Symptomatic or asymptomatic stenosis. Medical search. Frequent questions

Symptoms related to aortic stenosis depend on the degree of stenosis. (wikipedia.org)
The magnitude of the benefit is greater with increasing degree of stenosis, male sex, greater number of risk factors for strokes, strokes or hemispheric transient ischemic attacks rather than amaurosis fugax, recurrent events, plaque ulceration, contralateral carotid occlusion and tandem (intracranial and extracranial) stenosis. (healthplexus.net)
Carotid duplex ultrasonography is the initial test of choice for evaluating the carotid artery and measuring the degree of stenosis. (amboss.com)
Management depends on the degree of stenosis and patient factors (e.g., life-expectancy, comorbidities). (amboss.com)
MRA has a tendency to overestimate the degree of stenosis. (amboss.com)
Treatment is with statins, anti-hypertensive and antiplatelet agents, and, in some cases (depending on the degree of stenosis and associated symptoms) , surgical revascularization. (lecturio.com)

Bilateral stenting of symptomatic and asymptomatic internal carotid artery stenosis due to fibromuscular dysplasia. (qxmd.com)
Stent grafting of internal carotid artery (ICA) stenoses due to fibromuscular dysplasia has been rarely and only unilaterally carried so far. (qxmd.com)
Low cerebral blood flow can affect cognition in patients with high-grade asymptomatic internal carotid artery stenosis. (karger.com)
Patients with ≥80% unilateral internal carotid artery stenosis with no history of stroke were recruited from inpatient and outpatient practices at a single, large, comprehensive stroke center. (karger.com)
Forty-two patients with unilateral high-grade internal carotid artery stenosis without stroke were enrolled (26 males, age = 74 ± 9 years, education = 16 ± 3 years). (karger.com)
In high-grade, asymptomatic carotid artery stenosis, cognitive impairment correlated linearly with lower flow in the hemisphere fed by the occluded internal carotid artery, but only below a threshold of MFV = 45 cm/s. (karger.com)
The risk and benefit of carotid endarterectomy in women with symptomatic internal carotid artery disease. (medigraphic.com)
Risks, causes and prevenmtion of ischaemic stroke in elderly patients with symptomatic internal carotid artery stenosis. (medigraphic.com)
There have been studies aimed at determining hemodynamically significant of internal carotid artery (ICA) stenosis by blood flow distribution in precerebral arteries. (oatext.com)
Hemodynamically significant of internal carotid artery (ICA) stenosis is usually assessed by patterns of local hemodynamic changes in the area of ICA stenosis, which include: an increase peak systolic velocity (PSV), turbulence, pressure gradient, a decrease volumetric blood flow, changed spectrum in the pre- and post-stenotic segments [1-3]. (oatext.com)
Carotid artery stenosis ( CAS ) is an atherosclerotic, degenerative disease of the common carotid artery and internal carotid artery . (amboss.com)
Although different surgical techniques have been reported for repairing kinked stenosis of the internal carotid artery (ICA) after carotid endarterectomy (CEA), there are no reports using endovascular reconstruction. (surgicalneurologyint.com)
There are no clearly defined management options for kinking stenosis of the internal carotid artery (ICA) after carotid endarterectomy (CEA). (surgicalneurologyint.com)

These patients had carotid stenosis greater than 70% in the absence of symptoms. (medscape.com)
Nowadays, ICA stenosis is considered hemodynamically significant if PSV in the area of ICA stenosis (greater than 70%) is above 230 cm/s [1]. (oatext.com)

A summary of available imaging tests for low-, intermediate-, and high-risk asymptomatic patients is outlined in this document. (bvsalud.org)

