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February 1, 1987Annals of Internal Medicine

Valvular Aortic Stenosis

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Population

397 patients with valvular aortic stenosis at their first hemodynamic evaluation, average age 61.1 years…

Design

Cohort

Authors

JLJohn Lombard

Discussion

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Overview

Angina presentation in aortic stenosis is unaltered by coexisting CAD; leaves open whether routine coronary evaluation modifies management.

Structured PICO

P
Population
397 patients with valvular aortic stenosis at their first hemodynamic evaluation, average age 61.1 years, 87.3% with severe aortic stenosis (aortic valve area < 1 cm2).
O
Outcome
Clinical and hemodynamic findings, including symptom categories, murmur intensity, pulse pressure, and coexisting coronary artery disease.

In an aging population with aortic stenosis, symptoms can be categorized into prefailure and failure stages, and coexisting CAD is common but does not significantly alter the clinical presentation of angina.

Cite This Study

John Lombard (1987) studied this question.

synapsesocial.com/papers/6a7d7132a7b865a28f749d8bhttps://doi.org/10.7326/0003-4819-106-2-292
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