Evaluation of low gradient severe aortic stenosis: should we change our outlook in the analysis of clinical data?
| Autor: | Margherita Zecchi, Romano Zannoli, Ivan Corazza |
|---|---|
| Přispěvatelé: | Corazza I., Zecchi M., Zannoli R. |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Cardiac Catheterization
medicine.medical_specialty aortic valve stenosis Severity of Illness Index Viewpoint quality of health care medicine Humans echocardiography Diseases of the circulatory (Cardiovascular) system Low gradient Intensive care medicine business.industry aortic valve stenosi medicine.disease diagnostic Imaging Echocardiography Doppler Clinical Practice Stenosis Aortic valve area Aortic Valve Aortic valve stenosis RC666-701 Clinical competence Cardiology and Cardiovascular Medicine business clinical competence |
| Zdroj: | Open Heart, Vol 8, Iss 2 (2021) Open Heart |
| ISSN: | 2053-3624 |
| Popis: | Nowadays, technological progress has equipped clinicians with new useful devices for the collection, analysis and presentation of data. As a consequence, many diseases and pathological conditions have been studied in a more detailed way, sometimes with remarkable results. In fact, they are not always validated by the old physiological models. In this respect, we present the case of low gradient severe aortic stenosis, a condition characterised by a small aortic valve area and a low-pressure gradient. According to the mathematical and physical assumptions these readings are contradictory whereas the Doppler-echocardiography shows clearly the existence of such a situation. In this work, we have described the physiological base of this phenomenon and discussed the limitations of the technology used. In this work, we are going to analyse some conditions commonly observed in daily clinical practice in order to prompt a critical outlook in both clinicians and technicians about the instrumentations used and the methods applied. |
| Databáze: | OpenAIRE |
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