Non-atherosclerotic carotid stenosis (dissection, fibromuscular dysplasia, or stenosis following radiation therapy). (mayo.edu)
The primary objective of this trial is to assess the effects of Bendavia on renal blood flow and renal function in atherosclerotic renal artery stenosis (ARAS), compared with placebo in patients with ARAS who receive one dose of study drug infused 30 minutes before and 3 hours after percutaneous transluminal angioplasty of the renal artery (PTRA). (mayo.edu)
For patients with intracranial stenosis, especially caused by intracranial atherosclerotic disease (ICAD), medical intervention is required to reduce the risk of ischemic stroke due to thromboembolic events, but it does not reduce the risk of ICAD progression, hypoperfusion and poor collateral circulation. (scirp.org)
Atherosclerotic carotid artery stenosis is relatively frequent in older patients and is a major cause of disabling stroke or death. (healthplexus.net)
Carotid artery stenosis is a chronic atherosclerotic disease resulting in narrowing of the common and internal carotid arteries. (lecturio.com)

Aortic stenosis can be caused by acquired conditions, be the result of a congenital malformation, or be a result of a combination of acquired and congenital processes. (medscape.com)
Congenital aortic stenosis is classified as valvular, subvalvular, and supravalvular. (medscape.com)
Congenital aortic stenosis becomes symptomatic in childhood. (medscape.com)
Isolated pulmonary stenosis is considered to be a rare congenital abnormality. (medscape.com)
A large study called the Second Natural History Study of Congenital Heart Defects analyzed the treatment, quality of life, echocardiography findings, complications, exercise responses, and predisposition to endocarditis with regards to cardiac valvular disease, and pulmonary stenosis was found to be the most benign valvular lesion. (medscape.com)
Most cases of pulmonic valvular stenosis are congenital. (medscape.com)

In a 37 year old woman with recurrent right hemispheric transitory ischaemic attacks, a non-disabling minor stroke, and recurrent right amaurosis fugax despite antithrombotic therapy, cerebral angiography disclosed a long segment narrowing, distal, high grade (95%) stenosis of the right ICA and a long narrowing, distal high grade (70%) stenosis of the left ICA. (qxmd.com)
However, because of progressive changes and myocardial hypertrophy in aortic stenosis, LVEF may be preserved until late in the disease despite decreasing stroke volumes and impaired contractility. (thoracickey.com)
As the stenosis progresses, patients are unable to increase stroke volume, and as a result, they are unable to increase cardiac output so as to compensate for increases in myocardial oxygen demand. (medscape.com)
Carotid revascularization for primary prevention of stroke (CREST-2) is two independent multicenter, randomized controlled trials of carotid revascularization and intensive medical management versus medical management alone in patients with asymptomatic high-grade carotid stenosis. (mayo.edu)
Usually, hemodynamically significant of ICA stenosis is determined by highly likely development of stroke in severe stenosis one of the precerebral arteries. (oatext.com)
The importance of this assessment is necessary for the timely surgical treatment of ICA stenosis and, therefore, reducing the risk of stroke. (oatext.com)
At the same time, the most attention was focused on patients with symptomatic ICA stenosis, while primary prevention of stroke has dominant importance. (oatext.com)
To reduce the risk of stroke, carotid artery stenting (CAS) is performed and has shown to be effective in preventing from stroke in patients with severe carotid artery stenosis. (scirp.org)
Depending on the extent of stenosis, ischemia in the carotid perfusion territory can result in amaurosis fugax , transient ischemic attack ( TIA ), or stroke . (amboss.com)
Early diagnosis of aortic valve stenosis is crucial to prevent severe complications, such as arrhythmias, heart failure, stroke, and death. (drraghu.com)
The most serious complication of carotid artery stenosis is stroke. (lecturio.com)

Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. (medigraphic.com)

Carotid revascularization is recommended for severe carotid stenosis and may be considered for moderate carotid stenosis if the periprocedural risks are acceptable. (amboss.com)

Symptoms of aortic stenosis usually develop gradually after an asymptomatic latent period of 10-20 years. (medscape.com)
The three main symptoms of aortic stenosis are loss of consciousness, anginal chest pain and shortness of breath with activity or other symptoms of heart failure such as shortness of breath while lying flat, episodes of shortness of breath at night, or swollen legs and feet. (wikipedia.org)

Doctors use a variety of diagnostic tests to evaluate the aforementioned parameters and determine the severity of aortic stenosis. (drraghu.com)
It helps doctors examine how blood flows through each valve and determine the severity of aortic stenosis. (drraghu.com)
How will you classify the severity of aortic stenosis? (rimikri.com)

