Left ventricular remodeling in aortic stenosis

Authors: Rassi, Andrew N.; Pibarot, Philippe; Elmariah, Sammy
Abstract: Aortic stenosis (AS) is a progressive condition associated with high mortality if not treated. The hemodynamic effects of AS have serious implications for the left ventricle. In this review, we describe the responses of the left ventricle to AS by highlighting the process of adaptive remodelling, which begins as a beneficial compensatory mechanism but ultimately transitions to a maladaptive process with potentially irreversible consequences. We discuss the impact of left ventricular (LV) remodelling on diastolic and systolic function and on the development of symptoms. In addition, we review the adverse consequences of maladaptive LV remodelling on clinical outcomes before and after aortic valve replacement. The relative irreversibility of maladaptive remodelling and the clear relationship between its progression and clinical outcomes suggest a need to incorporate measures of LV performance beyond simply systolic function when deciding on the timing of valve replacement.
Document Type: Article de recherche
Issue Date: 30 April 2014
Open Access Date: Restricted access
Document version: VoR
Permalink: http://hdl.handle.net/20.500.11794/7328
This document was published in: The Canadian journal of cardiology, Vol. 30 (9), 1004-1011 (2014)
https://doi.org/10.1016/j.cjca.2014.04.026
Canadian Cardiology Publications.
Alternative version: 10.1016/j.cjca.2014.04.026
25151283
Collection:Articles publiés dans des revues avec comité de lecture

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