Key result
A multimodality imaging approach utilizing dobutamine stress echocardiography and aortic valve calcium scoring successfully resolves discordant echocardiographic grading to confirm true aortic stenosis severity.
Why the study?
Discordant grading of aortic stenosis severity by transthoracic echocardiography parameters creates uncertainty about true severity and appropriate management.
Case Report (n=6)
In this report, we illustrate the different flow-gradient patterns of aortic stenosis associated with discordant grading of stenosis severity at transthoracic echocardiography (TTE). The discordance among TTE parameters (mean gradient and aortic area) can be reconciled and true severity can be confirmed by ruling out potential measurements errors and by using multimodality imaging. (Level of Difficulty: Advanced.)
No takes yet. Share an insight, caveat, or question.
Silva et al. (2022) conducted a case report in Aortic stenosis with discordant grading (n=6). Multimodality imaging (Dobutamine stress echocardiography and aortic valve calcium score) was evaluated. A multimodality imaging approach utilizing dobutamine stress echocardiography and aortic valve calcium scoring successfully resolves discordant echocardiographic grading to confirm true aortic stenosis severity.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: