What are the stages of aortic stenosis?
Stages
| STAGE | DEFINITION |
|---|---|
| C1 | Asymptomatic severe AS |
| C2 | Asymptomatic severe AS with LV dysfunction |
| D1 | Symptomatic severe high-gradient AS |
| D2 | Symptomatic severe low-flow/low gradient AS with reduced LVEF |
How do you explain aortic stenosis to a patient?
Aortic valve stenosis — or aortic stenosis — occurs when the heart’s aortic valve narrows. The valve doesn’t open fully, which reduces or blocks blood flow from your heart into the main artery to your body (aorta) and to the rest of your body. Your treatment depends on the severity of your condition.
How is severe aortic stenosis defined?
Severe aortic stenosis (AS) is currently defined by an aortic valve area (AVA) <1.0 cm2 and/or a mean transaortic pressure gradient (MPG) >40 mm Hg and/or a peak aortic jet velocity (Vmax) >4 m/s.
What is the life expectancy of someone with aortic stenosis?
Severe symptomatic aortic stenosis is associated with a poor prognosis, with most patients dying 2–3 years after diagnosis.
Is aortic stenosis serious?
Aortic stenosis is the abnormal narrowing of the aortic valve, which restricts the flow of blood from the ventricle into the aorta. Aortic stenosis can be a serious and potentially life-threatening condition. Treatment options include procedures or surgery to repair or replace the faulty valve.
How fast does aortic valve stenosis progress?
According to The Cleveland Clinic, catheterization and echocardiographic studies suggest that, on average, the valve area declines 0.1-0.3 square centimeters per year. The Cleveland Clinic also states that the systolic pressure gradient across the aortic valve can increase by as much as 10-15 mm Hg per year.
What medications should be avoided with aortic stenosis?
The patient with severe aortic stenosis is relatively “afterload fixed and preload dependent” — meaning cardiac output does not increase with after-load reduction. Thus all afterload reducing agents (angiotensin-converting enzyme inhibitors, calcium channel blockers, blockers) are contraindicated.
Is coughing a symptom of aortic stenosis?
Symptoms of aortic stenosis include: Chest discomfort: The chest pain may get worse with activity and reach into the arm, neck, or jaw. The chest may also feel tight or squeezed. Cough, possibly bloody.
How quickly does aortic valve stenosis progress?
How long can you live with aortic valve stenosis?
What is the life expectancy of aortic stenosis?
As mentioned previously, medically managed treatment of severe aortic stenosis has a dismal prognosis, with an overall mean survival of 3 years from the onset of symptoms. Surgical valve replacement essentially cures patients — restoring an almost normal life expectancy.
What is the recovery time for aortic stenosis?
What’s the Recovery Like After Aortic Stenosis Treatment? Your recovery from aortic stenosis treatment depends on the type of procedure and how healthy you were beforehand. Every case is different, but most people spend roughly a week in the hospital and can return to an office job in 4 to 6 weeks.
The 2014 AHA/ACC guidelines classify progression of valvular aortic stenosis (AS) into four stages (A to D), as summarized below.: Stage A: At risk of AS. Stage B: Progressive AS. Stage C: Asymptomatic severe AS, as follows: C1: Asymptomatic severe AS. C2: Asymptomatic severe AS with LV dysfunction.
What is the life expectancy of a heart valve replacement?
According to its research, “the mean age of patients presenting for valve surgery is increasing, as is the life expectancy following valve surgery.” If you look at the graph above, you can see that life expectancy ranges from 29.9 years to 14.3 years for patients experiencing heart valve surgery between the age range of 50 to 70.