Sandbox Rim: Difference between revisions

Revision as of 18:16, 17 July 2014

Abnormal aortic valve
AND
Reduction in systolic opening

Severe aortic stenosis:
V_max≥4m/s
AND
ΔP_mean≥40 mmHg

V_max3-3.9 m/s
AND
ΔP_mean20-39 mmHg

Is the patient symptomatic?

Yes
(Stage D1)

No
(Stage C)

Yes

No
(Stage B)

LVEF <50%
(Stage C2)

Is LVEF <50%?

The patient is undergoing cardiac surgery

Yes

No

V_max≥5m/s
AND
ΔP_mean≥60 mmHg
(Very severe stage C1)
AND
Low surgical risk

Dobutamine stress echocardiography:
Aortic valve area ≤1 cm²
AND
V_max≥4 ms
(Stage D2)

Dobutamine stress echocardiography:
Aortic valve area ≤1 cm²
AND
LVEF ≥50%
(Stage D3)

Abnormal exercise treadmill test

The symptoms are likely
the result of the aortic stenosis

ΔV_max>0.3 m/s/y
AND
Low surgical risk

@@ Line 19: / Line 19: @@
 {{Family tree |!|!|!| | |!|!| | I01 |'| |!| | | |!| | | |!| | I01= ΔV<sub>max</sub>>0.3 m/s/y <br> AND <br> Low surgical risk }}
 {{Family tree |!|!|!| | |!|!| | |!| | | |!| | | |!| | | |!| | }}
-{{Family tree | J01 | | J02 | | J03 | | J04 | | J05 | | J06 | J01= [[AVR]] (Class I)| J02= [[AVR]] (Class IIa)| J03= [[AVR]] (Class IIb)| J04= [[AVR]] (Class IIa)| J05= [[AVR]] (Class IIa)| J06= [[AVR]] (Class IIa)}}
+{{Family tree | J01 | | J02 | | J03 | | J04 | | J05 | | J06 | J01= [[AVR]] ([[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]])| J02= [[AVR]] ([[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]])| J03= [[AVR]] ([[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIb]])| J04= [[AVR]] ([[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]])| J05= [[AVR]] ([[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]])| J06= [[AVR]] ([[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]])}}
 {{Family tree/end}}