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==Overview==
==Overview==


==ACC / AHA Guidelines- Recommendations for Key Issues to Evaluate and Follow-Up(DO NOT EDIT)==
==ACC / AHA Guidelines- Recommendations for Key Issues to Evaluate and Follow-Up (DO NOT EDIT)==
{{cquote|


===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]===
{|class="wikitable"
 
|-
Class I
| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
1. Lifelong cardiology follow-up is recommended for all
|-
patients with aortic valve disease (AS or AR) (operated
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.'''Lifelong cardiology follow-up is recommended for all patients with aortic valve disease (AS or AR) (operated or unoperated; refer to Section 6.2, Recommendations for Evaluation of the Unoperated Patient).''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: A]])'' <nowiki>"</nowiki>
or unoperated; refer to Section 6.2, Recommendations
|-
for Evaluation of the Unoperated Patient). (Level of
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''2.'''Serial imaging assessment of aortic root anatomy is recommended for all patients with BAV, regardless of severity. The frequency of imaging would depend on the size of the aorta at initial assessment: if less than 40 mm, it should be reimaged approximately every 2 years; if greater than or equal to 40 mm, it should be reimaged yearly or more often as progression of root
Evidence: A)
dilation warrants or whenever there is a change in clinical symptoms or findings. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])'' <nowiki>"</nowiki>
 
|-
2. Serial imaging assessment of aortic root anatomy is
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''3.'''Prepregnancy counseling is recommended for women with AS who are contemplating pregnancy.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki>
recommended for all patients with BAV, regardless of
|-
severity. The frequency of imaging would depend on
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''4.'''Patient referral to a pediatric cardiologist experienced in fetal echocardiography is indicated in the second trimester of pregnancy to search for cardiac defects in the fetus.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki>
the size of the aorta at initial assessment: if less than
|-
40 mm, it should be reimaged approximately every 2
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''5.'''Women with BAV and ascending aorta diameter greater than 4.5 cm should be counseled about the high risks of pregnancy.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki>
years; if greater than or equal to 40 mm, it should be
|-
reimaged yearly or more often as progression of root
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''6.'''Patients with moderate to severe AS should be counseled against competitive athletics and strenuous isometric exercise.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki>
dilation warrants or whenever there is a change in
|-
clinical symptoms or findings. (Level of Evidence: B)
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''7.'''Echocardiographic screening for the presence of BAV is recommended for first-degree relatives of patients with BAV.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki>
 
|}
3. Prepregnancy counseling is recommended for women
with AS who are contemplating pregnancy. (Level of
Evidence: B)
 
4. Patient referral to a pediatric cardiologist experienced
in fetal echocardiography is indicated in the second
trimester of pregnancy to search for cardiac defects in
the fetus. (Level of Evidence: C)
 
5. Women with BAV and ascending aorta diameter
greater than 4.5 cm should be counseled about the high
risks of pregnancy. (Level of Evidence: C)
 
6. Patients with moderate to severe AS should be counseled
against competitive athletics and strenuous isometric
exercise. (Level of Evidence: B)
 
7. Echocardiographic screening for the presence of BAV
is recommended for first-degree relatives of patients
with BAV. (Level of Evidence: B)}}


==References==
==References==

Revision as of 16:45, 11 October 2012

Aortic Stenosis Microchapters

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Aortic Valve Area Calculation

Treatment

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AHA/ACC Guideline Recommendations

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Risk calculators and risk factors for Aortic stenosis follow up

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

ACC / AHA Guidelines- Recommendations for Key Issues to Evaluate and Follow-Up (DO NOT EDIT)

Class I
"1.Lifelong cardiology follow-up is recommended for all patients with aortic valve disease (AS or AR) (operated or unoperated; refer to Section 6.2, Recommendations for Evaluation of the Unoperated Patient).(Level of Evidence: A) "
"2.Serial imaging assessment of aortic root anatomy is recommended for all patients with BAV, regardless of severity. The frequency of imaging would depend on the size of the aorta at initial assessment: if less than 40 mm, it should be reimaged approximately every 2 years; if greater than or equal to 40 mm, it should be reimaged yearly or more often as progression of root

dilation warrants or whenever there is a change in clinical symptoms or findings. (Level of Evidence: B) "

"3.Prepregnancy counseling is recommended for women with AS who are contemplating pregnancy.(Level of Evidence: C) "
"4.Patient referral to a pediatric cardiologist experienced in fetal echocardiography is indicated in the second trimester of pregnancy to search for cardiac defects in the fetus.(Level of Evidence: C) "
"5.Women with BAV and ascending aorta diameter greater than 4.5 cm should be counseled about the high risks of pregnancy.(Level of Evidence: C) "
"6.Patients with moderate to severe AS should be counseled against competitive athletics and strenuous isometric exercise.(Level of Evidence: C) "
"7.Echocardiographic screening for the presence of BAV is recommended for first-degree relatives of patients with BAV.(Level of Evidence: C) "

References

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