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Classification of stages of severe aortic stenosis based on the prevalence of extravalvular heart damage

https://doi.org/10.18087/cardio.2021.1.n1024

Abstract

This thematic review focuses on recently proposed classification of stages in pronounced aortic stenosis based on the prevalence of extravalvular cardiac damage and its modified variant designed for asymptomatic patients. The review presents studies, which analyzed the predictive significance of the proposed classification. The use of this classification allows predicting the course of disease in patients with pronounced aortic stenosis in valve replacement. The classification is based on routinely used structural and functional echocardiographic signs with already proven predictive values with respect of adverse events in patients after aortic valve replacement. The review discusses limitations of the classification for pronounced aortic stenosis stages based on the prevalence of extravalvular cardiac damage.

About the Author

M. N. Alekhin
Central clinical hospital with polyclinic of the Presidential Administration of the Russian Federation, Moscow
Russian Federation

Head of the functional diagnostics Department of the Federal state budgetary institution "Central clinical hospital with polyclinic" Of the office of the President of the Russian Federation

Professor of the Department of therapy, cardiology and functional diagnostics with the course of Nephrology of the Central state medical Academy Of the Presidential administration of the Russian Federation, MD, honored doctor of the Russian Federation

tel. 8(495) 530-04-20

 https://orcid.org/0000-0002-9725-7528ResearcherID: K-5688-2016Scopus Author ID: 67017705856812-2870


References

1.

2. Lindman BR, Clavel M-A, Mathieu P, Iung B, Lancellotti P, Otto CM et al. Calcific aortic s tenosis. Nature Reviews Disease Primers. 2016;2(1):16006. DOI: 10.1038/nrdp.2016.6

3. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP, Guyton RA et al. 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;129(23):e521-643. DOI: 10.1161/CIR.0000000000000031

4. Baumgartner H, Falk V, Bax JJ, De Bonis M, Hamm C, Holm PJ et al. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. European Heart Journal. 2017;38(36):2739–91. DOI: 10.1093/eurheartj/ehx391

5. Evangelista A, Galian L. Management of Aortic Stenosis: The Trees Should Not Stop Us From Seeing the Forest. Journal of the American College of Cardiology. 2019;74(4):564–6. DOI: 10.1016/j.jacc.2019.06.002

6. Généreux P, Pibarot P, Redfors B, Mack MJ, Makkar RR, Jaber WA et al. Staging classification of aortic stenosis based on the extent of cardiac damage. European Heart Journal. 2017;38(45):3351–8. DOI: 10.1093/eurheartj/ehx381

7. Tastet L, Tribouilloy C, Maréchaux S, Vollema EM, Delgado V, Salaun E et al. Staging Cardiac Damage in Patients With Asymptomatic Aortic Valve Stenosis. Journal of the American College of Cardiology. 2019;74(4):550–63. DOI: 10.1016/j.jacc.2019.04.065

8. Nagueh SF, Smiseth OA, Appleton CP, Byrd BF, Dokainish H, Edvardsen T et al. Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. European Heart Journal – Cardiovascular Imaging. 2016;17(12):1321–60. DOI: 10.1093/ehjci/jew082

9. Vollema EM, Amanullah MR, Ng ACT, van der Bijl P, Prevedello F, Sin YK et al. Staging Cardiac Damage in Patients With Symptomatic Aortic Valve Stenosis. Journal of the American College of Cardiology. 2019;74(4):538–49. DOI: 10.1016/j.jacc.2019.05.048

10. Varshney AS, Manandhar P, Vemulapalli S, Kirtane AJ, Mathew V, Shah B et al. Left Ventricular Hypertrophy Does Not Affect 1-Year Clinical Outcomes in Patients Undergoing Transcatheter Aortic Valve Replacement. JACC: Cardiovascular Interventions. 2019;12(4):373– 82. DOI: 10.1016/j.jcin.2018.11.013

11. Fuster RG, Argudo JAM, Albarova OG, Sos FH, López SC, Sorlí MJD et al. Left ventricular mass index in aortic valve surgery: a new index for early valve replacement? European Journal of Cardio-Thoracic Surgery. 2003;23(5):696–702. DOI: 10.1016/s1010-7940(03)00092-7

12. Duncan AI, Lowe BS, Garcia MJ, Xu M, Gillinov AM, Mihaljevic T et al. Influence of Concentric Left Ventricular Remodeling on Early Mortality After Aortic Valve Replacement. The Annals of Thoracic Surgery. 2008;85(6):2030–9. DOI: 10.1016/j.athoracsur.2008.02.075

13. Asami M, Lanz J, Stortecky S, Räber L, Franzone A, Heg D et al. The Impact of Left Ventricular Diastolic Dysfunction on Clinical Outcomes After Transcatheter Aortic Valve Replacement. JACC: Cardiovascular Interventions. 2018;11(6):593–601. DOI: 10.1016/j.jcin.2018.01.240

