Aortic stenosis with a pressure gradient >40 mmHg is considered severe. This high gradient indicates significant obstruction to left ventricular outflow, requiring increased force to pump blood through the narrowed aortic valve.
임상 시나리오
Aortic Stenosis:
- Definition: Narrowing of aortic valve opening
- Causes: Calcification, congenital bicuspid valve, rheumatic fever
- Symptoms: Angina, syncope, dyspnea
- Physical findings: Systolic ejection murmur, delayed carotid upstroke
- Diagnostic criteria:
* Severe AS: valve area 40 mmHg
* Moderate AS: valve area 1.0-1.5 cm², mean gradient 20-40 mmHg
* Mild AS: valve area >1.5 cm², mean gradient
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