Key result
Exercise stress testing unmasks a ~40 mmHg transaortic gradient increase in asymptomatic bicuspid aortic stenosis.
Why the study?
There is no consensus or clear evidence on the management of patients with severe, hemodynamically significant asymptomatic aortic stenosis, and stress testing may aid diagnosis and treatment decisions.
Case Report (n=1)
No
Exercise stress testing can unmask significant hemodynamic severity in seemingly asymptomatic patients with severe aortic stenosis, guiding the timing of surgical intervention.
Asymptomatic severe aortic stenosis and stress testingMarko banovic, biljana obrenovic Kircanski clinic for cardiology, clinical center of Serbia, belgradeWe present an asymptomatic patients with bivelar aortic stenosis refered for evaluation of severitz of aortic stenosis with stress testing and future therapy.
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Banović et al. (2014) conducted a case report in Asymptomatic severe bicuspid aortic stenosis (n=1). Exercise stress testing was evaluated on Hemodynamic response and symptom development during exercise stress test. Exercise stress testing in an asymptomatic 36-year-old man with bicuspid aortic stenosis revealed a significant 40 mmHg increase in mean transaortic gradient without symptoms.
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