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Cardiovascular Ultrasound
Published in: Cardiovascular Ultrasound 1/2015

Open Access 01-12-2015 | Review

The left ventricle in aortic stenosis – imaging assessment and clinical implications

Authors: Andreea Călin, Monica Roşca, Carmen Cristiana Beladan, Roxana Enache, Anca Doina Mateescu, Carmen Ginghină, Bogdan Alexandru Popescu

Published in: Cardiovascular Ultrasound | Issue 1/2015

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Abstract

Aortic stenosis has an increasing prevalence in the context of aging population. In these patients non-invasive imaging allows not only the grading of valve stenosis severity, but also the assessment of left ventricular function. These two goals play a key role in clinical decision-making. Although left ventricular ejection fraction is currently the only left ventricular function parameter that guides intervention, current imaging techniques are able to detect early changes in LV structure and function even in asymptomatic patients with significant aortic stenosis and preserved ejection fraction. Moreover, new imaging parameters emerged as predictors of disease progression in patients with aortic stenosis. Although proper standardization and confirmatory data from large prospective studies are needed, these novel parameters have the potential of becoming useful tools in guiding intervention in asymptomatic patients with aortic stenosis and stratify risk in symptomatic patients undergoing aortic valve replacement.
This review focuses on the mechanisms of transition from compensatory left ventricular hypertrophy to left ventricular dysfunction and heart failure in aortic stenosis and the role of non-invasive imaging assessment of the left ventricular geometry and function in these patients.
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Metadata
Title
The left ventricle in aortic stenosis – imaging assessment and clinical implications
Authors
Andreea Călin
Monica Roşca
Carmen Cristiana Beladan
Roxana Enache
Anca Doina Mateescu
Carmen Ginghină
Bogdan Alexandru Popescu
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Cardiovascular Ultrasound / Issue 1/2015
Electronic ISSN: 1476-7120
DOI
https://doi.org/10.1186/s12947-015-0017-4

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