March 22, 2010Circulation295 citations
View Full PaperEarly Surgery Versus Conventional Treatment in Asymptomatic Very Severe Aortic Stenosis
Structured PICO
Does early surgery improve long-term survival in asymptomatic patients with very severe aortic stenosis and low operative risk?
P
Population
Asymptomatic patients with very severe aortic stenosis and low operative risk
I
Intervention
Early surgery
C
Comparator
Conventional treatment strategy
O
Outcome
Long-term survival and cardiac mortalityhard clinical
Early surgery is a viable therapeutic option that improves long-term survival by reducing cardiac mortality in asymptomatic patients with very severe aortic stenosis and low operative risk.
Abstract
Compared with the conventional treatment strategy, early surgery in patients with very severe aortic stenosis is associated with an improved long-term survival by decreasing cardiac mortality. Early surgery is therefore a therapeutic option to further improve clinical outcomes in asymptomatic patients with very severe aortic stenosis and low operative risk.