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Paradoxical low flow and/or low gradient severe aortic stenosis despite preserved left ventricular ejection fraction: implications for diagnosis and treatment.

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Presentation on theme: "Paradoxical low flow and/or low gradient severe aortic stenosis despite preserved left ventricular ejection fraction: implications for diagnosis and treatment."— Presentation transcript:

1 Paradoxical low flow and/or low gradient severe aortic stenosis despite preserved left ventricular ejection fraction: implications for diagnosis and treatment by Jean G. Dumesnil, Philippe Pibarot, and Blase Carabello EHJ Volume 31(3):281-289 February 1, 2010 Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

2 Illustrative case of patient with PLF AS. (A) Pulse wave (PW) Doppler tracing in LV outflow tract; ITV, time velocity integral; VE, stroke volume; FE, ejection fraction; SVi, stroke volume index. Jean G. Dumesnil et al. Eur Heart J 2010;31:281-289 Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

3 Characterization of 512 consecutive patients with severe AS (AVAi 0.50) based on for SVi > or ≤35 mL/m2 and mean pressure gradient > or ≤40 mmHg (data taken from Hachicha et al.2). Jean G. Dumesnil et al. Eur Heart J 2010;31:281-289 Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

4 Overall survival in the four groups of patients (Figure 2) as a function of the type of treatment: medical vs. surgical (data taken from Hachicha et al.2). Jean G. Dumesnil et al. Eur Heart J 2010;31:281-289 Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

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