Definition: Valvular aortic stenosis is a progressive disease in which the end stage is characterized by obstruction of left ventricular outflow, resulting in inadequate cardiac output, decreased exercise capacity, heart failure, and death from cardiovascular causes.
Typical Symptoms:
* Angina
* Dyspnea on exertion
* Syncope
* Heart Failure
Risk Factors:
* Hypertension
* Diabetes
* Dyslipidemia
* AGE – 9.8% in octogenarians
Severe AS can be diagnosed on physical exam:
* Typical systolic ejection murmur at the base radiating to the neck
1. Otto CM, et al. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2021 Feb 2;143(5):e72-e227. doi: 10.1161/CIR.0000000000000923. PMID: 33332150.
2. Ross J Jr, Braunwald E. Aortic stenosis. Circulation. 1968 Jul;38(1 Suppl):61-7. doi: 10.1161/01.cir.38.1s5.v-61. PMID: 4894151.