Survival after intervention in patients with low gradient severe aortic stenosis and preserved left ventricular function

Journal of Thoracic and Cardiovascular Surgery

Volumn 148, Issue 6, 2014, Pages 2823-2828

  Grupper, Avishay ^a,b   Beigel, Roy ^a,b   Maor, Elad ^a,b   Kuperstein, Rafael ^a,b   Hai, Ilan ^a,b   Perelshtein, Olga ^a,b   Goldenberg, Ilan ^a,b   Feinberg, Micha ^a,b   Ben Zekry, Sagit ^a,b  

^a SHEBA MEDICAL CENTER   (Israel)

^b TEL AVIV UNIVERSITY   (Israel)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; AORTA STENOSIS; AORTA VALVE REPLACEMENT; ARTICLE; BODY MASS; CARDIOVASCULAR MORTALITY; FEMALE; FOLLOW UP; HEART EJECTION FRACTION; HEART INDEX; HEART LEFT VENTRICLE FUNCTION; HEART OUTPUT; HEART STROKE VOLUME; HUMAN; LOW GRADIENT SEVERE AORTIC STENOSIS; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; SURVIVAL; AGE; AORTIC VALVE STENOSIS; HEART CATHETERIZATION; HEART VALVE REPLACEMENT; ISRAEL; MIDDLE AGED; MORTALITY; MULTIVARIATE ANALYSIS; PATHOPHYSIOLOGY; PROPORTIONAL HAZARDS MODEL; RETROSPECTIVE STUDY; RISK FACTOR; SEVERITY OF ILLNESS INDEX; TIME; TREATMENT OUTCOME; UNIVERSITY HOSPITAL; VERY ELDERLY;

ACADEMIC MEDICAL CENTERS; AGE FACTORS; AGED; AGED, 80 AND OVER; AORTIC VALVE STENOSIS; CARDIAC CATHETERIZATION; FEMALE; HEART VALVE PROSTHESIS IMPLANTATION; HUMANS; ISRAEL; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; PROPORTIONAL HAZARDS MODELS; RETROSPECTIVE STUDIES; RISK FACTORS; SEVERITY OF ILLNESS INDEX; STROKE VOLUME; TIME FACTORS; TREATMENT OUTCOME; VENTRICULAR FUNCTION, LEFT;

EID: 84920196281     PISSN: 00225223     EISSN: 1097685X     Source Type: Journal    
DOI: 10.1016/j.jtcvs.2014.03.039     Document Type: Article

References (23)

