Katayama M, Chaliki HP. Diagnosis and management of patients with asymptomatic severe aortic stenosis. World J Cardiol 2016; 8(2): 192-200 [PMID: 26981214 DOI: 10.4330/wjc.v8.i2.192]
Corresponding Author of This Article
Hari P Chaliki, MD, Division of Cardiovascular Diseases, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ 85259, United States. chaliki.hari@mayo.edu
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Feb 26, 2016; 8(2): 192-200 Published online Feb 26, 2016. doi: 10.4330/wjc.v8.i2.192
Diagnosis and management of patients with asymptomatic severe aortic stenosis
Minako Katayama, Hari P Chaliki
Minako Katayama, Hari P Chaliki, Division of Cardiovascular Diseases, Mayo Clinic, Scottsdale, AZ 85259, United States
Author contributions: Katayama M and Chaliki HP wrote the paper.
Conflict-of-interest statement: Minako Katayama has received a research grant from American Heart Association Clinical Research Program (mentored by Hari P Chaliki) (13CRP17300021).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Hari P Chaliki, MD, Division of Cardiovascular Diseases, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ 85259, United States. chaliki.hari@mayo.edu
Telephone: +1-480-3018000 Fax: +1-480-3018018
Received: June 27, 2015 Peer-review started: June 29, 2015 First decision: September 17, 2015 Revised: October 31, 2015 Accepted: December 1, 2015 Article in press: December 2, 2015 Published online: February 26, 2016
Abstract
Aortic stenosis (AS) is a disease that progresses slowly for years without symptoms, so patients need to be carefully managed with appropriate follow up and referred for aortic valve replacement in a timely manner. Development of symptoms is a clear indication for aortic valve intervention in patients with severe AS. The decision for early surgery in patients with asymptomatic severe AS is more complex. In this review, we discuss how to identify high-risk patients with asymptomatic severe AS who may benefit from early surgery.
Core tip: We focused on how to identify high-risk patients in asymptomatic aortic stenosis. Revised American Heart Association/American College of Cardiology guidelines and diagnostic testing for appropriate clinical decision making are discussed in this article.
