Heart Sound: Severe Aortic Stenosis
Listen to heart of patient with a severely diseased aortic valve.
Heart Valve Disease
Listen. Suspect. Refer.
Heart Valve Disease
Listen. Suspect. Refer.
Be Aortic Stenosis aware, know the red flags
Aortic Stenosis is a progressive disease, no matter what stage your patient is at, they will need regular echo to ensure timely treatment.
If you have a patient with signs consistent with heart failure...this requires an urgent echo.
Without proper and timely intervention, your severe aortic stenosis patients may die within 2 years .1
Chance of living without aortic valve replacement (AVR)1
Planning for aortic valve replacement (AVR) as soon as symptoms occur gives SAS patients a significantly better chance at survival. Without proper and timely intervention, your SAS patient's risk of death increases.1,2
Aortic Stenosis is a progressive disease, no matter what stage your patient is at, they will need regular echo to ensure timely treatment.
Mild AS:
Refer back to GP, although reasonable to repeat echo in 5 years if clinically appropriate (particularly in younger patients, rheumatic valvular heart disease, renal disease).Ten per cent of aortic sclerosis < 2.5 m/s may progress to severe AS in 5 years (3).
Moderate AS:
Consider 1 year follow up scan in initial diagnosis of moderate aortic stenosis to determine rate of progression. Otherwise surveillance echo in 2 years.
Severe AS:
Without change in symptoms surveillance echo within one year.
Progression of aortic valve disease and LV size / function are relevant independent criteria to consider.3
The survival rate of untreated severe aortic stenosis (AS) is worse than a lot of metastatic cancers, including lung, colorectal, breast, ovarian and prostate cancers.4
Aortic Stenosis has a significant impact of patients’ lives, reducing their quality of life and liability to carry out their daily activities.
Aortic Stenosis is a mechanical problem, that needs a mechanical solution
Tavi & Surgery are well established treatment options for your patients.
ACC guidelines suggest TAVI & Surgery are considerations for your symptomatic patients between 65-80. European guidelines suggest patients over 75, should be recommended for TAVI.5
Heart Sound: Normal Heart
Listen to heart of patient with a healthy aortic valve.
Resources for you
Resources for your patients
Want to stay up to date?
Subscribe to the mailing list to receive the latest information on Aortic Stenosis and treatment options available
Thank you!
Thank you for signing up to the heartvalves.com newsletter. You will now receive emails on the latest developments and industry insights on heart valve innovation and technology.
References: 1. Otto CM. Timing of aortic valve surgery. Heart. 2000;84:211-18. 2. Malaisrie SC, McDonald E, Kruse J, et al. Mortality While Waiting for Aortic Valve Replacement. Ann Thorac Surg 2014;98:1564-71. 3. APPROPRIATENESS GUIDELINE FOR ADULT ECHOCARDIOGRAPHY (NEW ZEALAND) A. Sasse, T. O’Meeghan, R. Anscombe, C. Goggin, N. van Pelt 4. Barnhart GR, Martin RP, Thomas JD, McCarthy PM. The need for echocardiography alerts for aortic stenosis: the time has come. Journal of the American Society of Echocardiography. 2020 Mar 1;33(3):355-7. 5. 2021 ESC/EACTS Guidelines for the management of valvular heart disease, European Heart Journal (2022) 43, 561–632