50% of patients with aortic stenosis will not survive 2 years. Early detection is key.1 Listen to your patients heart, or send them for a free heart check.*
*For Australians 65+
HOW TO DETECT A HEART MURMUR
Play the video to hear top tips from a heart valvular expert on how they listen for a heart murmur and conduct a thorough heart check analysis. Fill in your details in the form provided to receive your copy of this education video as well as a patient cardiac risk assessment checklist and additional resources.
Auscultation Tips and Tricks - (00:54)
Top tips from a heart valvular expert on how they listen for a heart murmur and conduct a thorough heart check analysis
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Read Terms and Conditions HERE.
AORTIC STENOSIS IS A PROGRESSIVE DISEASE
WHAT IS AORTIC STENOSIS?
Severe aortic stenosis is usually defined as a valve area of ≤1.0 cm2 and a maximum velocity of ≥4.0 meters/second or mean pressure gradient ≥40 mm Hg.
A healthy aortic valve functions properly, opening and closing without being impeded by calcium deposits.
The performance of a stenotic aortic valve is impeded by calcium deposits on the leaflets.
SYMPTOMS OF SEVERE AORTIC STENOSIS1
- Chest pain
- Dizziness
- Fatigue
- Out of breath
- Irregular heartbeat
Causes of severe aortic stenosis include1
- Age
- Calcium buildup
- Radiation therapy
- Infection of the heart
- Failing aortic surgical valve
WHAT IS TAVI?
A transcatheter aortic valve implantation procedure (TAVI) is less invasive than open heart surgery. The entire procedure typically takes approximately 1–2 hours. Your heart team will determine whether you should have a mild sedative or general anaesthesia.
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WHAT IS SAVR?
In most cases, heart valve replacement is an open-heart operation. This means the surgeon opens the chest and heart to remove the damaged valve. In some cases, the valve can be replaced through a small incision near the breastbone (sternum) or under the right chest muscle. This is called minimally invasive surgery.
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MURMUR PATH CHECKLIST
Receive a copy of the patient checklist to help with your aortic stenosis diagnosis.
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UPDATED AHA/ACC GUIDELINES NOW AVAILABLE
THE AHA/ACC and ESC guidelines for the management of Valvular Heart UPDATED Disease both recommend that: Patients with severe VHD should be AHA/ACC evaluated by a multi-disciplinary heart valve team when intervention is considered (Class 1, LOE C) 3,4,5. Sign up to get a copy of the guidelines below.
DOWNLOAD GUIDELINESTYPES OF CARDIOLOGISTS
Watch Prof. Darren Walters video on how to recognise the different types of cardiologists. Sign up via the form to receive the full video.
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1
www.ncbi.nlm.nih.gov/pmc/articles/PMC2861980/
2
www.aafp.org/afp/2016/0301/p371.html
3
Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. June 10, 2014;129(23):2440-2492.
4
Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC Focused Update of the 2014 AHAJACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. June 20, 2017;135(25):e1159-e1195.
5
Nishimura RA, O'Gara PT, Bavaria JE, et al. 2019 AATS/ACCIASE/SCAI/STS Expert Consensus Systems of Care Document: A Proposal to Optimize Care for Patients With Valvular Heart Disease: A Joint Report of the American Association for Thoracic Surgery, American College of Cardiology, American Society of Echocardiography, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. May 28, 2019;73(20):2609-2635.