1 Aortic valve replacement (AVR) is recommended for symptomatic patients with severe AS as the prognosis without intervention is dismal. (bmj.com)
AVR is recommended for symptomatic patients but the timing of surgery is critical to optimise outcome. (gla.ac.uk)

The only definitive treatment for aortic stenosis in adults is aortic valve replacement (surgical or percutaneous). (medscape.com)

Patients with severe heart failure due to aortic stenosis that is resistant to medical management should be considered for urgent surgery. (medscape.com)
Patients with severe calcific degenerative aortic stenosis can be categorized into three clinical groups at the time of diagnosis: those without evidence of congestive heart failure, those with chronic congestive heart failure, and those with acute heart failure requiring hospitalization. (medscape.com)
We performed a meta-analysis to examine the impact on outcomes of aortic valve replacement (AVR) in patients with severe asymptomatic AS versus a symptom-driven intervention approach. (bmj.com)
2 The management of asymptomatic patients with severe AS is controversial. (bmj.com)
We conducted a meta-analysis of these studies to determine whether early AVR compared with symptom-driven AVR is beneficial in patients with severe asymptomatic AS. (bmj.com)
MRC Carotid Surgery Trial:interim results for symptomatic patients with severe (70- 99%), or mild (0-29%) carotid stenosis. (medigraphic.com)
Carotid endarterectomy is currently considered the standard of care for all patients with severe symptomatic and asymptomatic carotid stenosis. (healthplexus.net)

Unlike the aortic stenosis murmur, a pulmonic stenosis murmur does not radiate, and the crescendo component lengthens as stenosis progresses. (msdmanuals.com)
Next, they'll use a stethoscope to detect the presence of the characteristic aortic stenosis murmur. (drraghu.com)

Calcific aortic stenosis has been also termed "degenerative aortic stenosis" and "fibrocalcific aortic stenosis. (medscape.com)
Other high-risk cardiac sources of emboli, including left ventricular aneurysm, severe cardiomyopathy, aortic or mitral mechanical heart valve, severe calcific aortic stenosis (valve area (mayo.edu)

Thus, the aim of this study was to compare global and regional velocity and deformation in patients with asymptomatic and symptomatic aortic stenosis, divided into four groups according to severity (aortic valve area), symptomatic status, and LVEF. (thoracickey.com)
The study population of 231 patients with aortic stenosis was recruited from March 2008 to January 2012 from two parallel studies investigating the use of multidetector computed tomography and echocardiography in asymptomatic patients ( n = 104) and symptomatic patients scheduled for aortic valve replacement, with or without coronary bypass grafting ( n = 127). (thoracickey.com)
Aortic stenosis is the obstruction of blood flow across the aortic valve (see the image below). (medscape.com)
Syncope (fainting spells) from aortic valve stenosis is usually exertional. (wikipedia.org)
Regardless of the etiology, calcification of the aortic valve leads to stenosis, inevitably resulting in a fixed obstruction to LV emptying. (medscape.com)
Acquired stenosis of the aortic valve, which affects adults, is most often caused by calcification of the leaflets themselves and is considered an age-related or degenerative process. (medscape.com)
Postrheumatic aortic stenosis is another common cause of acquired aortic stenosis, and is a result of remote infection from group A streptococci that triggers an autoimmune process resulting in scarring of the valve leaflets. (medscape.com)
Hardening of the aortic valve, usually by degenerative calcification, with a jet velocity of less than 5 mm/second is considered aortic sclerosis and is asymptomatic. (medscape.com)
[ 3 ] Degenerative aortic stenosis is currently the most common indication for valve surgery, as the population ages and newer techniques, such as minimally invasive surgery and transcutaneous methods, become available. (medscape.com)
At present, the most common cause of valve replacement in the United States is aortic stenosis secondary to calcification. (medscape.com)
stenosis may be valvular or just below the valve in the outflow tract (infundibular). (msdmanuals.com)
Tetralogy of Fallot Tetralogy of Fallot consists of 4 features: a large ventricular septal defect, right ventricular outflow tract obstruction and pulmonic valve stenosis, right ventricular hypertrophy, and over-riding. (msdmanuals.com)
Aortic Stenosis Aortic stenosis (AS) is narrowing of the aortic valve, obstructing blood flow from the left ventricle to the ascending aorta during systole. (msdmanuals.com)
Aortic valve stenosis is a serious disease that can lead to heart failure, strokes, and even death if left untreated. (drraghu.com)
If you experience symptoms like chest pain, heart murmur, or palpitation, it's crucial to reach out to an experienced cardiologist and get the right treatment for aortic valve stenosis. (drraghu.com)
That's why cardiologists use a series of tests to diagnose aortic valve stenosis and its underlying cause. (drraghu.com)
It helps doctors take a closer look at the aortic valve and identify the underlying cause of aortic stenosis. (drraghu.com)