1. A. Vahanian, O. Alfieri, F. Andreotti, M.J. Antunes, G. Barón-Esquivias, and H. Baumgartner Guidelines on the management of valvular heart disease (version 2012): the Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) Eur J Cardiothorac Surg 42 2012 S1 44
2. R.O. Bonow, B.A. Carabello, K. Chatterjee, A.C. de Leon Jr., D.P. Faxon, and M.D. Freed 2008 Focused update incorporated into the 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 J Am Coll Cardiol 52 2008 e1 e142
3. Z. Hachicha, J.G. Dumesnil, P. Bogaty, and P. Pibarot 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
4. J. Minners, M. Allgeier, C. Gohlke-Bärwolf, R.P. Kienzle, F.J. Neumann, and N. Jander Inconsistencies of echocardiographic criteria for the grading of aortic valve stenosis Eur Heart J 29 2008 1043 1048
5. J. Minners, M. Allgeier, C. Gohlke-Bärwolf, R.P. Kienzle, F.J. Neumann, and N. Jander Inconsistent grading of aortic valve stenosis by current guidelines: hemodynamic studies in patients with apparently normal left ventricular function Heart 96 2010 1463 1468
6. J.G. Dumesnil, P. Pibarot, and B. Carabello 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
7. E. Barasch, D. Fan, E.O. Chukwu, J. Han, M. Passick, and F. Petillo 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
8. K.L. Christensen, H.R. Ivarsen, L. Thuesen, B.O. Kristensen, and H. Egeblad Aortic valve stenosis: fatal natural history despite normal left ventricular function and low invasive peak-to-peak pressure gradients Cardiology 102 2004 147 151
9. N. Jander, J. Minners, I. Holme, E. Gerdts, K. Boman, and P. Brudi Outcome of patients with low-gradient "severe" aortic stenosis and preserved ejection fraction Circulation 123 2011 887 895
10. M.A. Clavel, J.G. Dumesnil, R. Capoulade, P. Mathieu, M. Sénéchal, and P. Pibarot Outcome of patients with aortic stenosis, small valve area and low-flow, low-gradient despite preserved left ventricular ejection fraction J Am Coll Cardiol 60 2012 1259 1267
11. R.B. Belkin, O. Khalique, W.S. Aronow, C. Ahn, and M. Sharma Outcomes and survival with aortic valve replacement compared with medical therapy in patients with low-, moderate-, and severe-gradient severe aortic stenosis and normal left ventricular ejection fraction Echocardiography 28 2011 378 387
12. R.G. Pai, P. Varadarajan, and A. Razzouk 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 86 2008 1781 1790
13. D. Mohty, J. Magne, M. Deltreuil, V. Aboyans, N. Echahidi, and C. Cassat Outcome and impact of surgery in paradoxical low-flow, low-gradient severe aortic stenosis and preserved left ventricular ejection fraction: a cardiac catheterization study Circulation 128 2013 S235 S242
14. N. Mantel, and D.P. Byar Evaluation of response-time data involving transient states: an illustration using heart-transplant data J Am Stat Assoc 69 1974 81 86
15. F. Weidemann, S. Herrmann, S. Störk, M. Niemann, S. Frantz, and V. Lange Impact of myocardial fibrosis in patients with symptomatic severe aortic stenosis Circulation 120 2009 577 584
16. S. Herrmann, S. Störk, M. Niemann, V. Lange, J.M. Strotmann, and S. Frantz Low-gradient aortic valve stenosis myocardial fibrosis and its influence on function and outcome J Am Coll Cardiol 58 2011 402 412
17. W.A. Zoghbi Low-gradient "severe" aortic stenosis with normal systolic function: time to refine the guidelines? Circulation 123 2011 838 840
18. P. Pibarot, and J.G. Dumesnil Paradoxical low-flow, low-gradient aortic stenosis: new evidence, more questions Circulation 128 2013 1729 1732
19. C.J. O'Sullivan, S. Stortecky, D. Heg, T. Pilgrim, N. Hosek, and L. Buellesfeld Clinical outcomes of patients with low-flow, low-gradient, severe aortic stenosis and either preserved or reduced ejection fraction undergoing transcatheter aortic valve implantation Eur Heart J 34 2013 3437 3450
20. M.F. Eleid, P. Sorajja, H.I. Michelena, J.F. Malouf, C.G. Scott, and P.A. Pellikka Flow-gradient patterns in severe aortic stenosis with preserved ejection fraction: clinical characteristics and predictors of survival Circulation 128 2013 1781 1789
21. P. Lancellotti, J. Magne, E. Donal, L. Davin, K. O'Connor, and M. Rosca Clinical outcome in asymptomatic severe aortic stenosis: insights from the new proposed aortic stenosis grading classification J Am Coll Cardiol 59 2012 235 243
22. A. Ozkan, R. Hachamovitch, S.R. Kapadia, E.M. Tuzcu, and T.H. Marwick Impact of aortic valve replacement on outcome of symptomatic patients with severe aortic stenosis with low gradient and preserved left ventricular ejection fraction Circulation 128 2013 622 631
23. P. Mehrotra, K. Jansen, A.W. Flynn, T.C. Tan, S. Elmariah, and M.H. Picard Differential left ventricular remodelling and longitudinal function distinguishes low flow from normal-flow preserved ejection fraction low-gradient severe aortic stenosis Eur Heart J 34 2013 1906 1914