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Expert consensus document on the assessment of the severity of aortic valve stenosis by echocardiography to provide diagnostic conclusiveness by standardized verifiable documentation

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Expert consensus document on the assessment of the severity of aortic valve stenosis by echocardiography to provide diagnostic conclusiveness by standardized verifiable documentation. / Hagendorff, Andreas; Knebel, Fabian; Helfen, Andreas; Knierim, Jan; Sinning, Christoph; Stöbe, Stephan; Fehske, Wolfgang; Ewen, Sebastian.

In: CLIN RES CARDIOL, Vol. 109, No. 3, 03.2020, p. 271-288.

Research output: SCORING: Contribution to journal › SCORING: Review article › Research

Harvard

Hagendorff, A, Knebel, F, Helfen, A, Knierim, J, Sinning, C, Stöbe, S, Fehske, W & Ewen, S 2020, 'Expert consensus document on the assessment of the severity of aortic valve stenosis by echocardiography to provide diagnostic conclusiveness by standardized verifiable documentation', CLIN RES CARDIOL, vol. 109, no. 3, pp. 271-288. https://doi.org/10.1007/s00392-019-01539-2

APA

Hagendorff, A., Knebel, F., Helfen, A., Knierim, J., Sinning, C., Stöbe, S., Fehske, W., & Ewen, S. (2020). Expert consensus document on the assessment of the severity of aortic valve stenosis by echocardiography to provide diagnostic conclusiveness by standardized verifiable documentation. CLIN RES CARDIOL, 109(3), 271-288. https://doi.org/10.1007/s00392-019-01539-2

Vancouver

Hagendorff A, Knebel F, Helfen A, Knierim J, Sinning C, Stöbe S et al. Expert consensus document on the assessment of the severity of aortic valve stenosis by echocardiography to provide diagnostic conclusiveness by standardized verifiable documentation. CLIN RES CARDIOL. 2020 Mar;109(3):271-288. https://doi.org/10.1007/s00392-019-01539-2

Bibtex

@article{8cfd825824ef47a5bd84be883529eb37,
title = "Expert consensus document on the assessment of the severity of aortic valve stenosis by echocardiography to provide diagnostic conclusiveness by standardized verifiable documentation",
abstract = "According to recent recommendations on echocardiographic assessment of aortic valve stenosis direct measurement of transvalvular peak jet velocity, calculation of transvalvular mean gradient from the velocities using the Bernoulli equation and calculation of the effective aortic valve area by continuity equation are the appropriate primary key instruments for grading severity of aortic valve stenosis. It is obvious that no gold standard can be declared for grading the severity of aortic stenosis. Thus, conclusions of the exclusive evaluation of aortic stenosis by Doppler echocardiography seem to be questionable due to the susceptibility to errors caused by methodological limitations, mathematical simplifications and inappropriate documentation. The present paper will address practical issues of echocardiographic documentation to satisfy the needs to analyze different scenarios of aortic stenosis due to various flow conditions and pressure gradients. Transesophageal and multidimensional echocardiography should be implemented for reliable measurement of geometric aortic valve area and of cardiac dimensions at an early stage of the diagnostic procedure to avoid misinterpretation due to inconsistent results.",
keywords = "Aortic Valve Stenosis/diagnostic imaging, Documentation, Echocardiography/methods, Echocardiography, Doppler/methods, Humans, Medical Errors/prevention & control, Reproducibility of Results, Severity of Illness Index",
author = "Andreas Hagendorff and Fabian Knebel and Andreas Helfen and Jan Knierim and Christoph Sinning and Stephan St{\"o}be and Wolfgang Fehske and Sebastian Ewen",
year = "2020",
month = mar,
doi = "10.1007/s00392-019-01539-2",
language = "English",
volume = "109",
pages = "271--288",
journal = "CLIN RES CARDIOL",
issn = "1861-0684",
publisher = "D. Steinkopff-Verlag",
number = "3",

}

RIS

TY - JOUR

T1 - Expert consensus document on the assessment of the severity of aortic valve stenosis by echocardiography to provide diagnostic conclusiveness by standardized verifiable documentation

AU - Hagendorff, Andreas

AU - Knebel, Fabian

AU - Helfen, Andreas

AU - Knierim, Jan

AU - Sinning, Christoph

AU - Stöbe, Stephan

AU - Fehske, Wolfgang

AU - Ewen, Sebastian

PY - 2020/3

Y1 - 2020/3

N2 - According to recent recommendations on echocardiographic assessment of aortic valve stenosis direct measurement of transvalvular peak jet velocity, calculation of transvalvular mean gradient from the velocities using the Bernoulli equation and calculation of the effective aortic valve area by continuity equation are the appropriate primary key instruments for grading severity of aortic valve stenosis. It is obvious that no gold standard can be declared for grading the severity of aortic stenosis. Thus, conclusions of the exclusive evaluation of aortic stenosis by Doppler echocardiography seem to be questionable due to the susceptibility to errors caused by methodological limitations, mathematical simplifications and inappropriate documentation. The present paper will address practical issues of echocardiographic documentation to satisfy the needs to analyze different scenarios of aortic stenosis due to various flow conditions and pressure gradients. Transesophageal and multidimensional echocardiography should be implemented for reliable measurement of geometric aortic valve area and of cardiac dimensions at an early stage of the diagnostic procedure to avoid misinterpretation due to inconsistent results.

AB - According to recent recommendations on echocardiographic assessment of aortic valve stenosis direct measurement of transvalvular peak jet velocity, calculation of transvalvular mean gradient from the velocities using the Bernoulli equation and calculation of the effective aortic valve area by continuity equation are the appropriate primary key instruments for grading severity of aortic valve stenosis. It is obvious that no gold standard can be declared for grading the severity of aortic stenosis. Thus, conclusions of the exclusive evaluation of aortic stenosis by Doppler echocardiography seem to be questionable due to the susceptibility to errors caused by methodological limitations, mathematical simplifications and inappropriate documentation. The present paper will address practical issues of echocardiographic documentation to satisfy the needs to analyze different scenarios of aortic stenosis due to various flow conditions and pressure gradients. Transesophageal and multidimensional echocardiography should be implemented for reliable measurement of geometric aortic valve area and of cardiac dimensions at an early stage of the diagnostic procedure to avoid misinterpretation due to inconsistent results.

KW - Aortic Valve Stenosis/diagnostic imaging

KW - Documentation

KW - Echocardiography/methods

KW - Echocardiography, Doppler/methods

KW - Humans

KW - Medical Errors/prevention & control

KW - Reproducibility of Results

KW - Severity of Illness Index

U2 - 10.1007/s00392-019-01539-2

DO - 10.1007/s00392-019-01539-2

M3 - SCORING: Review article

C2 - 31482241

VL - 109

SP - 271

EP - 288

JO - CLIN RES CARDIOL

JF - CLIN RES CARDIOL

SN - 1861-0684

IS - 3

ER -