Carotid endarterectomy: indications for symptomatic and asymptomatic stenosis. (ox.ac.uk)
What are the indications of coronary angiography in aortic stenosis? (rimikri.com)

[ 2 ] Isolated right ventricular outflow tract obstruction is pulmonic valvular stenosis in 80% of cases. (medscape.com)

Stenosis may be valvular, subvalvular, or supravalvular. (medscape.com)
Supravalvular, valvular, and subvalvular lesions are associated with pulmonic valvular stenosis. (medscape.com)

Bilateral carotid stenting may remain an alternative to endarterectomy in bilateral ICA stenosis due to fibromuscular dysplasia when ischaemic events persist despite full antithrombotic therapy. (qxmd.com)
November 25, 2009 (New York, New York) - Mounting evidence suggests that carotid artery stenting is much less safe than carotid endarterectomy in patients with symptomatic and asymptomatic carotid artery stenosis. (medscape.com)
Here, we aimed to determine whether matrix metalloproteinases (MMP-1, MMP-2, MMP-7, MMP-9 and MMP-10), tissue inhibitor of MMPs (TIMP-1) and in vivo inflammation studied by F-18-FDG-PET/CT predict recurrent cardiovascular events in patients with carotid stenosis who underwent endarterectomy. (unav.edu)
70%) carotid stenosis who were scheduled for carotid endarterectomy between July 2013 and March 2016. (unav.edu)
Disability and maintaining vessel patency after stenting symptomatic carotid stenosis is similar to carotid endarterectomy on long term follow up beyond the peri-operative stage (ICSS, EVA3S). (acnr.co.uk)
North American Symptomatic Carotid Endarterectomy Trial Collaborators. (medigraphic.com)
Beneficial effect of carotid endarterectomy in symptomatic patients with high grade carotid stenosis. (medigraphic.com)
Efficacy of endarterectomy for asymptomatic carotid stenosis. (medigraphic.com)
Endarterectomy for asymptomatic carotid artery stenosis. (medigraphic.com)
Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final result of the MRC European Carotid Surgery Trial. (medigraphic.com)
Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. (medigraphic.com)
Here, we aimed to determine whether matrix metalloproteinases (MMP-1, MMP-2, MMP-7, MMP-9 and MMP-10), tissue inhibitor of MMPs (TIMP-1) and in vivo inflammation studied by 18F-FDG-PET/CT predict recurrent cardiovascular events in patients with carotid stenosis who underwent endarterectomy. (cun.es)

Assessment of myocardial longitudinal function has proved to be a sensitive marker of deteriorating myocardial function in aortic stenosis, demonstrated by both color Doppler tissue imaging and recently by two-dimensional speckle-tracking echocardiography. (thoracickey.com)
The aim of this study was to compare velocity (color Doppler tissue imaging) and deformation (two-dimensional speckle-tracking echocardiography) in relation to global and regional longitudinal function in asymptomatic and severe symptomatic aortic stenosis. (thoracickey.com)
demonstrated that longitudinal shortening, measured by M-mode echocardiography, was reduced in patients with aortic stenosis compared with normal subjects and patients with aortic or mitral regurgitation. (thoracickey.com)

