Key result
Real-world severe aortic stenosis waitlist mortality reaches up to ~14%, far exceeding clinical trial rates.
Why the study?
Mortality whilst waiting for intervention in symptomatic severe aortic stenosis is higher than procedural mortality and lacks guideline benchmarks or performance metrics.
Population
Patients with symptomatic severe aortic stenosis awaiting intervention
Comparison
Mortality during waiting period vs post-intervention mortality
Design
Editorial review of clinical practice and literature
Authors
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Waiting mortality up to 14% in severe AS signals triage urgency; leaves open optimal strategies to shorten delays.
Bhattacharyya et al. (2019) conducted an editorial in Severe aortic stenosis. Waiting time for aortic valve intervention was evaluated on Waiting list mortality. The risk of death while waiting for intervention for severe aortic stenosis in routine clinical practice ranges from 2.7% to 14%, which is higher than the 0% to 1.4% seen in clinical trials.
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