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European Heart Journal Advance Access originally published online on March 13, 2008
European Heart Journal 2008 29(8):966-968; doi:10.1093/eurheartj/ehn080
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Severe aortic stenosis with low gradient and apparently preserved left ventricular systolic function—under-recognized or overdiagnosed?

Frank A. Flachskampf*

Med. Klinik 2, Universitätsklinikum Erlangen, Ulmenweg 18, D-91054 Erlangen, Germany

* Corresponding author. Tel: +49 9131 853 5301: Fax +49 9131 853 5303, Email: frank.flachskampf@uk-erlangen.de

This editorial refers to ‘Inconsistencies of echocardiographic criteria for the grading of aortic valve stenosis’{dagger} by J. Minners et al., on page 1043

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{dagger} doi:10.1093/eurheartj/ehm543

The opinions expressed in this article are not necessarily those of the Editors of the European Heart Journal or of the European Society of Cardiology.

The first 150 words of the full text of this article appear below.

The accurate diagnosis of aortic stenosis and its severity is one of the major feats of echocardiography, with an ever increasing importance due to the prevalence of this disease in our ageing population. Since the diagnosis of severe aortic stenosis in the presence of symptoms is usually an indication for aortic valve replacement,1 echocardiographic assessment, which is often the definitive test of severity, represents a decisive step in the management of these patients.

The study of Minners et al.2 therefore is highly relevant to daily practice in the echo lab, and, indeed, clinical cardiology. The authors point out a vexing problem with the current definitions of severe aortic stenosis in the presence of a preserved systolic left ventricular function: in many patients with apparently . . . [Full Text of this Article]


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Related articles in EHJ:

Inconsistencies of echocardiographic criteria for the grading of aortic valve stenosis
Jan Minners, Martin Allgeier, Christa Gohlke-Baerwolf, Rolf-Peter Kienzle, Franz-Josef Neumann, and Nikolaus Jander
EHJ 2008 29: 1043-1048. [Abstract] [FREE Full Text]  



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