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Aortic Valvular Stenosis Updated 4/2011

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • Pathophysiology
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment
  • Surgery

Ongoing Care

  • Follow-Up Recommendations
  • Patient Education
  • Prognosis
The following is an excerpt....
BASICS

Description

Aortic stenosis (AS) is a narrowing of the aortic valve area that causes an obstruction to left ventricular outflow. The disease has a long asymptomatic latency period, but development of severe obstruction or onset of symptoms such as syncope and angina as associated with a high mortality rate if surgical intervention is not accomplished promptly.

Epidemiology
  • Most common valvular disease in developed countries
  • > 50% of patients with isolated aortic stenosis also have a congenitally malformed valve (1).
  • Predominant age:
    • < 30 years: Congenital
    • 30–70 years: Congenital or rheumatic fever
    • > 70 years: Degenerative calcification of aortic valve
Prevalence
  • 1.3% at 65–74 years old, 2.4% at 75–84 years old, 4% at > 84 years old (1)
  • Bicuspid aortic valve: 1 ...

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See Also
Images >
Calcific aortic stenosis. Large deposits of calcium salts are evident in the cusps and the free margins of the thickened aortic valve, as viewed from above.Credit: Image from Rubin E MD and Farber JL MD. Pathology, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 1999.
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