14. Dahl JS, Barros-Gomes S, Videbæk L, Poulsen MK, Issa IF, Carter-Storch R et al. Early Diastolic Strain Rate in Relation to Systolic and Diastolic Function and Prognosis in Aortic Stenosis. JACC: Cardiovascular Imaging. 2016;9(5):519–28. DOI: 10.1016/j.jcmg.2015.06.029

15. Chang S-A, Park P-W, Sung K, Lee S-C, Park SW, Lee YT et al. Noninvasive estimate of left ventricular filling pressure correlated with early and midterm postoperative cardiovascular events after isolated aortic valve replacement in patients with severe aortic stenosis. The Journal of Thoracic and Cardiovascular Surgery. 2010;140(6):1361–6. DOI: 10.1016/j.jtcvs.2010.02.022

16. Bohbot Y, de Meester de Ravenstein C, Chadha G, Rusinaru D, Belkhir K, Trouillet C et al. Relationship Between Left Ventricular Ejection Fraction and Mortality in Asymptomatic and Minimally Symptomatic Patients With Severe Aortic Stenosis. JACC: Cardiovascular Imaging. 2019;12(1):38–48. DOI: 10.1016/j.jcmg.2018.07.029

17. Gu H, Saeed S, Boguslavskyi A, Carr-White G, Chambers JB, Chowienczyk P. First-Phase Ejection Fraction Is a Powerful Predictor of Adverse Events in Asymptomatic Patients with Aortic Stenosis and Preserved Total Ejection Fraction. JACC: Cardiovascular Imaging. 2019;12(1):52–63. DOI: 10.1016/j.jcmg.2018.08.037

18. Ito S, Miranda WR, Nkomo VT, Connolly HM, Pislaru SV, Greason KL et al. Reduced Left Ventricular Ejection Fraction in Patients With Aortic Stenosis. Journal of the American College of Cardiology. 2018;71(12):1313–21. DOI: 10.1016/j.jacc.2018.01.045

19. Vollema EM, Sugimoto T, Shen M, Tastet L, Ng ACT, Abou R et al. Association of Left Ventricular Global Longitudinal Strain with Asymptomatic Severe Aortic Stenosis: Natural Course and Prognostic Value. JAMA Cardiology. 2018;3(9):839–47. DOI: 10.1001/jamacardio.2018.2288

20. Magne J, Cosyns B, Popescu BA, Carstensen HG, Dahl J, Desai MY et al. Distribution and Prognostic Significance of Left Ventricular Global Longitudinal Strain in Asymptomatic Significant Aortic Stenosis. JACC: Cardiovascular Imaging. 2019;12(1):84–92. DOI: 10.1016/j.jcmg.2018.11.005

21. Christensen NL, Dahl JS, Carter-Storch R, Bakkestrøm R, Pecini R, Steffensen FH et al. Relation of Left Atrial Size, Cardiac Morphology, and Clinical Outcome in Asymptomatic Aortic Stenosis. The American Journal of Cardiology. 2017;120(10):1877–83. DOI: 10.1016/j.amjcard.2017.07.101

22. Dahl JS, Videbæk L, Poulsen MK, Pellikka PA, Veien K, Andersen LI et al. Noninvasive assessment of filling pressure and left atrial pressure overload in severe aortic valve stenosis: Relation to ventricular remodeling and clinical outcome after aortic valve replacement. The Journal of Thoracic and Cardiovascular Surgery. 2011;142(3):e77–83. DOI: 10.1016/j.jtcvs.2011.01.032

23. Nombela-Franco L, Ribeiro HB, Urena M, Allende R, Amat-Santos I, DeLarochellière R et al. Significant Mitral Regurgitation Left Untreated at the Time of Aortic Valve Replacement: a comprehensive review of a frequent entity in the transcatheter aortic valve replacement era. Journal of the American College of Cardiology. 2014;63(24):2643– 58. DOI: 10.1016/j.jacc.2014.02.573

24. D’Ascenzo F, Conrotto F, Salizzoni S, Rossi ML, Nijhoff F, Gasparetto V et al. Incidence, predictors, and impact on prognosis of systolic pulmonary artery pressure and its improvement after transcatheter aortic valve implantation: a multicenter registry. The Journal of Invasive Cardiology. 2015;27(2):114–9. PMID: 25661764

25. O’Sullivan CJ, Wenaweser P, Ceylan O, Rat-Wirtzler J, Stortecky S, Heg D et al. Effect of Pulmonary Hypertension Hemodynamic Presentation on Clinical Outcomes in Patients With Severe Symptomatic Aortic Valve Stenosis Undergoing Transcatheter Aortic Valve Implantation: Insights From the New Proposed Pulmonary Hypertension Classification. Circulation: Cardiovascular Interventions. 2015;8(7):e002358. DOI: 10.1161/CIRCINTERVENTIONS.114.002358

