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Aortic Stenosis: Aortic Stenosis - summitMD.com

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ESC Guidelines<br />

<strong>Aortic</strong> valve replacement (AVR)<br />

• Class IIa<br />

• Asymptomatic patients with severe AS and abnormal exercise<br />

test showing fall in blood pressure below baseline<br />

• Moderate AS undergoing coronary artery bypass surgery,<br />

surgery of the ascending aorta or another valve<br />

• Asymptomatic patients with severe AS and moderate-to-<br />

severe valve calcification, and a rate of peak velocity<br />

progression ≥0.3 m/s per year<br />

• AS with low gradient (

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