Max Puthenpura, Fahad Alkhalfan, Ambreen Fatima Ali, Bhairavi Rajasekar, Emmanuel Akintoye, Natalia Fendrikova-Mahlay, Serge Harb, Scott J Cameron, Zoran B Popovic, Pulkit Chaudhury
BACKGROUND: Patients with low-flow, low-gradient aortic valve stenosis constitute a substantial subset of all severe aortic stenosis patients. However, assessment of true severity of these patients can be challenging. In this analysis, we study the utility of the common carotid artery waveforms to distinguish true from pseudo-severe low-flow low-gradient aortic stenosis. METHODS: This is an observational analysis that included patients who underwent a transthoracic echocardiogram (TTE) and duplex carotid ultrasonography (DCUS) and had low-flow, low-gradient aortic stenosis with reduced left ventricular ejection fraction on the index TTE (LVEF <50%, calculated aortic valve area (AVA) of ≤1...
December 16, 2023: American Journal of Medicine