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Treatment Challenges in Patients with Acute Heart Failure and Severe Aortic Valve Stenosis

  • Structural Heart Disease (RJ Siegel and NC Wunderlich, Section Editors)
  • Published:
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Abstract

Purpose of Review

The goal of this paper is to describe the treatment challenges in patients with aortic stenosis in combination with a reduced left ventricular function.

Recent Findings

Since the risk of mortality is increased in this patient population, transcatheter aortic valve implantation emerged as an important treatment option. Concomitant factors such as mitral regurgitation or coronary artery disease are important co-factors that need to be evaluated and taken into account for treatment decision.

Summary

Treatment of the severe aortic stenosis is key in this complex setting. Since several co-factors may exist in addition to aortic stenosis, treatment needs to be decided by a Heart Team.

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  1. Department of Cardiology, Asklepios Klinik St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Germany

    Tobias Schmidt & Christian Frerker

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Correspondence to Tobias Schmidt.

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Tobias Schmidt has received lecture honoraria from Medtronic and Edwards, as well as travel expenses from Edwards LifeSciences, Medtronic, and Boston Scientific.

Christian Frerker has received lecture honoraria and travel expenses from Medtronic, Edwards Lifesciences, Boston Scientific, and Abbott Vascular.

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Schmidt, T., Frerker, C. Treatment Challenges in Patients with Acute Heart Failure and Severe Aortic Valve Stenosis. Curr Cardiol Rep 21, 47 (2019). https://doi.org/10.1007/s11886-019-1135-7

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