Aortic Valve Stenosis: To the Gradient and Beyond-The Mismatch Between Area and Gradient Severity

作者:Abbas Amr E; Franey Laura M*; Goldstein James; Lester Steven
来源:Journal of Interventional Cardiology, 2013, 26(2): 183-194.
DOI:10.1111/joic.12004

摘要

Objectives The clinical severity of aortic stenosis (AS) is based largely on symptoms. However, AS severity is primarily determined by estimating the aortic valve area (AVA) and pressure gradients (P). Conditions may arise in which there is a mismatch in severity between AVA and P determinations secondary to errors in measurement and/or assumption, alterations of flow, or variations in the magnitude of pressure recovery. The cause of discrepancy between area and gradient determinations must be deciphered so as to best counsel patients on the most ideal treatment strategy. (J Interven Cardiol 2013;26:183194)

  • 出版日期2013-4