Early Surgery or Conservative Care for Asymptomatic Aortic Stenosis

To the Editor: The recent trial conducted by Kang et al. (Jan. 9 issue) 1 shows a benefit of early surgery in otherwise healthy patients with aortic stenosis. However, we are concerned that the selective performance of exercise testing in the trial patients may have led the investigators to misclass...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 383; no. 1; pp. 91 - 93
Main Authors Garry, Jonah D, Goldman, Max, Kohlwes, Jeff, Sidebotham, David, Morrow, Cynthia D, Drake, Daniel H, Kang, Duk-Hyun, Park, Seung-Woo
Format Journal Article
LanguageEnglish
Published Boston Massachusetts Medical Society 02.07.2020
Subjects
Aortic stenosis
Stenosis
Surgery
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Summary:To the Editor: The recent trial conducted by Kang et al. (Jan. 9 issue) 1 shows a benefit of early surgery in otherwise healthy patients with aortic stenosis. However, we are concerned that the selective performance of exercise testing in the trial patients may have led the investigators to misclassify untested patients who had exertional symptoms as being asymptomatic. Data suggest that exercise testing effectively aids in risk stratification of patients with asymptomatic severe aortic stenosis, 2 and the 2014 American College of Cardiology–American Heart Association (ACC–AHA) guidelines provide a class IIa recommendation for consideration of exercise stress testing in these patients. 3 . . .
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMc2016167