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Volumn 12, Issue 2, 2010, Pages 108-115

Low-Flow, low-gradient, normal ejection fraction aortic stenosis

Author keywords

Aortic valve stenosis; Echocardiography; Hemodynamics; Severity

Indexed keywords

AORTA STENOSIS; AORTA VALVE; CARDIOVASCULAR SYSTEM EXAMINATION; DIAGNOSTIC ERROR; DIFFERENTIAL DIAGNOSIS; DISEASE SEVERITY; DOPPLER ECHOCARDIOGRAPHY; HEART FUNCTION; HEART LEFT VENTRICLE EJECTION FRACTION; HEART LEFT VENTRICLE FILLING; HEART VENTRICLE REMODELING; HUMAN; PATHOPHYSIOLOGY; REVIEW;

EID: 77953539912     PISSN: 15233782     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11886-010-0090-0     Document Type: Review
Times cited : (15)

References (27)
  • 1
    • 33847134400 scopus 로고    scopus 로고
    • Guidelines on the management of valvular heart disease: The task force on the management of valvular heart disease of the European society of cardiology
    • Vahanian A, Baumgartner H, Bax J, et al.: Guidelines on the management of valvular heart disease: The Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology. Eur Heart J 2007, 28:230-268.
    • (2007) Eur Heart J , vol.28 , pp. 230-268
    • Vahanian, A.1    Baumgartner, H.2    Bax, J.3
  • 2
    • 33747116680 scopus 로고    scopus 로고
    • ACC/AHA guidelines for the management of patients with valvular heart disease: A report of the American college of cardiology/American heart association task force on practice guidelines
    • Bonow RO, Carabello BA, Kanu C, et al.: ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 2006, 114:e84-e231.
    • (2006) Circulation , vol.114
    • Bonow, R.O.1    Carabello, B.A.2    Kanu, C.3
  • 3
    • 0042308426 scopus 로고    scopus 로고
    • Low-gradient aortic stenosis: Operative risk stratification and predictors for long-term outcome: A multicenter study using dobutamine stress hemodynamics
    • 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, 108:319-324.
    • (2003) Circulation , vol.108 , pp. 319-324
    • Monin, J.L.1    Quere, J.P.2    Monchi, M.3
  • 4
    • 54449093329 scopus 로고    scopus 로고
    • Predictors of outcomes in low-flow, low-gradient aortic stenosis: Results of the multicenter TOPAS Study
    • Clavel MA, Fuchs C, Burwash IG, et al.: Predictors of outcomes in low-flow, low-gradient aortic stenosis: Results of the multicenter TOPAS Study. Circulation 2008, 118:S234-S242.
    • (2008) Circulation , vol.118
    • Clavel, M.A.1    Fuchs, C.2    Burwash, I.G.3
  • 5
    • 0028857528 scopus 로고
    • Usefulness of dobutamine echocardiography in distinguishing severe from nonsevere valvular aortic stenosis in patients with depressed left ventricular function and low transvalvular gradients
    • deFilippi CR,Willett DL, BricknerME, 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, 75:191-194.
    • (1995) Am J Cardiol , vol.75 , pp. 191-194
    • DeFilippi, C.R.1    Willett, D.L.2    Brickner, M.E.3
  • 6
    • 0042859863 scopus 로고    scopus 로고
    • Impact of prosthesispatient mismatch on short-term mortality after aortic valve replacement
    • Blais C, Dumesnil JG, Baillot R, et al.: Impact of prosthesispatient mismatch on short-term mortality after aortic valve replacement. Circulation 2003, 108:983-988.
    • (2003) Circulation , vol.108 , pp. 983-988
    • Blais, C.1    Dumesnil, J.G.2    Baillot, R.3
  • 7
    • 33747199079 scopus 로고    scopus 로고
    • Long-term outcomes after valve replacement for low-gradient aortic stenosis: Impact of prosthesispatient mismatch
    • Kulik A, Burwash IG,Kapila V, et al.: Long-term outcomes after valve replacement for low-gradient aortic stenosis: Impact of prosthesispatient mismatch. Circulation 2006, 114(Suppl I):I5553-I5558.
    • (2006) Circulation , vol.114 , Issue.SUPPL. 1
    • Kulik, A.1    Burwash, I.G.2    Kapila, V.3
  • 8
    • 65549091065 scopus 로고    scopus 로고
    • Outcome after aortic valve replacement for low-flow/low-gradient aortic stenosis without contractile reserve on dobutamine stress echocardiography
