Low-gradient aortic valve stenosis: Value and limitations of dobutamine stress testing

Heart

Volumn 93, Issue 3, 2007, Pages 298-302

  Bermejo, Javier ^a   Yotti, R ^a  

^a HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

DOBUTAMINE;

AORTA VALVE STENOSIS; CLINICAL DECISION MAKING; EXERCISE TEST; HEART MUSCLE CONTRACTILITY; HEART MUSCLE REVASCULARIZATION; HUMAN; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; REVIEW; RISK ASSESSMENT; SURGICAL RISK; TREATMENT OUTCOME;

AORTIC VALVE STENOSIS; DECISION MAKING; ECHOCARDIOGRAPHY, STRESS; FORECASTING; HUMANS; INTRAOPERATIVE CARE; RISK FACTORS;

EID: 34147210074     PISSN: 13556037     EISSN: None     Source Type: Journal    
DOI: 10.1136/hrt.2005.066860     Document Type: Review

References (35)

1. Lindroos M, Kupari M, Heikkila J, et al. Prevalence of aortic valve abnormalities in the elderly: an echocardiographic study of a random population sample. J Am Coll Cardiol 1993;21:1220-5.
2. Iung B, Baron G, Butchart EG, et al. A prospective survey of patients with valvular heart disease in Europe: The Euro Heart Survey on Valvular Heart Disease. Eur Heart J 2003;24:1231-43.
3. Tarantini G, Buja P, Scognamiglio R, et al. Aortic valve replacement in severe aortic stenosis with left ventricular dysfunction: determinants of cardiac mortality and ventricular function recovery. Eur J Cardiothorac Surg 2003;24:879-85.
4. Vaquette B, Corbineau H, Laurent M, et al. Valve replacement in patients with critical aortic stenosis and depressed left ventricular function: predictors of operative risk, left ventricular function recovery, and long term outcome. Heart 2005;91:1324-9.
5. Powell DE, Tunick PA, Rosenzweig BP, et al. Aortic valve replacement in patients with aortic stenosis and severe left ventricular dysfunction. Arch Intern Med 2000;160:1337-41.
6. Connolly HM, Oh JK, Schaff HV, et al. Severe aortic stenosis with low transvalvular gradient and severe left ventricular dysfunction:result of aortic valve replacement in 52 patients. Circulation 2000;101:1940-6.
7. Bermejo J, Odreman R, Feijoo J, et al. Clinical efficacy of Doppler-echocardiographic indices of aortic valve stenosis: a comparative test-based analysis of outcome. J Am Coll Cardiol 2003;41:142-51.
8. Roberts WC, Ko JM. Relation of weights of operatively excised stenolic aortic valves to preoperative transvalvular peak systolic pressure gradients and to calculated aortic valve areas. J Am Coll Cardiol 2004;44:1847-55.
9. Chambers J. Low "gradient", low flow aortic stenosis. Heart 2006;92:554-8.
10. Grayburn PA. Assessment of low-gradient aortic stenosis with dobutamine. Circulation 2006;113:604-6.
11. Bonow RO, Carabello B, de Leon AC Jr, et al. Guidelines far the management of patients with valvular heart disease: executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients with Valvular Heart Disease). Circulation 1998;98:1949-84.
12. Tardif JC, Rodrigues AG, Hardy J-F, et al. Simultaneous determination of aortic valve area by the Gorlin formula and by transesophageal echocardiography under different transvalvular flow conditions. Evidence that anatomic aortic valve area does not change with variations in flow in aortic stenosis. J Am Coll Cardiol 1997;29:1296-302.
13. Garcia D, Pibarot P, Dumesnil JG, et al. Assessment of aortic valve stenosis severity: a new index based on the energy loss concept. Circulation 2000;101:765-71.
14. Selzer A. Changing aspects of the natural history of valvular aortic stenosis. N Engl J Med 1987;317:91-8.
15. Bermejo J, Garcia-Fernandez MA, Torrecilla EG, et al. Effects of dobutamine on Doppler echocardiographic indexes of aortic stenosis. J Am Coll Cardiol 1996;28:1206-13.
16. Segal J, Lerner DJ, Miller DC, et al. When should Doppler-determined valve area be better than the Gorlin formula? Variation in hydraulic constants in low flow states. J Am Coll Cardiol 1987;9:1294-305.
