Peidro R, Brión G, Angelino A. Exercise Testing in Asymptomatic Aortic Stenosis.
Cardiology 2006;
108:258-64. [PMID:
17114879 DOI:
10.1159/000096953]
[Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2005] [Accepted: 08/20/2006] [Indexed: 11/19/2022]
Abstract
AIMS
To determine the safety of exercise testing (ET) in patients with moderate or severe asymptomatic aortic stenosis (AAS) and its accuracy to predict the need for surgery and mortality.
METHODS
106 consecutive patients with AAS performed a maximal ET.
RESULTS
Follow-up [10.7 (4.9-19.4) months (percentile 25-75)] was completed in 102 patients (96.2%), 63.9 years (+/-15.1), 65 (61.3%) male, peak gradient 82.8 mm Hg (+/-25.4), mean gradient 50.5 mm Hg (+/-16.6), valve area 0.67 cm(2) (+/-0.16); 67 patients (65.7%) had abnormal ET. Among the 35 patients with normal ET, there were no deaths and 10 aortic valve replacements (AVR) (28.5%) were performed. Among the 67 patients with abnormal ET, 37 (55.2%) had events (35 AVR and 2 died) (p <0.0001). There were no complications with ET.
CONCLUSION
ET may be performed safely in patients with AAS. ET gives additional information to an AVR decision.
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