    • Tribouilloy C, Levy F, Rusinaru D, et al.: Outcome after aortic valve replacement for low-flow/low-gradient aortic stenosis without contractile reserve on dobutamine stress echocardiography. J Am Coll Cardiol 2009, 53:1865-1873.
    • (2009) J Am Coll Cardiol , vol.53 , pp. 1865-1873
    • Tribouilloy, C.1    Levy, F.2    Rusinaru, D.3
  • 9
    • 34249868221 scopus 로고    scopus 로고
    • Paradoxical low flow, low gradient severe aortic stenosis despite preserved ejection fraction is associated with higher afterload and reduced survival
    • This is the first study to describe this new clinical entity of paradoxical low-flow, lowgradient severe AS with preserved LVEF. This is probably the article in this list that should be read in priority when one wants to learn more about this particular topic
    • Hachicha Z, Dumesnil JG, Bogaty P, Pibarot P: Paradoxical low flow, low gradient severe aortic stenosis despite preserved ejection fraction is associated with higher afterload and reduced survival. Circulation 2007, 115:2856-2864. This is the first study to describe this new clinical entity of paradoxical low-flow, lowgradient severe AS with preserved LVEF. This is probably the article in this list that should be read in priority when one wants to learn more about this particular topic.
    • (2007) Circulation , vol.115 , pp. 2856-2864
    • Hachicha, Z.1    Dumesnil, J.G.2    Bogaty, P.3    Pibarot, P.4
  • 10
    • 64149105074 scopus 로고    scopus 로고
    • Low-flow aortic stenosis in asymptomatic patients: Valvular arterial impedance and systolic function from the SEAS substudy
    • This is an important study that confirms the results of Hachicha et al. [9] in a large prospective series of asymptomatic patients
    • Cramariuc D, Cioffi G, Rieck AE, et al.: Low-flow aortic stenosis in asymptomatic patients: Valvular arterial impedance and systolic function from the SEAS substudy. JACC Cardiovasc Imaging 2009, 2:390-399. This is an important study that confirms the results of Hachicha et al. [9] in a large prospective series of asymptomatic patients.
    • (2009) JACC Cardiovasc Imaging , vol.2 , pp. 390-399
    • Cramariuc, D.1    Cioffi, G.2    Rieck, A.E.3
  • 11
    • 64149092935 scopus 로고    scopus 로고
    • Aortic stenosis: Look globally, think globally
    • Pibarot P, Dumesnil JG: Aortic stenosis: Look globally, think globally. JACC Cardiovasc Imaging 2009, 2:400-403.
    • (2009) JACC Cardiovasc Imaging , vol.2 , pp. 400-403
    • Pibarot, P.1    Dumesnil, J.G.2
  • 12
    • 76349114450 scopus 로고    scopus 로고
    • Paradoxical low flow and/ or low gradient severe aortic stenosis despite preserved left ventricular ejection fraction: Implications for diagnosis and treatment
    • This is an interesting viewpoint article of paradoxical low-flow, low-gradient AS. It also provides important additional results of the study by Hachicha et al. [9]
    • Dumesnil JG, Pibarot P, Carabello B: Paradoxical low flow and/ or low gradient severe aortic stenosis despite preserved left ventricular ejection fraction: Implications for diagnosis and treatment. Eur Heart J 2010, 31:281-289. This is an interesting viewpoint article of paradoxical low-flow, low-gradient AS. It also provides important additional results of the study by Hachicha et al. [9].
    • (2010) Eur Heart J , vol.31 , pp. 281-289
    • Dumesnil, J.G.1    Pibarot, P.2    Carabello, B.3
  • 13
    • 43749085073 scopus 로고    scopus 로고
    • Severe isolated aortic stenosis with normal left ventricular systolic function and low transvalvular gradients: Pathophysiologic and prognostic insights
    • This is an important study showing that patients with normal LVEF, low-flow, low-gradient. AS have a 50% lower referral to surgery but a twofold increase in mortality
    • Barasch E, Fan D, Chukwu EO, et al.: Severe isolated aortic stenosis with normal left ventricular systolic function and low transvalvular gradients: Pathophysiologic and prognostic insights. J Heart Valve Dis 2008, 17:81-88. This is an important study showing that patients with normal LVEF, low-flow, low-gradient. AS have a 50% lower referral to surgery but a twofold increase in mortality.
