N.V. Ponych, O.J. Zharinov, O.A. Yepanchintseva, B.M. Todurov. Clinical and echocardiographic characteristics of patients with aortic stenosis with or without stenotic coronary atherosclerosis

The aim – to assess in real practice, clinical characteristics of patients with aortic stenosis (AS) with and without concomitant coronary atherosclerosis, selected for aortic valve (AV) surgery.

Material and methods. The cross-sectional study analyzed data received at clinical and instrumental examination of 82 patients with severe AS, consecutively selected for AV surgery. Among them 55 (67.1 %) – with isolated AS, 27 (32.9 %) – AS in combination with coronary artery disease.

Results. The group of patients with AS and concomitant coronary atherosclerosis was characterized by older age, more frequent detection of arterial hypertension II–III degree, angina III–IV functional class, concomitant diabetes and renal dysfunction. At the same time, in patients with isolated AS more pronounced structural and functional changes of the left ventricle caused by valvular heart disease were observed.

Conclusions. These results reflect significant discrepancy between real practice of management of patients with AS and existing guidelines and indicate, in particular, at too late referral of patients with isolated AS for AV surgery.

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