Table 2

Factors to be considered in identifying higher risk AS patients during waiting list triage

Clinical Investigations
NYHA class IV symptoms or rapid recent deteriorationEcho parameters – high peak and mean gradients.
Low aortic valve area.
Poor LV systolic function.
Severe coexistent MR.
Exertional syncopeSignificantly elevated NT-pro-BNP.
Previous/recent admission with decompensation (pulmonary oedema/arrhythmia)Excessive aortic valve calcium score on CT.
Significant burden of comorbidity (coexistent cardiac disease; renal)Deteriorating renal function.
  • AS, aortic stenosis; MR, mitral regurgitation.