This review highlights the clinical importance of identifying risk factors to guide the selection of asymptomatic patients with aortic stenosis for early elective surgery.
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Identifying risk factors may inform surgical timing in asymptomatic aortic stenosis; leaves open need for RCTs to guide practice.
Aortic stenosis is now the most frequent valvular heart disease in developed countries with a steadily increase in prevalence. The necessity of surgery in symptomatic patients is well established. However, the need for surgery in asymptomatic patients remains controversial. The identification of several factors (predictors of outcome) that may help selection of patients who are most likely to benefit from early elective surgery is challenging and of clinical importance.
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Dulgheru et al. (2012) studied this question.
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