Watchful waiting care or early intervention in asymptomatic severe aortic stenosis: Where we are

Ennezat, Pierre Vladimir; Malergue, Marie‐Christine; Jemtel, Thierry H. Le; Abergel, Éric

doi:10.1016/j.acvd.2020.07.002

Cited by 7 publications

(3 citation statements)

References 92 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Clinical presentations in these patients involves atypical manifestations of diseases, concomitance of several diseases (comorbidities) and subclinical disease, present in approximately 40% of those aged >65 years. 4…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

How to Improve Clinical Outcomes and Reduce Cardiovascular Risk in Older People with Cardiovascular Disease: Bridging Evidence Gaps

Wajngarten

2023

Eur Cardiol

View full text Add to dashboard Cite

The geriatric population is greatly impacted by cardiovascular disease. Thus, it becomes essential to ‘geriatricise’ the cardiologist through the dissemination of geriatric cardiology. In the early days of geriatric cardiology, it was discussed whether it was simply cardiology ‘well done’. Today, 40 years later, it seems clear that this is indeed the case. Patients with cardiovascular disease usually have several chronic conditions. Clinical practice guidelines often address a single condition and do not provide sufficient guidance for patients with multimorbidity. There are several evidence gaps regarding these patients. Physicians and members of the care team need a multidimensional understanding of the patient to better promote the optimisation of care. It is important to understand that ageing is inevitable, heterogeneous and increases vulnerability. Caregivers must know how to assess elderly patients in a multidomain practical way and how to recognise the factors that may have implications on treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

“…In patients with severe aortic stenosis considered for intervention, it has been suggested that up to one-third of patients were erroneously classified as asymptomatic. [ 5 ]…”

Section: Discussionmentioning

confidence: 99%

How to Improve Clinical Outcomes and Reduce Cardiovascular Risk in Older People with Cardiovascular Disease: Bridging Evidence Gaps

Wajngarten

2023

Eur Cardiol

View full text Add to dashboard Cite

show abstract

“…In contrast to the low 1% operative mortality (3.3% in a large US database), the rate of sudden death (2.6% per year) in the conservative treatment group also tops that of Austrian AS patients with a prospective close follow-up (0.4% per year in those with peak aortic jet velocity ≥4m/s and 0.8% per year in those with ≥5.5 m/s). 2 Taniguchi et al 3 reported a yearly 1% sudden death rate in a large retrospective registry of asymptomatic AS patients with a less stringent follow-up. For a safe watchful waiting strategy, serial exercise testing (ET) needs to be included in the work-up of asymptomatic AS patients to ascertain status in routine practice.…”

Section: To the Editormentioning

confidence: 99%