How to deal with low-flow low-gradient aortic stenosis and reduced left ventricle ejection fraction: from literature review to tips for clinical practice-Reference-Cited by-同舟云学术

How to deal with low-flow low-gradient aortic stenosis and reduced left ventricle ejection fraction: from literature review to tips for clinical practice

Published:2021-03-08 Issue: Volume: Page:
ISSN:1382-4147
Container-title:Heart Failure Reviews
language:en
Short-container-title:Heart Fail Rev

Author:

Contorni F.^ORCID,Fineschi M.,Iadanza A.,Santoro A.,Mandoli G. E.,Cameli M.

Abstract

AbstractLow-flow low-gradient aortic stenosis (LFLG AS) with reduced left ventricle ejection fraction (LVEF) is still a diagnostic and therapeutic challenge. The aim of this paper is to review the latest evidences about the assessment of the valvular disease, usually difficult because of the low-flow status, and the therapeutic options. Special emphasis is given to the available diagnostic tools for the characterization of LFLG AS without functional reserve at stress echocardiography and to the factors that clinicians should evaluate to choose between surgical aortic valve repair, transcatheter aortic valve implantation, or medical therapy.

Funder

Università degli Studi di Siena

Publisher

Springer Science and Business Media LLC

Subject

Cardiology and Cardiovascular Medicine

Link

http://link.springer.com/content/pdf/10.1007/s10741-021-10090-0.pdf

Reference64 articles.

1. Baumgartner H, Falk V, Bax JJ, De Bonis M, Hamm C, Holm PJ, Iung B, Lancellotti P, Lansac E, Rodriguez Muñoz D, Rosenhek R, Sjögren J, Tornos Mas P, Vahanian A, Walther T, Wendler O, Windecker S, Zamorano JL (2017) ESC Scientific Document Group. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 21;38(36):2739–91. https://doi.org/10.1093/eurheartj/ehx391. PMID: 28886619.

2. Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP 3rd, Gentile F, Jneid H, Krieger EV, Mack M, McLeod C, O'Gara PT, Rigolin VH, Sundt TM 3rd, Thompson A, Toly C (2020) ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2020 Dec 17:CIR0000000000000932. https://doi.org/10.1161/CIR.0000000000000932. Epub ahead of print. PMID: 33332149.Samad Z et al. Aortic valve surgery and survival in patients with moderate or severe aortic stenosis and left ventricular dysfunction. Eur Heart J. 2016 Jul 21;37(28):2276–86. https://doi.org/10.1093/eurheartj/ehv701.

3. Blais C, Burwash IG, Mundigler G, Dumesnil JG, Loho N, Rader F, Baumgartner H, Beanlands RS, Chayer B, Kadem L, Garcia D, Durand LG, Pibarot P (2006) 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 113(5):711–721. https://doi.org/10.1161/CIRCULATIONAHA.105.557678 (PMID: 16461844)

4. Clavel MA, Burwash IG, Mundigler G, Dumesnil JG, Baumgartner H, Bergler-Klein J, Sénéchal M, Mathieu P, Couture C, Beanlands R, Pibarot P (2010) 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 23 4 380 386https://doi.org/10.1016/j.echo.2010.02.0022010 PMID:20362927 Lennartvan Gils et al. Prognostic Implications of Moderate Aortic Stenosisin Patients With Left Ventricular Systolic Dysfunction J Am Coll Cardiol 2017 https://doi.org/10.1016/j.jacc.2017.03.0232017

5. Annabi MS, Touboul E, Dahou A, Burwash IG, Bergler-Klein J, Enriquez-Sarano M, Orwat S, Baumgartner H, Mascherbauer J, Mundigler G, Cavalcante JL, Larose É, Pibarot P, Clavel MA (2018) Dobutamine stress echocardiography for management of low-flow, low-gradient aortic stenosis. J Am Coll Cardiol 71(5):475–485. https://doi.org/10.1016/j.jacc.2017.11.0522017.11.0522017.11.0522017.11.052(PMID: 29406851)

Cited by 3 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Early and mid-term outcome of patients with low-flow–low-gradient aortic stenosis treated with newer-generation transcatheter aortic valves;Frontiers in Cardiovascular Medicine;2022-10-06

2. Risk assessment in patients with left ventricular systolic dysfunction following transcatheter aortic valve replacement;Journal of Cardiac Surgery;2021-07-12

3. Low-Flow, Low-Gradient Severe Aortic Stenosis;JACC: Cardiovascular Interventions;2021-07