Mixed Aortic Stenosis and Regurgitation Demands Our Attention

Aortic stenosis patients today are older and have a higher incidence of hypertension, coronary disease, and diastolic dysfunction. [...]the proportion of patients with low stroke volume due to small chamber size, increased vascular (in addition to valvular) afterload, and occult systolic dysfunction...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2013-04, Vol.61 (14), p.1496-1497
Main Authors: Byrd, Benjamin, MD, Baker, Michael, MD
Format: Article
Language:English
Subjects:
aortic regurgitation
aortic stenosis
aortic valve
Aortic Valve Insufficiency - epidemiology
Aortic Valve Insufficiency - surgery
Aortic Valve Stenosis - epidemiology
Aortic Valve Stenosis - surgery
Cardiology
Cardiovascular
Clinical medicine
Female
Heart attacks
Heart Valve Prosthesis Implantation - methods
Humans
Internal Medicine
Male
Medical prognosis
natural history
Studies
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Summary:Aortic stenosis patients today are older and have a higher incidence of hypertension, coronary disease, and diastolic dysfunction. [...]the proportion of patients with low stroke volume due to small chamber size, increased vascular (in addition to valvular) afterload, and occult systolic dysfunction due to impaired longitudinal shortening may represent one-third of cases (5). [...]the prognosis with mixed, at least moderate valve disease is worse than in patients with isolated aortic stenosis.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2013.01.029