BMJ 2008;336:550-555 (8 March), doi:10.1136/bmj.39478.498819.AD
Clinical Review
Degenerative aortic stenosis
Radhakrishnan Ramaraj, resident physician1,
Vincent L Sorrell, professor of clinical medicine and radiology, and Allan C Hudson and Helen Lovaas chair of cardiac imaging2
1 Department of Internal Medicine, Section of Cardiology, Sarver Heart Center, University of Arizona College of Medicine, 1501, N Campbell Avenue, Tucson, AZ 85724, USA,
2 Section of Cardiology, Sarver Heart Center, University of Arizona College of Medicine
Correspondence to: R Ramaraj drkutty2@gmail.com
| The first 150 words of the full text of this article appear below. |
- Although aortic stenosis is common, its diagnosis may be missed
- Calcific aortic stenosis shares many common features with atherosclerosis
- After the onset of symptoms, the average survival is two to three years, and patients with symptoms of syncope, angina, and dyspnoea need prompt aortic valve replacement
- Endocarditis prophylaxis is indicated in all patients with aortic stenosis
- Echocardiography should be performed once aortic stenosis is suspected.
- Coronary artery angiography is usually needed before aortic valve replacement, except in young patients
- Careful exercise testing should be considered in asymptomatic patients with severe aortic stenosis who are sedentary or unable to give a clear history
| |
Aortic stenosis is the most common valvular lesion in Europe and North America. It primarily presents as calcific aortic stenosis in 2-7% of the population aged >65 years.1 About 80% of adult patients with symptomatic aortic stenosis are male. As 1-2% of the population is born with a . . . [Full text of this article]

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