Predictors of outcomes in low-flow, low-gradient aortic stenosis: results of the multicenter TOPAS Study.

Abstract:

BACKGROUND:Patients with low-flow, low-gradient aortic stenosis have a poor prognosis with conservative therapy but a high operative mortality if treated surgically. Recently, we proposed a new index of aortic stenosis severity derived from dobutamine stress echocardiography, the projected aortic valve area at a normal transvalvular flow rate, as superior to other conventional indices to differentiate true-severe from pseudosevere aortic stenosis. The objective of this study was to identify the determinants of survival, functional status, and change in left ventricular ejection fraction during follow-up of patients with low-flow, low-gradient aortic stenosis. METHODS AND RESULTS:One hundred one patients with low-flow, low-gradient aortic stenosis (aortic valve area

journal_name

Circulation

journal_title

Circulation

authors

Clavel MA,Fuchs C,Burwash IG,Mundigler G,Dumesnil JG,Baumgartner H,Bergler-Klein J,Beanlands RS,Mathieu P,Magne J,Pibarot P

doi

10.1161/CIRCULATIONAHA.107.757427

subject

Has Abstract

pub_date

2008-09-30 00:00:00

pages

S234-42

issue

14 Suppl

eissn

0009-7322

issn

1524-4539

pii

118/14_suppl_1/S234

journal_volume

118

pub_type

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