    • (2008) J Heart Valve Dis , vol.17 , pp. 81-88
    • Barasch, E.1    Fan, D.2    Chukwu, E.O.3
  • 14
    • 69549107735 scopus 로고    scopus 로고
    • Impact of myocardial fibrosis in patients with symptomatic severe aortic stenosis
    • This is a very important and comprehensive study showing that patients with small AVA, normal LVEF, and low gradient have more myocardial fibrosis and reduced myocardial systolic function
    • Weidemann F, Herrmann S, Stork S, et al.: Impact of myocardial fibrosis in patients with symptomatic severe aortic stenosis. Circulation 2009, 120:577-584. This is a very important and comprehensive study showing that patients with small AVA, normal LVEF, and low gradient have more myocardial fibrosis and reduced myocardial systolic function.
    • (2009) Circulation , vol.120 , pp. 577-584
    • Weidemann, F.1    Herrmann, S.2    Stork, S.3
  • 15
    • 42749090727 scopus 로고    scopus 로고
    • Functional differences of left ventricular hypertrophy induced by either arterial hypertension or aortic valve stenosis
    • Strotmann JM, Lengenfelder B, Blondelot J, et al.: Functional differences of left ventricular hypertrophy induced by either arterial hypertension or aortic valve stenosis. Am J Cardiol 2008, 101:1493-1497.
    • (2008) Am J Cardiol , vol.101 , pp. 1493-1497
    • Strotmann, J.M.1    Lengenfelder, B.2    Blondelot, J.3
  • 16
    • 69249160933 scopus 로고    scopus 로고
    • Usefulness of the valvuloarterial impedance to predict adverse outcome in asymptomatic aortic stenosis
    • This is an important study that demonstrates the usefulness of the valvuloarterial impedance to estimate the global hemodynamic load and to predict outcomes in patients with AS
    • Hachicha Z, Dumesnil JG, Pibarot P: Usefulness of the valvuloarterial impedance to predict adverse outcome in asymptomatic aortic stenosis. J Am Coll Cardiol 2009, 54:1003-1011. This is an important study that demonstrates the usefulness of the valvuloarterial impedance to estimate the global hemodynamic load and to predict outcomes in patients with AS.
    • (2009) J Am Coll Cardiol , vol.54 , pp. 1003-1011
    • Hachicha, Z.1    Dumesnil, J.G.2    Pibarot, P.3
  • 17
    • 69749102872 scopus 로고    scopus 로고
    • Left ventricular structure in different types of chronic pressure overload
    • Gerdts E: Left ventricular structure in different types of chronic pressure overload. Eur Heart J 2008, 10(Suppl. E):E23-E30.
    • (2008) Eur Heart J , vol.10 , Issue.SUPPL. E
    • Gerdts, E.1
  • 18
    • 77953534399 scopus 로고    scopus 로고
    • Metabolic syndrome is associated with more pronounced impairment of LV geometry and function in patients with calcific aortic stenosis: A substudy of the ASTRONOMER trial
    • (in press)
    • Pagé A, Dumesnil JG, Clavel MA, et al.: Metabolic syndrome is associated with more pronounced impairment of LV geometry and function in patients with calcific aortic stenosis: A substudy of the ASTRONOMER trial. J Am Coll Cardiol 2009 (in press).
    • (2009) J Am Coll Cardiol
    • Pagé, A.1    Dumesnil, J.G.2    Clavel, M.A.3
  • 19
    • 0026067474 scopus 로고
    • Quantitative relationships between left ventricular ejection and wall thickening and geometry
    • Dumesnil JG, Shoucri RM: Quantitative relationships between left ventricular ejection and wall thickening and geometry. J Appl Physiol 1991, 70:48-54.
    • (1991) J Appl Physiol , vol.70 , pp. 48-54
    • Dumesnil, J.G.1    Shoucri, R.M.2
  • 20
    • 22044444857 scopus 로고    scopus 로고
    • Reduced systemic arterial compliance impacts significantly on left ventricular afterload and function in aortic stenosis: Implications for diagnosis and treatment
    • Briand M, Dumesnil JG, Kadem L, et al.: Reduced systemic arterial compliance impacts significantly on left ventricular afterload and function in aortic stenosis: Implications for diagnosis and treatment. J Am Coll Cardiol 2005, 46:291-298.
