EDUCATION IN HEART

Valve disease

Aortic stenosis: medical and surgical management

Helmut Baumgartner

Correspondence to:
Correspondence to:
Professor Helmut Baumgartner
MD, Department of Cardiology, Vienna General Hospital, Medical University of Vienna, Währinger Gürtel 18–20, A – 1090 Wien, Austria; helmut.baumgartner@meduniwien.ac.at

Keywords: aortic stenosis; asymptomatic aortic stenosis; calcific aortic stenosis

The first 150 words of the full text of this article appear below.

Aortic stenosis (AS) has become the most frequent valvar heart disease and the most frequent cardiovascular disease after hypertension and coronary artery disease in Europe and North America. It primarily presents as calcific AS in adults of advanced age. The prevalence in the population older than 65 years has been reported between 2–7% and aortic sclerosis, the precursor of AS, has been found in 25%.¹ Considering this high prevalence and the poor outcome of AS without cardiac surgery, this disease has definitely become a major health problem.

Besides calcific AS, the second most frequent aetiology which dominates in the younger age group is congenital AS, whereas rheumatic AS has become very rare in developed countries. Among patients with calcific AS, bicuspid valves are very common in those presenting in their 70s and 80s, whereas tricuspid valves become more common in octogenarians.

Proper physical examination remains essential in AS. . . . [Full text of this article]

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