Natural History of Asymptomatic Severe Aortic Stenosis and the Association of Early Intervention With Outcomes: A Systematic Review and Meta-Analysis
As Dr Malik explains, this article looks at previous studies in patients with good heart pump function but severe aortic stenosis. Previous guidelines suggest that if you have critical aortic stenosis, then intervening before symptoms such as chest pain, breathlessness or blackouts occur saves lives.
This study suggests the same is true in the severe, but not critically narrowed aortic valve. About 5% of patients per year will die, and up to 1 in 5 will end up needing surgery.
This means even more careful follow up if your aortic valve is moderate or severely narrowed. You may need open heart surgery (AVR) or transcatheter surgery (TAVI).
Find the link to Dr Iqbal Malik’s article here