Decompensated Heart Failure in Patients With Aortic Valve Stenosis

Talavera, María L.; Vrancic, Mariano; Acosta, Adriana; Battioni, Luciano; Candiello, Alfonsina; Baro, Rocío; Burgos, Lucrecia María; Díez, Mirta

doi:10.1016/j.cpcardiol.2019.03.009

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…Typical signs and symptoms of HF are consistently reported and include dyspnea (categorized as NYHA functional class ≥ 3), pulmonary edema, need for intravenous diuretic administration, paroxysmal nocturnal dyspnea, lower limb edema, X-ray signs of pulmonary congestion, pulmonary rales, jugular vein distension, and hepatomegaly. The prevalence of these conditions ranges from 9 to 60% [8][9][10][11][12].…”

Section: Definition and Prevalence Of Acute Advanced Asmentioning

confidence: 99%

Acute advanced aortic stenosis

et al. 2023

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Acute decompensation often represents the onset of symptoms associated with severe degenerative aortic stenosis (AS) and usually complicates the clinical course of the disease with a dismal impact on survival and quality of life. Several factors may derange the faint balance between left ventricular preload and afterload and precipitate the occurrence of symptoms and signs of acute heart failure (HF). A standardized approach for the management of this condition is currently lacking. Medical therapy finds very limited application in this setting, as drugs usually indicated for the control of acute HF might worsen hemodynamics in the presence of AS. Urgent aortic valve replacement is usually performed by transcatheter than surgical approach whereas, over the last decades, percutaneous balloon valvuloplasty gained renewed space as bridge to definitive therapy. This review focuses on the pathophysiological aspects of acute advanced AS and summarizes current evidence on its management.

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