Multimodality Imaging in Aortic Stenosis: Beyond the Valve - Focusing on the Myocardium.
Aortic stenosis
Asymptomatic
Discordant
Fibrosis
Global longitudinal strain
Low flow low gradient
Myocardium
Journal
Cardiology clinics
ISSN: 1558-2264
Titre abrégé: Cardiol Clin
Pays: Netherlands
ID NLM: 8300331
Informations de publication
Date de publication:
Aug 2024
Aug 2024
Historique:
medline:
24
6
2024
pubmed:
24
6
2024
entrez:
23
6
2024
Statut:
ppublish
Résumé
Current guidelines of aortic stenosis (AS) management focus on valve parameters, LV systolic dysfunction, and symptoms; however, emerging data suggest that there may be benefit of aortic valve replacement before it becomes severe by present criteria. Myocardial assessment using novel multimodality imaging techniques exhibits subclinical myocardial injury and remodeling at various stages before guideline-directed interventions, which predicts adverse outcomes. This raises the question of whether implementing serial myocardial assessment should become part of the standard appraisal, thereby identifying high-risk patients aiming to minimize adverse outcomes.
Identifiants
pubmed: 38910026
pii: S0733-8651(24)00052-3
doi: 10.1016/j.ccl.2024.04.002
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
433-446Informations de copyright
Copyright © 2024 Elsevier Inc. All rights reserved.