| REVIEW ARTICLE |
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| Year : 2022 | Volume
: 23
| Issue : 1 | Page : 16-21 |
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Asymptomatic severe aortic stenosis: contemporary evaluation and management
Mohamed Salah Abdelghani1, Sundus Sardar2, Abdelhaleem Shawky Hamada1
1 Department of Adult Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar
2 Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
Correspondence Address:
Dr. Abdelhaleem Shawky Hamada
Department of Adult Cardiology, Heart Hospital, Hamad Medical Corporation, Doha
Qatar
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/heartviews.heartviews_34_22
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Aortic stenosis (AS) is the most prevalent valvular heart disease in developed countries and most prevalent in the elderly. According to the current guidelines, intervention is recommended in symptomatic severe AS; however, in asymptomatic patients, aortic valve replacement (AVR) is considered when symptoms appear or the left ventricular dysfunction occurs, but the evidence supports these indications are poor. The optimal timing and modality of intervention in asymptomatic severe AS (ASAS) remain controversial. Earlier AVR in certain scenarios has been increasingly supported by some groups before subclinical irreversible myocardial damage occurs. In addition, the continuous advancement of percutaneous and surgical approaches where associated with a substantial decrease in mortality and perioperative complications which made many authors advocate for early intervention in those patients. Our review highlights the contemporary evaluation and management of ASAS and summarizes the current scientific evidence regarding optimal timing for intervention and indications for early AVR in such patients.
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