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• W4380742144 abstract "Evaluation of aortic stenosis (AS) severity can be challenging due to discrepant Doppler and two-dimensional data. 1 Minners J. Allgeier M. Gohlke-Baerwolf C. et al. Inconsistencies of echocardiographic criteria for the grading of aortic valve stenosis. Eur Heart J. 2008; 29: 1043-1048 Crossref PubMed Scopus (282) Google Scholar Bicuspid aortic valves (bAVs) account for up to 50% of replaced stenotic aortic valves; 2 Roberts W.C. Ko J.M. Frequency by decades of unicuspid, bicuspid, and tricuspid aortic valves in adults having isolated aortic valve replacement for aortic stenosis, with or without associated aortic regurgitation. Circulation. 2005; 111: 920-925 Crossref PubMed Scopus (714) Google Scholar however, continuity equation–derived indices have been shown to differ between patients with degenerative tricuspid aortic valve (tAV) stenosis and bAV stenosis. 3 Donal E. Novaro G.M. Deserrano D. et al. Planimetric assessment of anatomic valve area overestimates effective orifice area in bicuspid aortic stenosis. J Am Soc Echocardiogr. 2005; 18: 1392-1398 Abstract Full Text Full Text PDF PubMed Scopus (42) Google Scholar ,4 Hattori K. Nakama N. Takada J. et al. Bicuspid aortic valve morphology and aortic valvular outflow jets: an experimental analysis using an MRI-compatible pulsatile flow circulation system. Sci Rep. 2021; 11: 2066 Crossref PubMed Scopus (8) Google Scholar The ejection dynamics acceleration time (AT) and ratio of AT to ejection time (AT/ET) have been shown to help determine AS severity 5 Gamaza-Chulian S. Diaz-Retamino E. Camacho-Freire S. et al. Acceleration time, and ratio of acceleration time to ejection time in aortic stenosis: new echocardiographic diagnostic parameters. J Am Soc Echocardiogr. 2017; 30: 947-955 Abstract Full Text Full Text PDF PubMed Scopus (40) Google Scholar ,6 Gamaza-Chulian S. Camacho-Freire S. Toro-Cebada R. et al. Ratio of acceleration time to ejection time for assessing aortic stenosis severity. Echocardiography. 2015; 32: 1754-1761 Crossref PubMed Scopus (18) Google Scholar and predict outcomes 7 Einarsen E. Cramariuc D. Bahlmann E. et al. Higher acceleration/ejection time ratio predicts Impaired outcome in aortic valve stenosis. Circ Cardiovasc Imaging. 2021; 14: e011467 Crossref PubMed Scopus (9) Google Scholar but have not been tested in patients with bAV. We hypothesized that the ejection dynamics AT and AT/ET would be effective in differentiating moderate and severe AS in both bAV and tAV morphologies." @default.
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• W4380742144 date "2023-10-01" @default.
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• W4380742144 title "Acceleration Time and Ratio of Acceleration Time and Ejection Time in Bicuspid Aortic Stenosis: A Valid Clinical Measure?" @default.
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• W4380742144 doi "https://doi.org/10.1016/j.echo.2023.06.003" @default.
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