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Systolic blood pressure response during exercise testing in symptomatic severe aortic stenosis

Open Heart

Aims Exercise testing remains underused in patients with aortic stenosis (AS), partly due to concerns about an exercise-induced drop in systolic blood pressure (SBP). We aimed to study the SBP response to exercise in patients with severe symptomatic AS prior to surgery and 1 year postoperatively.

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Sarcopenia and aortic valve disease

Heart BMJ

Valvular heart disease, including calcific or degenerative aortic stenosis (AS), is increasingly prevalent among the older adult population. Exercise during the preoperative waiting period may be safe and effective in most patients with severe AS.

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Associations of Lifelong Exercise Characteristics With Valvular Function and Aortic Diameters in Patients With a Bicuspid Aortic Valve

Journal of the American Heart Association

BackgroundThe potential impact of exercise on valvular function and aortic diameters in patients with a bicuspid aortic valve remains unclear. Echocardiography was used to assess aortic stenosis or aortic regurgitation and to measure diameters at the sinuses of Valsalva and ascending aorta. Aortic dilatation was defined as aZ‐score ≥2.

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Dynamic OMI ECG. Negative trops and negative angiogram does not rule out coronary ischemia or ACS.

Dr. Smith's ECG Blog

Since the pathologist does not know the original cross-sectional area of the artery or the amount of compensatory enlargement of the artery from evaluation of a single cross section of the artery at a site of stenosis, the degree of luminal narrowing of that segment cannot be determined. These are typical findings at sites of plaque rupture.

Ischemia 121
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Optimal Medical Management of Atherosclerotic Intracranial Stenosis

Stroke Journal

Reducing the high risk of recurrent stroke in patients with symptomatic intracranial atherosclerotic stenosis (sICAS) has proven to be challenging, but aggressive medical management, with intensive risk factor control and antithrombotic therapy, has been shown to be beneficial. Stroke, Volume 55, Issue 2 , Page 335-343, February 1, 2024.

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Stress echocardiography in valvular heart disease

Frontiers in Cardiovascular Medicine

Optimal administration of exercise or intravenous drugs may reveal hemodynamic abnormalities under stress without posing an invasive risk. Therefore, the implementation of stress echocardiography is recommended for determining interventional indications and risk stratification in mitral regurgitation and aortic stenosis.

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Roche's Lp(a) Gen.2 Molarity Assay Receives FDA Clearance

DAIC

More than 90% of the Lp(a) level is influenced by variations in the genes controlling the Lp(a) particle production, 2 in which lifestyle interventions such as diet and exercise have no significant impact. 2022 Aug, 80 (9) 934946 Kronenberg F.