Echocardiographic Evaluation of Aortic Stenosis: A Comprehensive Review

Echocardiography represents the most important diagnostic tool in the evaluation of aortic stenosis. The echocardiographic assessment of its severity should always be performed through a standardized and stepwise approach in order to achieve a comprehensive evaluation. The latest technical innovatio...

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Bibliographic Details
Published in:Diagnostics (Basel) 2023-07, Vol.13 (15), p.2527
Main Authors: Manzo, Rachele, Ilardi, Federica, Nappa, Dalila, Mariani, Andrea, Angellotti, Domenico, Immobile Molaro, Maddalena, Sgherzi, Giulia, Castiello, Domenico Simone, Simonetti, Fiorenzo, Santoro, Ciro, Canonico, Mario Enrico, Avvedimento, Marisa, Piccolo, Raffaele, Franzone, Anna, Esposito, Giovanni
Format: Article
Language:English
Subjects:
Aortic stenosis
aortic stenosis grading
Aortic valve stenosis
artificial intelligence
Calcification
cardiac damage
Cardiovascular disease
Care and treatment
Diagnosis
echocardiography
Flow velocity
Hemodynamics
Localization
Morphology
multiparametric approach
Review
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Summary:Echocardiography represents the most important diagnostic tool in the evaluation of aortic stenosis. The echocardiographic assessment of its severity should always be performed through a standardized and stepwise approach in order to achieve a comprehensive evaluation. The latest technical innovations in the field of echocardiography have improved diagnostic accuracy, guaranteeing a better and more detailed evaluation of aortic valve anatomy. An early diagnosis is of utmost importance since it shortens treatment delays and improves patient outcomes. Echocardiography plays a key role also in the evaluation of all the structural changes related to aortic stenosis. Detailed evaluation of subtle and subclinical changes in left ventricle function has a prognostic significance: scientific efforts have been addressed to identify the most accurate global longitudinal strain cut-off value able to predict adverse outcomes. Moreover, in recent years the role of artificial intelligence is increasingly emerging as a promising tool able to assist cardiologists in aortic stenosis screening and diagnosis, especially by reducing the rate of aortic stenosis misdiagnosis.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics13152527