Pulmonic stenosis (PS) is narrowing of the pulmonary outflow tract causing obstruction of blood flow from the right ventricle to the pulmonary artery during systole. (msdmanuals.com)
Many children with pulmonic stenosis remain asymptomatic for years and do not present to a physician until adulthood. (msdmanuals.com)
Symptoms of pulmonic stenosis have been observed to progress with time. (medscape.com)
Rarely, pulmonic stenosis is associated with recessively transmitted conditions such as Laurence-Moon-Biedl syndrome. (medscape.com)

History of major symptomatic intracranial hemorrhage within 12 months that was not related to anticoagulation. (mayo.edu)
Conclusions: CAS and EC-IC by-pass in patients with a carotid or intracranial stenosis may result in cognitive improvement three months after surgery. (scirp.org)
The degree of carotid and intracranial stenosis was initially evaluated by CT angiogram (CTA), and conventional cerebral angiography was followed in anticipation of CAS and EC-IC by-pass. (scirp.org)
Inclusion criteria included recent (within 30 days of the date of procedure) CTA of the head and neck, evidence of an carotid stenosis of more than 70% confirmed with conventional angiography or severe intracranial major artery stenosis with distinct low perfusion of the relevant regions, age older than 45 years, and selected by the vascular disease specialist as a suitable candidate for stent placement or EC-IC by-pass. (scirp.org)
CAS was performed if the patients had severe symptomatic carotid stenosis ≥70% without severe diffused intracranial artery stenosis. (scirp.org)
Controls were patients with carotid or/and intracranial severe stenosis who declined vascular surgery due to personal reasons or no surgery was possible due to medical reasons. (scirp.org)

Aortic stenosis is the most common valvular heart disease in the developed world. (wikipedia.org)

Chest pain: Angina pectoris in patients with aortic stenosis is typically precipitated by exertion and relieved by rest. (medscape.com)
In severe aortic stenosis, the carotid arterial pulse typically has a delayed and plateaued peak, decreased amplitude, and gradual downslope (pulsus parvus et tardus). (medscape.com)
Aortic stenosis is typically followed using repeated ultrasound scans. (wikipedia.org)
Carotid artery stenosis does not typically cause vertigo , lightheadedness , or syncope . (amboss.com)
Carotid artery stenosis typically occurs within 2 cm of the common carotid artery bifurcation. (amboss.com)
Neonates with critical stenosis typically present with central cyanosis at birth. (medscape.com)

The pathologic findings, clinical symptoms, and treatment are similar to degenerative aortic stenosis in trileaflet valves. (medscape.com)
However, this criterion was determined over 30 years ago based on results of the first randomized NASCET study [4], when ultrasound methods just started their advance to the clinical practice and degree of ICA stenosis could only be assessed by local changes of blood flow. (oatext.com)

Hennerici M, Hulsbomer HB, Lamerts D, Rautenberg W. Natural history of asymptomatic extracranial arterial disease. (medigraphic.com)

These patients had either bilateral ICA stenosis greater than 90% or the contralateral ICA occlusion, or a variation the circle of Willis. (oatext.com)

Bilateral carotid stent grafting of ICA stenoses due to fibromuscular dysplasia has not been reported previously. (qxmd.com)
Morphological features of both stenoses were indicative of fibromuscular dysplasia. (qxmd.com)

In addition, a previously unreported smaller study supporting these findings in a subgroup of asymptomatic patients was also presented to conference attendees. (medscape.com)
RECENT FINDINGS: Carotid stenosis is a common comorbidity of patients presenting with head and neck cancer as these pathologies have overlapping risk factors. (bvsalud.org)
What are the X-ray findings of aortic stenosis? (rimikri.com)
What are the ECG findings of aortic stenosis? (rimikri.com)
What are the echocardiogram findings of aortic stenosis? (rimikri.com)

Circulating MMP-7 may represent a novel marker for recurrent cardiovascular events in patients with moderate to severe carotid stenosis. (cun.es)

A harsh crescendo-decrescendo ejection murmur is audible and is heard best at the left parasternal 2nd (valvular stenosis) or 4th (infundibular stenosis) intercostal space with the diaphragm of the stethoscope when the patient leans forward. (msdmanuals.com)

