please comment on Fonseca article in JACC showing most clinicians do not follow guidelines? Also, has anyone looked to see if guidelines are followed, does it lead to improved outcomes? It seems the 'guidelines' are a little unscientific in their application and use.
Patients with Severe MR (Stage C and D) and Normal Systolic BP: will you recommend MV repair/replacement or adding after-load reducing agents such as ACE-Inhibitors/Hydralazine prior to intervention. guidelines say DO NOT add afterload reducing agents unless patient is hypertensive
Could you please comment on management of symptomatic pt with low flow low gradient severe AS with PRESERVED LVF? Do you go more with the AVA or gradients? Any role for vasodilator challenge?
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is this recorded or archived for future viewing please?
Hi, Mike. Yes! It is being recorded for future viewing.
please comment on Fonseca article in JACC showing most clinicians do not follow guidelines? Also, has anyone looked to see if guidelines are followed, does it lead to improved outcomes? It seems the 'guidelines' are a little unscientific in their application and use.
Symptomatic patient, 'moderate' gradient, but small stroke volume, moderate diastolic dysfunction, is dobutamine stress echo helpful ?
Patients with Severe MR (Stage C and D) and Normal Systolic BP: will you recommend MV repair/replacement or adding after-load reducing agents such as ACE-Inhibitors/Hydralazine prior to intervention. guidelines say DO NOT add afterload reducing agents unless patient is hypertensive
Work up and timing of interevention in paradoxical low flow low gradient AS?
Could you please comment on management of symptomatic pt with low flow low gradient severe AS with PRESERVED LVF? Do you go more with the AVA or gradients? Any role for vasodilator challenge?
The legal community is fully aware of these guidelines and uses them in support of their "cause of action" for their client/patients.
in patients with AS, if there is Peak/Mean Gradient and AVA mismatch, what parameter do we pick to grade stenosis?
when is the next Chalk Talk?