Key result
Early surgery for asymptomatic severe AS requires careful risk stratification to identify high-risk patients.
Why the study?
Does early surgery improve outcomes in high-risk patients with asymptomatic severe aortic stenosis?
Does early surgery improve outcomes in high-risk patients with asymptomatic severe aortic stenosis?
This review discusses strategies to identify high-risk patients with asymptomatic severe aortic stenosis who may benefit from early surgical intervention.
Risk stratification may identify candidates for early intervention in asymptomatic severe aortic stenosis; leaves open efficacy confirmation in randomized trials.
Aortic stenosis (AS) is a disease that progresses slowly for years without symptoms, so patients need to be carefully managed with appropriate follow up and referred for aortic valve replacement in a timely manner. Development of symptoms is a clear indication for aortic valve intervention in patients with severe AS. The decision for early surgery in patients with asymptomatic severe AS is more complex. In this review, we discuss how to identify high-risk patients with asymptomatic severe AS who may benefit from early surgery.
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Minako Katayama (2016) conducted a review in asymptomatic severe aortic stenosis. early surgery was evaluated. Early surgery for asymptomatic severe aortic stenosis requires careful risk stratification to identify high-risk patients who may benefit from intervention before symptom onset.
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