It seems intuitively correct to monitor cardiac function to identify patients with worsening aortic stenosis, and measures of longitudinal cardiac function, evaluated by color Doppler tissue imaging (DTI) and 2D STE, seem especially appealing. (thoracickey.com)
A patient presenting with uncontrolled heart failure should be treated supportively with oxygen, cardiac and oximetry monitoring, intravenous access, loop diuretics, nitrates (keep in mind the potential nitrate sensitivity of patients with aortic stenosis), morphine (as needed and tolerated), and noninvasive or invasive ventilatory support (as indicated). (medscape.com)
Initially, these compensatory changes allow the LV to maintain cardiac output, and patients are asymptomatic. (medscape.com)
Conclusions Although there was a trend towards reduced overall mortality when comparing early AVR in patients with asymptomatic, severe AS to a symptom-driven AVR approach, there was no significant difference in cardiac mortality or sudden death. (bmj.com)

What are the complications of aortic stenosis? (rimikri.com)
Interventions for baffle complications have been done for both baffle leaks and baffle stenosis in symptomatic patients. (thechipnetwork.org)

13% is related to adverse outcomes in severe asymptomatic aortic stenosis. (thoracickey.com)
ICSS confirms that for the moment, outcomes with surgery are more reliable in symptomatic patients in terms of safety. (medscape.com)
Methods A search for studies that examined the outcomes of AVR and management of asymptomatic severe AS was performed. (bmj.com)

Why is your diagnosis aortic stenosis? (rimikri.com)
Currently, surgical resection is the only potentially curative treatment for PDAC, but in approximately 80% of symptomatic patients, the tumor is already unresectable at the time of diagnosis. (medscape.com)

Most people with mild to moderate aortic stenosis do not have symptoms. (wikipedia.org)
Symptoms usually present in individuals with severe aortic stenosis, though they may also occur in those with mild to moderate aortic stenosis. (wikipedia.org)
Greater jet flow velocity with a gradient of less than 20 mm Hg is considered mild stenosis. (medscape.com)
AS was classified by both disease (mild/severe) severity and symptomatic (Sy/Asy) status. (gla.ac.uk)

Why not pulmonary stenosis? (rimikri.com)

Anterior-posterior (a) view on preoperative carotid angiography showing moderate stenosis of the right ICA. (surgicalneurologyint.com)
During surgery, no kinking stenosis was observed and video angiography with indocyanine green showed no delay in ICA blood flow. (surgicalneurologyint.com)

Symptomatic patients with ≥50% stenosis and asymptomatic patients with ≥70% stenosis were eligible to be treated with any U.S. Food and Drug Administration-approved carotid artery stent. (nih.gov)

Most often, valvular stenosis or insufficiency. (msdmanuals.com)

Exercise stress test is now recommended by current guidelines in asymptomatic patients and may provide incremental prognostic value. (wikipedia.org)

Overall, in symptomatic patients, CAS is associated with a slightly higher risk of periprocedural strokes when compared to CEA. (elsevierpure.com)

Anatomy11

Diseases38

Analytical, Diagnostic and Therapeutic Techniques and Equipment39

Phenomena and Processes8

Health Care10

Degree of stenosis6

Internal caroti13

Greater than 702

High-risk asymptomatic1

Atherosclerotic5

Congenital6

Stroke11

Atherosclerosis1

Revascularization1

Symptoms of aortic stenosis2

Severity of aortic stenosis3

Recommended for symptomatic patients2

Treatment for aortic stenosis1

Patients with severe7

Aortic stenosis murmur2

Calcific Aortic Stenosis2

Valve17

Indications2

Right ventricular outflow tract obs1

Supravalvular2

Endarterectomy12

Echocardiography3

Pulmonic stenosis4

Intracranial6

Valvular heart d1

Typically6

Clinical2

Extracranial1

Occlusion1

Fibromuscular dysplasia2

Findings5

Recurrent1

Murmur1

Cardiac4

Complications2

Outcomes3

Diagnosis2

Mild4

Pulmonary1

Angiography2

Stent1

Insufficiency1

Provide incremental prognostic1

Strokes1