Portal de Periódicos da CAPES

Imaging Methods for Evaluation of Chronic Aortic Regurgitation in Adults

2023; Elsevier BV; Volume: 82; Issue: 20 Linguagem: Inglês

10.1016/j.jacc.2023.08.051

1558-3597

Lauren S. Ranard, Robert O. Bonow, Rick A. Nishimura, Michael J. Mack, Vinod H. Thourani, Joseph E. Bavaria, Patrick T. O’Gara, Jeroen J. Bax, Philipp Blanke, Victoria Delgado, Jonathon Leipsic, Roberto M. Lang, Héctor I. Michelena, João L. Cavalcante, Torsten Vahl, Martin B. Leon, Vera H. Rigolin,

Infective Endocarditis Diagnosis and Management

A global multidisciplinary workshop was convened to discuss the multimodality diagnostic evaluation of aortic regurgitation (AR). Specifically, the focus was on assessment tools for AR severity and analyzing evolving data on the optimal timing of aortic valve intervention. The key concepts from this expert panel are summarized as: 1) echocardiography is the primary imaging modality for assessment of AR severity; however, when data is incongruent or incomplete, cardiac magnetic resonance may be helpful; 2) assessment of left ventricular size and function is crucial in determining the timing of intervention; 3) recent evidence suggests current cutpoints for intervention in asymptomatic severe AR patients requires further scrutiny; 4) left ventricular end-systolic volume index has emerged as an additional parameter that has promise in guiding timing of intervention; and 5) the role of additional factors (including global longitudinal strain, regurgitant fraction, and myocardial extracellular volume) is worthy of future investigation.