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Article Dans Une Revue European Heart Journal - Cardiovascular Imaging Année : 2023

Multi-modality imaging in aortic stenosis: an EACVI clinical consensus document

Résumé

In this EACVI clinical scientific update, we will explore the current use of multi-modality imaging in the diagnosis, risk stratification, and follow-up of patients with aortic stenosis, with a particular focus on recent developments and future directions. Echocardiography is and will likely remain the key method of diagnosis and surveillance of aortic stenosis providing detailed assessments of valve haemodynamics and the cardiac remodelling response. Computed tomography (CT) is already widely used in the planning of transcutaneous aortic valve implantation. We anticipate its increased use as an anatomical adjudicator to clarify disease severity in patients with discordant echocardiographic measurements. CT calcium scoring is currently used for this purpose; however, contrast CT techniques are emerging that allow identification of both calcific and fibrotic valve thickening. Additionally, improved assessments of myocardial decompensation with echocardiography, cardiac magnetic resonance, and CT will become more commonplace in our routine assessment of aortic stenosis. Underpinning all of this will be widespread application of artificial intelligence. In combination, we believe this new era of multi-modality imaging in aortic stenosis will improve the diagnosis, follow-up, and timing of intervention in aortic stenosis as well as potentially accelerate the development of the novel pharmacological treatments required for this disease.
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Dates et versions

hal-04192407 , version 1 (12-09-2023)

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Paternité - Pas d'utilisation commerciale

Identifiants

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Marc R. Dweck, Krithika Loganath, Rong Bing, Thomas A. Treibel, Gerry P. Mccann, et al.. Multi-modality imaging in aortic stenosis: an EACVI clinical consensus document. European Heart Journal - Cardiovascular Imaging, 2023, 24 (11), pp.1430-1443. ⟨10.1093/ehjci/jead153⟩. ⟨hal-04192407⟩
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