Cardiol. 2018;71(5):475-485.
Kataoka A, Watanabe Y, Shibayama K, et al. Reasons for not performing low-dose dobutamine stress echocardiography in patients with classical low-flow, low-gradient severe aortic stenosis before transcatheter aortic valve replacement: the optimized transcatheter valvular intervention-transcatheter aortic valve implantation registry. J Am Soc Echocardiogr. 2018;31(12):1366-1368.
Baumgartner H, Hung J, Bermejo J, et al. Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. J Am Soc Echocardiogr. 2009;22(1):1-23.
Zoghbi WA, Adams D, Bonow RO, et al. Recommendations for noninvasive evaluation of native valvular regurgitation: a report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr. 2017;30(4):303-371.
Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015;28(1):1-39 e14.
Mitchell C, Rahko PS, Blauwet LA, et al. Guidelines for performing a comprehensive transthoracic echocardiographic examination in adults: recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr. 2019;32(1):1-64.
Clavel MA, Burwash IG, Mundigler G, et al. Validation of conventional and simplified methods to calculate projected valve area at normal flow rate in patients with low flow, low gradient aortic stenosis: the multicenter TOPAS (True or Pseudo Severe Aortic Stenosis) study. J Am Soc Echocardiogr. 2010;23(4):380-386.
Kanda Y. Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant. 2013;48(3):452-458.
Otto Cm Fau - Pearlman AS, Pearlman As Fau - Comess KA, Comess Ka Fau - Reamer RP, Reamer Rp Fau - Janko CL, Janko Cl Fau - Huntsman LL & Huntsman LL Determination of the stenotic aortic valve area in adults using Doppler echocardiography. J Am Coll Cardiol. 1986;7:509-517.
Oh JK, Taliercio CP, Holmes DR, et al. Prediction of the severity of aortic stenosis by Doppler aortic valve area determination: prospective Doppler-catheterization correlation in 100 patients. J Am College Cardiol. 1988;11(6):1227-1234.
Jander N, Hochholzer W, Kaufmann BA, et al. Velocity ratio predicts outcomes in patients with low gradient severe aortic stenosis and preserved EF. Heart. 2014;100(24):1946-1953.
Altes A, Thellier N, Rusinaru D, et al. Dimensionless index in patients with low-gradient severe aortic stenosis and preserved ejection fraction. Circ Cardiovasc Imag. 2020;13(10):e010925.