Clinical Cases in Cardiology by Alessandro Capucci

Author:Alessandro Capucci
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

The authors concluded that TAVI should be considered an alternative to surgery with similar mortality and similar other major clinical outcomes; periprocedural stroke concerns after TAVI have diminished with longer-term follow-up, and periprocedural regurgitation (even mild) has emerged as a predictor of late mortality [43].

Follow-Up

The wide variability of the rate of progression of AS requires that patients be carefully educated about the importance of follow-up and reporting symptoms as soon as they develop [22]. Follow-up visits should include echocardiography with attention on hemodynamic progression, LV function and hypertrophy, and the ascending aorta.

Every 6 months asymptomatic severe AS should be reevaluated for the occurrence of symptoms, change in exercise tolerance, and change in echo parameters. Also measurement of natriuretic peptides may be considered.

Patients should be reevaluated yearly if there are mild and moderate AS with significant calcification. Intervals may be extended to 2–3 years [22] in younger patients with no significant calcification and with mild AS.

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