Evaluation of aortic stenosis: From Bernoulli and Doppler to Navier-Stokes.
4D flow MRI
Aortic stenosis
Pressure drop
Velocity vector ultrasound
Journal
Trends in cardiovascular medicine
ISSN: 1873-2615
Titre abrégé: Trends Cardiovasc Med
Pays: United States
ID NLM: 9108337
Informations de publication
Date de publication:
01 2023
01 2023
Historique:
received:
23
09
2021
revised:
07
12
2021
accepted:
07
12
2021
pubmed:
18
12
2021
medline:
18
1
2023
entrez:
17
12
2021
Statut:
ppublish
Résumé
Uni-dimensional Doppler echocardiography data provide the mainstay of quantative assessment of aortic stenosis, with the transvalvular pressure drop a key indicator of haemodynamic burden. Sophisticated methods of obtaining velocity data, combined with improved computational analysis, are facilitating increasingly robust and reproducible measurement. Imaging modalities which permit acquisition of three-dimensional blood velocity vector fields enable angle-independent valve interrogation and calculation of enhanced measures of the transvalvular pressure drop. This manuscript clarifies the fundamental principles of physics that underpin the evaluation of aortic stenosis and explores modern techniques that may provide more accurate means to grade aortic stenosis and inform appropriate management.
Identifiants
pubmed: 34920129
pii: S1050-1738(21)00146-8
doi: 10.1016/j.tcm.2021.12.003
pii:
doi:
Types de publication
Journal Article
Review
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
32-43Subventions
Organisme : British Heart Foundation
ID : FS/CRTF/22/24312
Pays : United Kingdom
Organisme : British Heart Foundation
ID : TG/17/3/33406
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 209450/Z/17/Z
Pays : United Kingdom
Organisme : Wellcome Trust
ID : WT 203148/Z/16/Z
Pays : United Kingdom
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2021. Published by Elsevier Inc.