26. Tang M, Liu X, Lin C, He Y, Cai X, Xu Q et al. Meta-Analysis of Outcomes and Evolution of Pulmonary Hypertension Before and After Transcatheter Aortic Valve Implantation. The American Journal of Cardiology. 2017;119(1):91–9. DOI: 10.1016/j.amjcard.2016.09.015

27. Lindman BR, Zajarias A, Maniar HS, Miller DC, Suri RM, Arnold SV et al. Risk stratification in patients with pulmonary hypertension undergoing transcatheter aortic valve replacement. Heart. 2015;101(20):1656–64. DOI: 10.1136/heartjnl-2015-308001

28. Masri A, Abdelkarim I, Sharbaugh MS, Althouse AD, Xu J, Han W et al. Outcomes of persistent pulmonary hypertension following transcatheter aortic valve replacement. Heart. 2018;104(10):821–7. DOI: 10.1136/heartjnl-2017-311978

29. Jeong DS, Sung K, Kim WS, Lee YT, Yang J-H, Jun T-G et al. Fate of functional tricuspid regurgitation in aortic stenosis after aortic valve replacement. The Journal of Thoracic and Cardiovascular Surgery. 2014;148(4):1328-1333.e1. DOI: 10.1016/j.jtcvs.2013.10.056

30. Lindman BR, Maniar HS, Jaber WA, Lerakis S, Mack MJ, Suri RM et al. Effect of Tricuspid Regurgitation and the Right Heart on Survival After Transcatheter Aortic Valve Replacement: Insights From the Placement of Aortic Transcatheter Valves II Inoperable Cohort. Circulation: Cardiovascular Interventions. 2015;8(4):e002073. DOI: 10.1161/CIRCINTERVENTIONS.114.002073

31. Galli E, Guirette Y, Feneon D, Daudin M, Fournet M, Leguerrier A et al. Prevalence and prognostic value of right ventricular dysfunction in severe aortic stenosis. European Heart Journal – Cardiovascular Imaging. 2015;16(5):531–8. DOI: 10.1093/ehjci/jeu290

32. Cavalcante JL, Rijal S, Althouse AD, Delgado-Montero A, Katz WE, Schindler JT et al. Right Ventricular Function and Prognosis in Patients with Low-Flow, Low-Gradient Severe Aortic Stenosis. Journal of the American Society of Echocardiography. 2016;29(4):325–33. DOI: 10.1016/j.echo.2015.12.001

33. Ternacle J, Berry M, Cognet T, Kloeckner M, Damy T, Monin J-L et al. Prognostic Value of Right Ventricular Two-Dimensional Global Strain in Patients Referred for Cardiac Surgery. Journal of the American Society of Echocardiography. 2013;26(7):721–6. DOI: 10.1016/j.echo.2013.03.021

34. Asami M, Stortecky S, Praz F, Lanz J, Räber L, Franzone A et al. Prognostic Value of Right Ventricular Dysfunction on Clinical Outcomes After Transcatheter Aortic Valve Replacement. JACC: Cardiovascular Imaging. 2019;12(4):577–87. DOI: 10.1016/j.jcmg.2017.12.015

35. Yakovlev V.V., Korolev B.E. Calcific aortic valve disease: pathogenesis, clinic, diagnosis, the possibility of treatment. Bulletin of Pirogov National Medical&Surgical Center. 2015;10(3):66– 70.

36. Tatarkin A.A., Matveev O.N., Tatarkina N.D. Degenerative aortic stenosis. Health. Medical ecology. Science. 2009;1(36):27–32.

37. Mursalimova A.I., Gendlin G.E., Storojhakov G.I. Features of the course and diagnosis of aortic stenosis. Atmosphere. Cardiology News. 2013;1:10–3.

38. Molchanov A.N., Idov E.M. Pathophysiological Features and Remodeling of the Left Departments of Heart at a Stenosis of the Aortal Valve at Elderly Patients. Journal of Ural Medical Academic Science. 2016;14(2):126–33. DOI: 10.22138/2500-0918-2016-14-2-126-133

39. Karpova N.Yu., Rashid M.A., Kazakova T.V., Shostak N.A. Aortic stenosis. Russian Medical Journal. 2014;22(2):162–5.

40. Loginova I.Yu., Levitcheva E.N., Okuneva G.N., Semenova I.I. Stages of compensation of circulation in acquired aortic valve disease according to data of physical working capacity. Kardiologiia. 2007;47(11):19–25.


Review

For citations:


Alekhin M.N. Classification of stages of severe aortic stenosis based on the prevalence of extravalvular heart damage. Kardiologiia. 2021;61(1):98-103. (In Russ.) https://doi.org/10.18087/cardio.2021.1.n1024

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