Aortic stenosis symptoms: Difference between revisions
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When [[symptomatic]], aortic stenosis can cause: | When [[symptomatic]], aortic stenosis can cause: | ||
*Exertional dyspnea. | *Exertional dyspnea. | ||
===[[Aortic stenosis symptoms angina|Angina]]=== | |||
===[[Aortic stenosis symptoms syncope|Syncope]]=== | |||
*Dizziness. | *Dizziness. | ||
Late in the disease course, symptoms of decreased cardiac output may appear on the patients. These includes: | Late in the disease course, symptoms of decreased cardiac output may appear on the patients. These includes: | ||
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*Weakness. | *Weakness. | ||
*Peripheral cyanosis. | *Peripheral cyanosis. | ||
*[[Congestive heart failure]]. Symptoms of LV failure may include: | *[[Congestive heart failure]].This carries a grave prognosis in patients with AS. Patients with CHF that is attributed to AS have a 2 year mortality rate of 50%, if the aortic valve is not replaced. CHF in the setting of AS is due to a combination of systolic dysfunction (a decrease in the [[ejection fraction]]) and [[diastolic dysfunction]] (elevated filling pressure of the LV). Symptoms of LV failure may include: | ||
:*[[Orthopnea]]. | :*[[Orthopnea]]. | ||
:*[[Paroxysmal nocturnal dyspnea]]. | :*[[Paroxysmal nocturnal dyspnea]]. | ||
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Patients exhibiting multiple symptoms often experience a worsened prognosis and overall decrement in quality of life. | Patients exhibiting multiple symptoms often experience a worsened prognosis and overall decrement in quality of life. | ||
===Associated Symptoms=== | ===Associated Symptoms=== | ||
Revision as of 18:33, 13 October 2011
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Aortic Stenosis Microchapters |
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Diagnosis |
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Treatment |
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Percutaneous Aortic Balloon Valvotomy (PABV) or Aortic Valvuloplasty |
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Transcatheter Aortic Valve Replacement (TAVR) |
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Case Studies |
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Aortic stenosis symptoms On the Web |
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American Roentgen Ray Society Images of Aortic stenosis symptoms |
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Risk calculators and risk factors for Aortic stenosis symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Claudia P. Hochberg, M.D. [2], Abdul-Rahman Arabi, M.D. [3], Keri Shafer, M.D. [4], Priyamvada Singh, MBBS [5]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [6]
Overview
Aortic stenosis can cause many symptoms such as dizziness, syncope, angina, and congestive heart failure. Research has speculated that some conditions may be caused an aortic stenosis, including Heyde's syndrome and Von Willebrand factor.
Symptoms
When symptomatic, aortic stenosis can cause:
- Exertional dyspnea.
Angina
Syncope
- Dizziness.
Late in the disease course, symptoms of decreased cardiac output may appear on the patients. These includes:
- Marked fatigability.
- Weakness.
- Peripheral cyanosis.
- Congestive heart failure.This carries a grave prognosis in patients with AS. Patients with CHF that is attributed to AS have a 2 year mortality rate of 50%, if the aortic valve is not replaced. CHF in the setting of AS is due to a combination of systolic dysfunction (a decrease in the ejection fraction) and diastolic dysfunction (elevated filling pressure of the LV). Symptoms of LV failure may include:
- Pulmonary hypertension that can lead to:
- Right ventricular failure.
- Systemic venous hypertension.
- Hepatomegaly.
- Atrial fibrillation.
- Tricuspid regurgitation.
Patients exhibiting multiple symptoms often experience a worsened prognosis and overall decrement in quality of life.
Associated Symptoms
In Heyde's syndrome, aortic stenosis is associated with angiodysplasia of the colon. Recent research has shown that the stenosis causes a form of von Willebrand disease by breaking down its associated coagulation factor (factor VIII-associated antigen, also called von Willebrand factor), due to increased turbulence around the stenosed valve.