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Open Access Low-Gradient, Low Ejection Fraction Severe Aortic Stenosis: Still a Management Conundrum

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This article is Open Access under the terms of the Creative Commons CC BY-NC licence.

The management of patients with severe symptomatic aortic stenosis and a high transvalvular gradient is straightforward. It requires aortic valve replacement. Management of aortic stenosis patients with low flow, low ejection fraction and low gradient is fraught. Such patients rarely fulfill all the tenets of “severity” and also have severe left ventricular dysfunction. Both circumstances make the outcome of aortic valve replacement uncertain. Thus the management of this group of patients requires integration of all diagnostic modalities available. The physical examination, degree of valve calcification, the appearance of the valve during sonographic examination and the presence of inotropic reserve all contribute importantly in judging stenosis severity and the likelihood of successful valve replacement.
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Keywords: aortic stenosis; heart failure; valvular heart disease

Document Type: Research Article

Publication date: 01 January 2018

This article was made available online on 09 November 2017 as a Fast Track article with title: "Low-Gradient, Low Ejection Fraction Severe Aortic Stenosis: Still a Management Conundrum".

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  • Cardiovascular Innovations and Applications (CVIA) publishes focused articles and original clinical research that explore novel developments in cardiovascular disease, effective control and rehabilitation in cardiovascular disease, and promote cardiovascular innovations and applications for the betterment of public health globally. The journal publishes basic research that has clinical applicability in order to promote timely communication of the latest insights relating to coronary artery disease, heart failure, hypertension, cardiac arrhythmia, prevention of cardiovascular disease with a heavy emphasis on risk factor modification. Cardiovascular Innovations and Applications is the official journal of the Great Wall International Congress of Cardiology (GW-ICC). It aims to continue the work of the GW-ICC by providing a global scientific communication platform for cardiologists that bridges East and West.

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