Management of Asymptomatic Severe Aortic Stenosis (A Report on 21 Cases)
Abstract:
This study focuses on the management and outcomes of asymptomatic severe aortic stenosis (AS) cases within our institution. Among a total of 21 patients, representing 4% of all evaluated AS cases, the average age was 71 years with a gender ratio of 1.6. Comorbidities such as diabetes and renal insufficiency were common. All patients demonstrated sinus rhythm and were classified as Functional Class I according to NYHA. Echocardiographic assessments yielded key parameters (refer to table). Surgical intervention was recommended for 7 patients due to factors including left ventricular dysfunction, positive stress tests, elevated B-type natriuretic peptide levels, pronounced calcifications, and extremely severe AS. For the remaining 14 patients, asymptomatic status was confirmed through negative stress tests or BNP measurements. These individuals were placed under regular clinical and echocardiographic surveillance every 6 months. During a comprehensive follow-up period of 2.6 years (ranging from 6 months to 3 years), all 14 patients remained asymptomatic, with no reported cardiovascular incidents or fatalities. This study underscores the significance of tailored management strategies for asymptomatic severe AS patients and highlights the positive outcomes achievable through periodic monitoring
