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- W2065933006 abstract "Aortic valve stenosis (AS) is the third-most frequent heart disease after coronary artery disease and arterial hypertension, and it is associated with a high incidence of adverse outcomes. Recent data support the notion that AS is not an isolated disease uniquely limited to the valve. Indeed, AS is frequently associated with abnormalities of the systemic arterial system, and, in particular, with reduced arterial compliance, which may have important consequences for the pathophysiology and clinical outcome of this disease. Moreover, AS may also be associated with left ventricular systolic dysfunction and reduced transvalvular flow rate, which pose important challenges with regards to diagnostic evaluation and clinical decision making in AS patients. Hence, the assessment of AS severity, as well as its therapeutic management, should be conducted with the use of a comprehensive evaluation that includes not only the aortic valve, but also the systemic arterial system and the left ventricle because these three entities are tightly coupled from both a pathophysiological and a hemodynamic standpoint. Aortic valve stenosis (AS) is the third-most frequent heart disease after coronary artery disease and arterial hypertension, and it is associated with a high incidence of adverse outcomes. Recent data support the notion that AS is not an isolated disease uniquely limited to the valve. Indeed, AS is frequently associated with abnormalities of the systemic arterial system, and, in particular, with reduced arterial compliance, which may have important consequences for the pathophysiology and clinical outcome of this disease. Moreover, AS may also be associated with left ventricular systolic dysfunction and reduced transvalvular flow rate, which pose important challenges with regards to diagnostic evaluation and clinical decision making in AS patients. Hence, the assessment of AS severity, as well as its therapeutic management, should be conducted with the use of a comprehensive evaluation that includes not only the aortic valve, but also the systemic arterial system and the left ventricle because these three entities are tightly coupled from both a pathophysiological and a hemodynamic standpoint. La sténose aortique (SA) est la troisième cardiopathie en importance après la coronaropathie et l’hypertension artérielle, et elle s’associe à une forte incidence de réactions indésirables. Des données récentes étayent la notion selon laquelle la SA n’est pas une maladie isolée limitée à la valvule. En fait, la SA est souvent reliée à des anomalies du système artériel systémique et, notamment, à une diminution de la compliance artérielle, ce qui peut avoir de graves conséquences pour la physiopathologie et l’issue clinique de cette maladie. De plus, la SA peut s’associer à une dysfonction systolique ventriculaire gauche et à une diminution du débit transvalvulaire, ce qui pose d’importants problèmes en matière d’évaluation diagnostique et de prise de décision clinique chez les patients atteints d’une SA. Ainsi, il faut estimer la gravité de la SA et sa prise en charge thérapeutique dans le cadre d’une évaluation complète qui inclut non seulement la valvule sigmoïde, mais également le système artériel systémique et le ventricule gauche, car ces trois entités sont étroitement reliées, tant en matière de physiopathologie que d’hémodynamie. La sténose aortique (SA) est la troisième cardiopathie en importance après la coronaropathie et l’hypertension artérielle, et elle s’associe à une forte incidence de réactions indésirables. Des données récentes étayent la notion selon laquelle la SA n’est pas une maladie isolée limitée à la valvule. En fait, la SA est souvent reliée à des anomalies du système artériel systémique et, notamment, à une diminution de la compliance artérielle, ce qui peut avoir de graves conséquences pour la physiopathologie et l’issue clinique de cette maladie. De plus, la SA peut s’associer à une dysfonction systolique ventriculaire gauche et à une diminution du débit transvalvulaire, ce qui pose d’importants problèmes en matière d’évaluation diagnostique et de prise de décision clinique chez les patients atteints d’une SA. Ainsi, il faut estimer la gravité de la SA et sa prise en charge thérapeutique dans le cadre d’une évaluation complète qui inclut non seulement la valvule sigmoïde, mais également le système artériel systémique et le ventricule gauche, car ces trois entités sont étroitement reliées, tant en matière de physiopathologie que d’hémodynamie." @default.
- W2065933006 created "2016-06-24" @default.
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- W2065933006 date "2007-10-01" @default.
- W2065933006 modified "2023-09-26" @default.
- W2065933006 title "New concepts in valvular hemodynamics: Implications for diagnosis and treatment of aortic stenosis" @default.
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- W2065933006 doi "https://doi.org/10.1016/s0828-282x(07)71009-7" @default.
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