How to deal with low-flow low-gradient aortic stenosis and reduced left ventricle ejection fraction: from literature review to tips for clinical practice

Low-flow low-gradient aortic stenosis (LFLG AS) with reduced left ventricle ejection fraction (LVEF) is still a diagnostic and therapeutic challenge. The aim of this paper is to review the latest evidences about the assessment of the valvular disease, usually difficult because of the low-flow status...

Descripción completa

Detalles Bibliográficos
Autores principales: Contorni, F., Fineschi, M., Iadanza, A., Santoro, A., Mandoli, G. E., Cameli, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898219/
https://www.ncbi.nlm.nih.gov/pubmed/33683509
http://dx.doi.org/10.1007/s10741-021-10090-0
_version_ 1784663599568912384
author Contorni, F.
Fineschi, M.
Iadanza, A.
Santoro, A.
Mandoli, G. E.
Cameli, M.
author_facet Contorni, F.
Fineschi, M.
Iadanza, A.
Santoro, A.
Mandoli, G. E.
Cameli, M.
author_sort Contorni, F.
collection PubMed
description Low-flow low-gradient aortic stenosis (LFLG AS) with reduced left ventricle ejection fraction (LVEF) is still a diagnostic and therapeutic challenge. The aim of this paper is to review the latest evidences about the assessment of the valvular disease, usually difficult because of the low-flow status, and the therapeutic options. Special emphasis is given to the available diagnostic tools for the characterization of LFLG AS without functional reserve at stress echocardiography and to the factors that clinicians should evaluate to choose between surgical aortic valve repair, transcatheter aortic valve implantation, or medical therapy.
format Online
Article
Text
id pubmed-8898219
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer US
record_format MEDLINE/PubMed
spelling pubmed-88982192022-03-08 How to deal with low-flow low-gradient aortic stenosis and reduced left ventricle ejection fraction: from literature review to tips for clinical practice Contorni, F. Fineschi, M. Iadanza, A. Santoro, A. Mandoli, G. E. Cameli, M. Heart Fail Rev Article Low-flow low-gradient aortic stenosis (LFLG AS) with reduced left ventricle ejection fraction (LVEF) is still a diagnostic and therapeutic challenge. The aim of this paper is to review the latest evidences about the assessment of the valvular disease, usually difficult because of the low-flow status, and the therapeutic options. Special emphasis is given to the available diagnostic tools for the characterization of LFLG AS without functional reserve at stress echocardiography and to the factors that clinicians should evaluate to choose between surgical aortic valve repair, transcatheter aortic valve implantation, or medical therapy. Springer US 2021-03-08 2022 /pmc/articles/PMC8898219/ /pubmed/33683509 http://dx.doi.org/10.1007/s10741-021-10090-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Contorni, F.
Fineschi, M.
Iadanza, A.
Santoro, A.
Mandoli, G. E.
Cameli, M.
How to deal with low-flow low-gradient aortic stenosis and reduced left ventricle ejection fraction: from literature review to tips for clinical practice
title How to deal with low-flow low-gradient aortic stenosis and reduced left ventricle ejection fraction: from literature review to tips for clinical practice
title_full How to deal with low-flow low-gradient aortic stenosis and reduced left ventricle ejection fraction: from literature review to tips for clinical practice
title_fullStr How to deal with low-flow low-gradient aortic stenosis and reduced left ventricle ejection fraction: from literature review to tips for clinical practice
title_full_unstemmed How to deal with low-flow low-gradient aortic stenosis and reduced left ventricle ejection fraction: from literature review to tips for clinical practice
title_short How to deal with low-flow low-gradient aortic stenosis and reduced left ventricle ejection fraction: from literature review to tips for clinical practice
title_sort how to deal with low-flow low-gradient aortic stenosis and reduced left ventricle ejection fraction: from literature review to tips for clinical practice
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898219/
https://www.ncbi.nlm.nih.gov/pubmed/33683509
http://dx.doi.org/10.1007/s10741-021-10090-0
work_keys_str_mv AT contornif howtodealwithlowflowlowgradientaorticstenosisandreducedleftventricleejectionfractionfromliteraturereviewtotipsforclinicalpractice
AT fineschim howtodealwithlowflowlowgradientaorticstenosisandreducedleftventricleejectionfractionfromliteraturereviewtotipsforclinicalpractice
AT iadanzaa howtodealwithlowflowlowgradientaorticstenosisandreducedleftventricleejectionfractionfromliteraturereviewtotipsforclinicalpractice
AT santoroa howtodealwithlowflowlowgradientaorticstenosisandreducedleftventricleejectionfractionfromliteraturereviewtotipsforclinicalpractice
AT mandolige howtodealwithlowflowlowgradientaorticstenosisandreducedleftventricleejectionfractionfromliteraturereviewtotipsforclinicalpractice
AT camelim howtodealwithlowflowlowgradientaorticstenosisandreducedleftventricleejectionfractionfromliteraturereviewtotipsforclinicalpractice

Ejemplares similares