Aortic stenosis cardiac catheterization: Difference between revisions
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Simultaneous left ventricular and aortic pressure tracings demonstrate a pressure gradient between the left ventricle and aorta, suggesting aortic stenosis. The left ventricle generates higher pressures than what is transmitted to the aorta. The pressure gradient, caused by aortic stenosis, is represented by the green shaded area. (AO = ascending aorta; LV = left ventricle; ECG = electrocardiogram.) The heart may be [[cardiac catheterization|catheterized]] to directly measure the pressure on both sides of the aortic valve. The pressure gradient may be used as a decision point for treatment. Catheterization is accurate for moderate velocity stenosis, while Doppler echo is more accurate at faster velocities. | Simultaneous left ventricular and aortic pressure tracings demonstrate a pressure gradient between the left ventricle and aorta, suggesting aortic stenosis. The left ventricle generates higher pressures than what is transmitted to the aorta. The pressure gradient, caused by aortic stenosis, is represented by the green shaded area. (AO = ascending aorta; LV = left ventricle; ECG = electrocardiogram.) The heart may be [[cardiac catheterization|catheterized]] to directly measure the pressure on both sides of the aortic valve. The pressure gradient may be used as a decision point for treatment. Catheterization is accurate for moderate velocity stenosis, while Doppler echo is more accurate at faster velocities. | ||
==ACC/AHA Guidelines- Indications for Cardiac Catheterization (DO NOT EDIT) <ref name="pmid18848134">{{cite journal| author=Bonow RO, Carabello BA, Chatterjee K, de Leon AC, Faxon DP, Freed MD et al.| title=2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. | journal=J Am Coll Cardiol | year= 2008 | volume= 52 | issue= 13 | pages= e1-142 | pmid=18848134 | doi=10.1016/j.jacc.2008.05.007 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18848134 }} </ref>== | |||
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===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]=== | |||
'''1.''' ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]]) | |||
'''2.''' ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]]) | |||
'''3.''' ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]]) | |||
===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class III]]=== | |||
'''1.''' ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]]) | |||
'''2.''' ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])}} | |||
==References== | ==References== | ||
Revision as of 18:06, 4 November 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 cardiac catheterization On the Web |
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American Roentgen Ray Society Images of Aortic stenosis cardiac catheterization |
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Directions to Hospitals Treating Aortic stenosis cardiac catheterization |
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Risk calculators and risk factors for Aortic stenosis cardiac catheterization |
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
Cardiac catheterization, such as angiography, may be used as a diagnostic tool in the evaluation of aortic stenosis. Angiographic findings associated with aortic stenosis include left ventricular hypertrophy and heart block.
Cardiac Catheterization
Simultaneous left ventricular and aortic pressure tracings demonstrate a pressure gradient between the left ventricle and aorta, suggesting aortic stenosis. The left ventricle generates higher pressures than what is transmitted to the aorta. The pressure gradient, caused by aortic stenosis, is represented by the green shaded area. (AO = ascending aorta; LV = left ventricle; ECG = electrocardiogram.) The heart may be catheterized to directly measure the pressure on both sides of the aortic valve. The pressure gradient may be used as a decision point for treatment. Catheterization is accurate for moderate velocity stenosis, while Doppler echo is more accurate at faster velocities.
ACC/AHA Guidelines- Indications for Cardiac Catheterization (DO NOT EDIT) [1]
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Class I1. (Level of Evidence: B) 2. (Level of Evidence: C) 3. (Level of Evidence: C) Class III1. (Level of Evidence: C) 2. (Level of Evidence: C) |
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References
- ↑ Bonow RO, Carabello BA, Chatterjee K, de Leon AC, Faxon DP, Freed MD; et al. (2008). "2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". J Am Coll Cardiol. 52 (13): e1–142. doi:10.1016/j.jacc.2008.05.007. PMID 18848134.