Why the study?
To investigate the diagnostic patient pathways and evaluate the use and access of advanced imaging techniques for aortic stenosis across European centres following updated guidelines.
This EACVI survey aims to evaluate how current European guidelines for the imaging assessment of aortic stenosis are implemented in clinical practice across different centers.
May improve AS diagnostic consistency; leaves open impact on outcomes in real-world practice.
Aortic stenosis (AS) is the most prevalent valvular disease in developed countries, with a prevalence that is set to expand further with an ageing population. The most recent guidelines on valvular heart disease published by the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery, aim to standardize the diagnosis and management of valvular heart diseases. The imaging criteria of the current guidelines are mostly based on EACVI Recommendations, with an appropriate diagnostic workflow being of major importance, to ensure streamlined and efficient patient assessment and accurate diagnoses and decisions regarding the timing of surgery. The EACVI Scientific Initiatives Committee, therefore, created a survey on the imaging assessment of patient with AS to investigate the diagnostic patient pathways used in different centres across Europe. In particular, we conducted this survey to better understand the use and access of advanced imaging techniques in AS including 3D transthoracic echocardiography and 3D transoesophageal echocardiography, cardiac computed tomography, and cardiovascular magnetic resonance.
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Michalski et al. (2020) studied this question.
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