Paradoxical Low-Flow, Low-Gradient Aortic Stenosis: Adding New Pieces to the Puzzle

Journal of the American College of Cardiology

Volumn 58, Issue 4, 2011, Pages 413-415

  Pibarot, Philippe ^a   Dumesnil, Jean G ^a  

^a LAVAL UNIVERSITY   (Canada)

Author keywords

aortic stenosis; aortic valve; low gradient; myocardial fibrosis; myocardial function

Indexed keywords

AORTA VALVE STENOSIS; BLOOD FLOW VELOCITY; HEART STROKE VOLUME; HOSPITALIZATION; HUMAN; NOTE; PATHOPHYSIOLOGY;

AORTIC VALVE STENOSIS; BLOOD FLOW VELOCITY; HUMANS; SEVERITY OF ILLNESS INDEX; STROKE VOLUME;

EID: 80053307386     PISSN: 07351097     EISSN: 15583597     Source Type: Journal    
DOI: 10.1016/j.jacc.2011.01.057     Document Type: Editorial

References (9)

1. Hachicha, Z., Dumesnil, J.G., 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 115 (2007), 2856–2864.
2. Barasch, E., Fan, D., Chukwu, E.O., et al. Severe isolated aortic stenosis with normal left ventricular systolic function and low transvalvular gradients: pathophysiologic and prognostic insights. J Heart Valve Dis 17 (2008), 81–88.
3. Cramariuc, D., Cioffi, G., Rieck, A.E., et al. Low-flow aortic stenosis in asymptomatic patients: Valvular arterial impedance and systolic function from the SEAS substudy. J Am Coll Cardiol Img 2 (2009), 390–399.
4. Dumesnil, J.G., 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 31 (2010), 281–289.
5. Lancellotti, P., Donal, E., Magne, J., et al. Impact of global left ventricular afterload on left ventricular function in asymptomatic severe aortic stenosis: a two-dimensional speckle-tracking study. Eur J Echocardiogr 11 (2010), 537–543.
6. Minners, J., Allgeier, M., Gohlke-Baerwolf, C., Kienzle, R.P., Neumann, F.J., Jander, N., Inconsistent grading of aortic valve stenosis by current guidelines: haemodynamic studies in patients with apparently normal left ventricular function. Heart 96 (2010), 1463–1468.
7. Herrmann, S., Störk, S., Niemann, M., et al. Low-gradient aortic valve stenosis: myocardial fibrosis and its influence on function and outcome. J Am Coll Cardiol 58 (2011), 402–412.
8. Dumesnil, J.G., Shoucri, R.M., Laurenceau, J.L., Turcot, J., A mathematical model of the dynamic geometry of the intact left ventricle and its application to clinical data. Circulation 59 (1979), 1024–1034.
9. Pibarot, P., Dumesnil, J.G., Longitudinal myocardial shortening in aortic stenosis: Ready for prime time after 30 years of research?. Heart 96 (2009), 95–96.