17. Bermejo J, Rojo-Alvarez JL, Antoranz JC, et al. Estimation of the end of ejection in aortic stenosis: an unreported source of error in the invasive assessment of severity. Circulation 2004;110:1114-20.
18. Burwash IG, Thomas DD, Sadahiro M, et al. Dependence of Gorlin formula and continuity equation valve areas on transvalvular volume flow rate in valvular aortic stenosis. Circulation 1994;89:827-35.
19. Voelker W, Reul H, Nienhaus G, et al. Comparison of valvular resistance, stroke work loss, and Gorlin valve area for quantification of aortic stenosis. An in vitro study in a pulsatile aortic flow model. Circulation 1995;91:1196-204.
20. DeGroff CG, Shandas R, Valdes-Cruz L. Analysis of the effect of flow rate on the Doppler continuity equation for stenotic orifice area calculations: a numerical study. Circulation 1998;97:1597-605.
21. Kodem I, Rieu R, Dumesnil JG, et al. Flow-dependent changes in Doppler-derived aortic valve effective orifice area are real and not due to artifact. J Am Coll Cardiol 2006,47:131-7.
22. Cannon JD Jr, Zile MR, Crawford FA Jr, et al. Aortic valve resistance as an adjunct to the Gorlin formula in assessing the severity of aortic stenosis in symptomatic patients. J Am Coll Cardiol 1992;20:1517-23.
23. Bermejo J, Antoranz JC, Burwash IG, et al. In-vivo analysis of the instantaneous transvalvular pressure difference-flow relationship in aortic valve stenosis: implications of unsteady fluid-dynamics for the clinical assessment of disease severity. J Heart Valve Dis 2002;11:557-66.
24. Pereira JJ, Lauer MS, Bashir M, et al. Survival after aortic valve replacement for severe aortic stenosis with low transvalvular gradients and severe left ventricular dysfunction. J Am Coll Cardiol 2002;39:1356-63.
25. Monin JL, Quere JP, Monchi M, et al. Low-gradient aortic stenosis: operative risk stratification and predictors for long-term outcome: a multicenter study using dobutamine stress hemodynamics. Circulation 2003;108:319-24.
26. deFilippi CR, Willett DL, Brickner ME, et al. Usefulness of dobutamine echocardiography in distinguishing severe from nonsevere valvular aortic stenosis in patients with depressed left ventricular function and low transvalvular gradients. Am J Cardiol 1995;75:191-4.
27. Nishimura RA, Grantham JA, Connolly HM, et al. Low-output, low-gradient aortic stenosis in patients with depressed left ventricular systolic function: the clinical utility of the dobutamine challenge in the catheterization laboratory. Circulation 2002;106:809-13.
28. Schwammenthal E, Vered Z, Moshkowitz Y, et al. Dobutamine echocardiography in patients with aortic stenosis and left ventricular dysfunction: predicting outcome as a function of management strategy. Chest 2001;119:1766-77.
29. Zuppiroli A, Mori F, Olivotto I, et al. Therapeutic implications of contractile reserve elicited by dobutamine echocardiography in symptomatic, low-gradient aortic stenosis. Ital Heart J 2003;4:264-70.
30. 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;113:711-21.
31. Cleland JG, Daubert JC, Erdmann E, et al. The effect of cardiac resynchronization on morbidity and mortality in heart failure. N Engl J Med 2005;352:1539-49.
32. Blais C, Dumesnil JG, Baillot R, et al. Impact of valve prosthesis-patient mismatch on short-term mortality after aortic valve replacement. Circulation 2003;108:983-8.
33. Monin JL, Gueret P. Calcified aortic stenosis with left ventricular dysfunction and low transvalvular gradients. Must one reject surgery in certain cases? Arch Mal Coeur Vaiss 2003;96:864-70.
34. Di Bello V, Giorgi D, Viacava P, et al. Severe aortic stenosis and myocardial function: diagnostic and prognostic usefulness of ultrasonic integrated backscatter analysis. Circulation 2004;110:849-55.
35. Bermejo J, Antoranz JC, Garcia-Fernandez MA, et al. Flow dynamics of stenotic aortic valves assessed by signal processing of Doppler spectrograms. Am J Cardiol 2000;85:611-71.