AorticStenosisTreatment&Management

Author:Xiushui(Mike)Ren,MDChiefEditor:RichardALange,MD,MBAmore...
Updated:Nov10,2014

ApproachConsiderations
Theonlydefinitivetreatmentforaorticstenosisisaorticvalvereplacement.The
developmentofsymptomsduetoaorticstenosisprovidesaclearindicationfor
replacement.Forpatientswhoarenotcandidatesforaorticreplacement,
percutaneousaorticballoonvalvuloplastymayprovidesomesymptomrelief. [4,5]
Medicaltreatment(suchasdiuretictherapy)inaorticstenosismayprovide
temporarysymptomreliefbutisgenerallynoteffectivelongterm.
Intrulyasymptomaticpatientswithsevereaorticstenosis,theissueofvalve
replacementislessclear. [5]

ContributorInformationandDisclosures
Author
Xiushui(Mike)Ren,MDCardiologist,ThePermanenteMedicalGroupAssociateDirectorofResearch,
CardiovascularDiseasesFellowship,CaliforniaPacificMedicalCenter
Xiushui(Mike)Ren,MDisamemberofthefollowingmedicalsocieties:AlphaOmegaAlpha,AmericanCollege
ofCardiology,AmericanSocietyofEchocardiography
Disclosure:Nothingtodisclose.
ChiefEditor
RichardALange,MD,MBAPresident,TexasTechUniversityHealthSciencesCenter,Dean,PaulLFoster
SchoolofMedicine
RichardALange,MD,MBAisamemberofthefollowingmedicalsocieties:AlphaOmegaAlpha,American
CollegeofCardiology,AmericanHeartAssociation,AssociationofSubspecialtyProfessors
Disclosure:Nothingtodisclose.
Acknowledgements
JerryBalentine,DOProfessorofEmergencyMedicine,NewYorkCollegeofOsteopathicMedicineExecutive
VicePresident,ChiefMedicalOfficer,AttendingPhysicianinDepartmentofEmergencyMedicine,StBarnabas
Hospital
JerryBalentine,DOisamemberofthefollowingmedicalsocieties:AmericanCollegeofEmergencyPhysicians,
AmericanCollegeofOsteopathicEmergencyPhysicians,AmericanCollegeofPhysicianExecutives,American

OsteopathicAssociation,andNewYorkAcademyofMedicine
Disclosure:Nothingtodisclose.
EdwardBessman,MD,MBAChairmanandClinicalDirector,DepartmentofEmergencyMedicine,John
HopkinsBayviewMedicalCenterAssistantProfessor,DepartmentofEmergencyMedicine,JohnsHopkins
UniversitySchoolofMedicine
EdwardBessman,MD,MBAisamemberofthefollowingmedicalsocieties:AmericanAcademyofEmergency
Medicine,AmericanCollegeofEmergencyPhysicians,andSocietyforAcademicEmergencyMedicine
Disclosure:Nothingtodisclose.
DavidFMBrown,MDAssociateProfessor,DivisionofEmergencyMedicine,HarvardMedicalSchoolVice
Chair,DepartmentofEmergencyMedicine,MassachusettsGeneralHospital
DavidFMBrown,MDisamemberofthefollowingmedicalsocieties:AmericanCollegeofEmergency
PhysiciansandSocietyforAcademicEmergencyMedicine
Disclosure:Nothingtodisclose.
StevenJCompton,MD,FACC,FACP,FHRSDirectorofCardiacElectrophysiology,AlaskaHeartInstitute,
ProvidenceandAlaskaRegionalHospitals
StevenJCompton,MD,FACC,FACP,FHRSisamemberofthefollowingmedicalsocieties:AlaskaState
MedicalAssociation,AmericanCollegeofCardiology,AmericanCollegeofPhysicians,AmericanHeart
Association,AmericanMedicalAssociation,andHeartRhythmSociety
Disclosure:Nothingtodisclose.
DanielPLombardi,DOClinicalAssistantProfessor,NewYorkCollegeofOsteopathicMedicineAttending
Physician,AssociateDepartmentDirectorandProgramDirector,DepartmentofEmergencyMedicine,St
BarnabasHospital
DanielPLombardi,DOisamemberofthefollowingmedicalsocieties:AmericanCollegeofEmergency
Physicians,AmericanCollegeofOsteopathicEmergencyPhysicians,andAmericanOsteopathicAssociation
Disclosure:Nothingtodisclose.
JohnAMcPherson,MD,FACC,FAHA,FSCAIAssociateProfessorofMedicine,DivisionofCardiovascular
Medicine,DirectorofCardiovascularIntensiveCareUnit,VanderbiltHeartandVascularInstitute
JohnAMcPherson,MD,FACC,FAHA,FSCAIisamemberofthefollowingmedicalsocieties:AlphaOmega
Alpha,AmericanCollegeofCardiology,AmericanHeartAssociation,SocietyforCardiacAngiographyand
Interventions,SocietyofCriticalCareMedicine,andTennesseeMedicalAssociation
Disclosure:AbbottVascularCorp.ConsultingfeeConsulting
BekirHMelek,MD,FACCAssistantProfessorofClinicalMedicine,DepartmentofMedicine,Sectionof
Cardiology,TulaneUniversitySchoolofMedicine
Disclosure:Nothingtodisclose.
GarySetnik,MDChair,DepartmentofEmergencyMedicine,MountAuburnHospitalAssistantProfessor,
DivisionofEmergencyMedicine,HarvardMedicalSchool
GarySetnik,MDisamemberofthefollowingmedicalsocieties:AmericanCollegeofEmergencyPhysicians,
NationalAssociationofEMSPhysicians,andSocietyforAcademicEmergencyMedicine
Disclosure:SironaHealthSalaryManagementpositionSouthMiddlesexEMSConsortiumSalaryManagement
positionProceduresConsult.comRoyaltyOther
JamesVTalano,MD,MM,FACCDirectorofCardiovascularMedicine,SWICFTInstitute
Disclosure:Nothingtodisclose.
FranciscoTalavera,PharmD,PhDAdjunctAssistantProfessor,UniversityofNebraskaMedicalCenterCollege
ofPharmacyEditorinChief,MedscapeDrugReference
Disclosure:MedscapeSalaryEmployment

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