    • (2005) J Am Coll Cardiol , vol.46 , pp. 291-298
    • Briand, M.1    Dumesnil, J.G.2    Kadem, L.3
  • 21
    • 56049116209 scopus 로고    scopus 로고
    • Survival benefit of aortic valve replacement in patients with severe aortic stenosis with low ejection fraction and low gradient with normal ejection fraction
    • Pai RG, Varadarajan P, Razzouk A: Survival benefit of aortic valve replacement in patients with severe aortic stenosis with low ejection fraction and low gradient with normal ejection fraction. Ann Thorac Surg 2008, 86:1781-1789.
    • (2008) Ann Thorac Surg , vol.86 , pp. 1781-1789
    • Pai, R.G.1    Varadarajan, P.2    Razzouk, A.3
  • 22
    • 0029587342 scopus 로고
    • A new, simple and accurate method for determining ejection fraction by Doppler echocardiography
    • Dumesnil JG, Dion D, Yvorchuk K, et al.: A new, simple and accurate method for determining ejection fraction by Doppler echocardiography. Can J Cardiol 1995, 11:1007-1014.
    • (1995) Can J Cardiol , vol.11 , pp. 1007-1014
    • Dumesnil, J.G.1    Dion, D.2    Yvorchuk, K.3
  • 23
    • 34447503043 scopus 로고    scopus 로고
    • What do you mean by aortic valve area: Geometric orifice area, effective orifice area or gorlin area?
    • Garcia D, Kadem L: What do you mean by aortic valve area: Geometric orifice area, effective orifice area, or gorlin area? J Heart Valve Dis 2006, 15:601-608.
    • (2006) J Heart Valve Dis , vol.15 , pp. 601-608
    • Garcia, D.1    Kadem, L.2
  • 24
    • 45349097778 scopus 로고    scopus 로고
    • Inconsistencies of echocardiographic criteria for the grading of aortic valve stenosis
    • This is a very important study showing that there are inconsistencies in the criteria of AVA and mean gradient proposed in the guidelines to grade severe AS
    • Minners J, Allgeier M, Gohlke-Baerwolf C, et al.: Inconsistencies of echocardiographic criteria for the grading of aortic valve stenosis. Eur Heart J 2008, 29:1043-1048. This is a very important study showing that there are inconsistencies in the criteria of AVA and mean gradient proposed in the guidelines to grade severe AS.
    • (2008) Eur Heart J , vol.29 , pp. 1043-1048
    • Minners, J.1    Allgeier, M.2    Gohlke-Baerwolf, C.3
  • 25
    • 0027497021 scopus 로고
    • Left ventricular hypertrophy and mortality after aortic valve replacement for aortic stenosis. A high risk subgroup identified by preoperative relative wall thickness
    • Orsinelli DA, Aurigemma GP, Battista S, et al.: Left ventricular hypertrophy and mortality after aortic valve replacement for aortic stenosis. A high risk subgroup identified by preoperative relative wall thickness. J Am Coll Cardiol 1993, 22:1679-1683.
    • (1993) J Am Coll Cardiol , vol.22 , pp. 1679-1683
    • Orsinelli, D.A.1    Aurigemma, G.P.2    Battista, S.3
  • 26
    • 43649103855 scopus 로고    scopus 로고
    • Influence of concentric left ventricular remodeling on early mortality after aortic valve replacement
    • Duncan AI, Lowe BS, Garcia MJ, et al.: Influence of concentric left ventricular remodeling on early mortality after aortic valve replacement. Ann Thorac Surg 2008, 85:2030-2039.
    • (2008) Ann Thorac Surg , vol.85 , pp. 2030-2039
    • Duncan, A.I.1    Lowe, B.S.2    Garcia, M.J.3
  • 27
    • 77953534719 scopus 로고    scopus 로고
    • Eurecho
    • Aortic valve calcification measured by multislice computed tomography in aortic stenosis - correlation with hemodynamic severity and clinical implication for patients with low ejection fraction, Madrid December 10, 2009, [Abstract]
    • Aortic valve calcification measured by multislice computed tomography in aortic stenosis - correlation with hemodynamic severity and clinical implication for patients with low ejection fraction. Cueff C, Serfaty JM, Cimadevilla C, et al. Eurecho 2009. Madrid December 10, 2009. Eur J Echocardiogr 2009, 10: Ii45-ii73 [Abstract].
    • (2009) Eur J Echocardiogr , vol.10
    • Cueff, C.1    Serfaty, J.M.2    Cimadevilla, C.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.