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Impact of Obesity and Nonobesity on Grading the Severity of Aortic Valve Stenosis

We tested the hypothesis that the disproportionate increase of body surface area in obesity may lead to the overestimation of aortic stenosis (AS) severity when the aortic valve area (AVA) is indexed (AVAI) for body surface area in 1,524 patients enrolled in the Simvastatin and Ezetimibe in AS study...

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Published in:The American journal of cardiology 2014-05, Vol.113 (9), p.1532-1535
Main Authors: Rogge, Barbara P., MD, Gerdts, Eva, MD, PhD, Cramariuc, Dana, MD, PhD, Bahlmann, Edda, MD, Jander, Nikolaus, MD, Gohlke-Bärwolf, Christa, MD, Pedersen, Terje R., MD, PhD, Lønnebakken, Mai Tone, MD, PhD
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Language:English
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Summary:We tested the hypothesis that the disproportionate increase of body surface area in obesity may lead to the overestimation of aortic stenosis (AS) severity when the aortic valve area (AVA) is indexed (AVAI) for body surface area in 1,524 patients enrolled in the Simvastatin and Ezetimibe in AS study. Obesity was defined as a body mass index of ≥30 kg/m2 . Peak aortic jet velocity, mean aortic gradient, AVA, and energy loss (EL) did not differ, although AVAI and EL indexed (ELI) for body surface area were significantly smaller in the obese group (n = 321) compared with the nonobese (n = 1,203) group (both p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2014.01.429