Naslov
The importance of high-quality transthoracic echocardiography in patients with severe aortic stenosis.

Autori
Ivanuša, Mario

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Acta Medica Saliniana / Hudić, Igor - Tuzla, Bosnia and Herzegovina : Universityy Clinical Center Tuzla, 2022, 25-25

Skup
13th Annual Days of BHAAAS in Sarajevo 2022, Bosnia and Herzegovina

Mjesto i datum
Sarajevo, Bosna i Hercegovina, 23.06.2022. - 26.06.2022

Vrsta sudjelovanja
Pozvano predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
aortic stenosis ; echocardiography ; quality

Sažetak
Objective of the review: Transthoracic echocardiography (TTE) is often considered as relatively simple, which is accurate from a risk perspective for patients. However, technical skills required for an interpretation of TTE do not include only learning how to manipulate the transducer and to use the software but also an anatomic and functional evaluation of cardiac chambers, valves, pericardium, and aorta. The need for such skills emphasizes the importance of education, training, and experience. The key role of TTE lies within planning of an optimal period for aortic valve replacement, the only treatment proven to extend the life expectancy of patients suffering from severe aortic stenosis (AS). Topic review: A high-quality TTE enables to stage the classification of cardiac damage since AS does not only affect aortic valve, but also surrounding structures. Considering that 1/3 of AS patients can exhibit a discrepancy between aortic valve area and mean gradient, which can influence the estimation of AS severity, it is important to recognize when the further assessment should be conducted. Alongside traditional methods such as exercise testing and cardiac catheterization, new markers include dobutamin stress echocardiography and/or quantitative assessment of aortic valve calcification by noncontrast electrocardiogram-gated computer tomography scans with the use of the Agatston method. Conclusion: The diagnosis of AS severity among most patients can be established using a high-quality TTE following protocols. For a minority of patients, however, the multimodality imaging approach is necessary to solve a puzzling AS diagnosis, enabling an accurate estimation of AS severity, and risk stratification.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA