Aortic stenosis

Alternative names:

aortic valve stenosis

Treatment:

If there are no symptoms or symptoms are mild, only observation may be required. If symptoms are mild to severe, hospitalization may be required. Medications may include diuretics, digoxin, and other medications to control heart failure. Symptomatic people may be advised to avoid strenuous physical activity. People with symptoms of aortic stenosis (difficulty breathing, chest pain, syncope) should have a physical exam every 6 to 12 months, and an ECG performed every 1 to 3 years.

Surgical repair or replacement of the valve is the preferred treatment for symptomatic aortic stenosis.

Expectations (prognosis):

Aortic stenosis is curable with surgical repair, although there may be a continued risk for arrhythmias. The person may be symptom-free until complications develop. Without surgery, probable outcome is poor if there are signs of angina or heart failure.

Complications:

• left ventricular hypertrophy (enlargement) caused by the extra work of pushing blood through the narrowed valve
• angina
• left-sided heart failure
• sudden death from arrhythmias
• endocarditis

Calling your health care provider:

Call for an appointment with your health care provider if symptoms indicate aortic stenosis may be present.

Call your health care provider if aortic stenosis has been diagnosed and symptoms worsen or new symptoms develop.