Resting aortic valve area at normal transaortic flow rate reflects true valve area in suspected low-gradient severe aortic stenosis

JACC: Cardiovascular Imaging

Volumn 8, Issue 10, 2015, Pages 1133-1139

  Chahal, Navtej S ^a,b   Drakopoulou, Maria ^a   Gonzalez Gonzalez, Ana M ^a   Manivarmane, Ramasamy ^a   Khattar, Rajdeep ^a,b   Senior, Roxy ^a,b,c  

^a ROYAL BROMPTON HOSPITAL   (United Kingdom)

^b NATIONAL HEART AND LUNG INSTITUTE   (United Kingdom)

^c NORTHWICK PARK HOSPITAL   (United Kingdom)

Author keywords

aortic stenosis; flow rate; stress echocardiography

Indexed keywords

AGED; AORTA STENOSIS; ARTICLE; CARDIOVASCULAR PARAMETERS; DISEASE ASSOCIATION; DISEASE SEVERITY; FEMALE; FLOW RATE; HUMAN; LOW GRADIENT SEVERE AORTIC STENOSIS; MAJOR CLINICAL STUDY; MALE; PREDICTIVE VALUE; PRIORITY JOURNAL; RESTING AORTIC VALVE AREA; STRESS ECHOCARDIOGRAPHY; TRANSAORTIC FLOW RATE; AORTA VALVE; AORTA VALVE STENOSIS; ECHOGRAPHY; HEART LEFT VENTRICLE FUNCTION; HEART STROKE VOLUME; HEMODYNAMICS; MULTIVARIATE ANALYSIS; ODDS RATIO; PATHOPHYSIOLOGY; PROGNOSIS; RETROSPECTIVE STUDY; RISK FACTOR; SEVERITY OF ILLNESS INDEX; STATISTICAL MODEL; VERY ELDERLY;

BETA 1 ADRENERGIC RECEPTOR STIMULATING AGENT; DOBUTAMINE;

ADRENERGIC BETA-1 RECEPTOR AGONISTS; AGED; AGED, 80 AND OVER; AORTIC VALVE; AORTIC VALVE STENOSIS; DOBUTAMINE; ECHOCARDIOGRAPHY, STRESS; FEMALE; HEMODYNAMICS; HUMANS; LOGISTIC MODELS; MALE; MULTIVARIATE ANALYSIS; ODDS RATIO; PREDICTIVE VALUE OF TESTS; PROGNOSIS; RETROSPECTIVE STUDIES; RISK FACTORS; SEVERITY OF ILLNESS INDEX; STROKE VOLUME; VENTRICULAR FUNCTION, LEFT;

EID: 84944040350     PISSN: 1936878X     EISSN: 18767591     Source Type: Journal    
DOI: 10.1016/j.jcmg.2015.04.021     Document Type: Article

References (17)

1. I.G. Burwash, D.D. Thomas, M. Sadahiro, and et al. Dependence of Gorlin formula and continuity equation valve areas on transvalvular volume flow rate in valvular aortic stenosis Circulation 89 1994 827 835
2. C.R. deFilippi, D.L. Willett, M.E. Brickner, and 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 75 1995 191 194
3. P. Pibarot, and J.G. Dumesnil Low-flow, low-gradient aortic stenosis with normal and depressed left ventricular ejection fraction J Am Coll Cardiol 60 2012 1845 1853
4. R.A. Nishimura, C.M. Otto, R.O. Bonow, and et al. 2014 AHA/ACC Guideline 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 63 2014 e57 e185
5. R.O. Bonow, B.A. Carabello, K. Chatterjee, and 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 (writing Committee to Revise the 1998 guidelines for the management of patients with valvular heart disease) developed in collaboration with the Society of Cardiovascular Anesthesiologists J Am Coll Cardiol 48 2006 e1 e148
6. M.A. Clavel, P.V. Ennezat, S. Maréchaux, and et al. Stress echocardiography to assess stenosis severity and predict outcome in patients with paradoxical low-flow, low-gradient aortic stenosis and preserved LVEF J Am Coll Cardiol Img 6 2013 175 183
7. R.A. Nishimura, J.A. Grantham, H.M. Connolly, H.V. Schaff, S.T. Higano, and D.R. Holmes Jr. 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 106 2002 809 813
8. E. Schwammenthal, Z. Vered, Y. Moshkowitz, and et al. Dobutamine echocardiography in patients with aortic stenosis and left ventricular dysfunction: predicting outcome as a function of management strategy Chest 119 2001 1766 1777
9. J.L. Monin, M. Monchi, V. Gest, A.M. Duval-Moulin, J.L. Dubois-Rande, and P. Gueret Aortic stenosis with severe left ventricular dysfunction and low transvalvular pressure gradients: risk stratification by low-dose dobutamine echocardiography J Am Coll Cardiol 37 2001 2101 2107
10. B.N. Shah, N.S. Chahal, and R. Senior Low-flow low-gradient aortic stenosis in patients with low ejection fraction: but is the flow truly low? Int J Cardiol 168 2013 4999 5001
11. 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
12. W. Voelker, H. Reul, G. Nienhaus, and 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 91 1995 1196 1204
13. J. Minners, M. Allgeier, C. Gohlke-Baerwolf, 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
14. L. Kadem, R. Rieu, J.G. Dumesnil, L.G. Durand, and P. Pibarot Flow-dependent changes in Doppler-derived aortic valve effective orifice area are real and not due to artifact J Am Coll Cardiol 47 2006 131 137
15. C. Blais, I.G. Burwash, G. Mundigler, and 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 113 2006 711 721
16. P.A. Pellikka, V.L. Roger, R.B. Mccully, and et al. Normal stroke volume and cardiac output response during dobutamine in subjects without left ventricular wall motion abnormalities Am J Cardiol 76 1995 881 886
17. N.S. Chahal, T.K. Lim, P. Jain, J.C. Chambers, J.S. Kooner, and R. Senior Ethnicity-related differences in left ventricular function, structure and geometry: a population study of UK Indian Asian and European white subjects Heart 96 2010 466 471