This review summarizes the diagnostic challenges, role of multimodality imaging, and management strategies for patients with concurrent severe aortic stenosis and heart failure.
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Alerts clinicians to HF-severe AS overlap; review extends evidence synthesis but leaves optimal strategies open.
Aortic stenosis (AS) is the most frequent degenerative valvular heart disease in Western countries and its prevalence increases in parallel with the ageing process of the population. Heart failure (HF), defined by the presence of reduced left ventricular ejection fraction, may be present in up to a quarter of patients with severe AS, posing diagnostic and management challenges. The present article reviews the prevalence of HF in severe AS patients, discusses the diagnostic challenges and the advances in multimodality imaging to identify the patients that may benefit from surgical or transcatheter aortic valve replacement, and summarizes the current evidence on management for this group of patients.
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Kamperidis et al. (2016) studied this question.
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