Table III.
Echocardiographic parameters based on aortic valve area
Parameter | Moderately severe AS (AVA 0.8–0.99 cm2) (n = 75) (1) | Severe AS (AVA 0.60–0.79 cm2) (n = 90) (2) | Critical AS (AVA ≤ 0.59 cm2) (n = 35) (3) | P-values comparing columns | |
---|---|---|---|---|---|
1 vs. 2 | 1 vs. 3 | ||||
Ejection fraction (%) | 57 ±13 | 58 ±15 | 52 ±15 | 0.64 | 0.11 |
Aortic valve area [cm2] | 0.86 ±0.04 | 0.69 ±0.05 | 0.46 ±0.08 | < 0.001 | < 0.001 |
Peak gradient [mm Hg] | 42 ±18 | 61 ±22 | 71 ±30 | < 0.001 | < 0.001 |
Mean gradient [mm Hg] | 24 ±11 | 37 ±15 | 43 ±19 | < 0.001 | < 0.001 |
EDV [ml] | 85 ±33 | 95 ±43 | 86 ±30 | 0.12 | 0.95 |
SV biplane [ml] | 48 ±13 | 52 ±16 | 42 ±12 | 0.08 | 0.03 |
SV LVOT [ml] | 51 ±15 | 54 ±14 | 41 ±9 | 0.22 | < 0.001 |
SV index (LVOT) | 30 ±9 | 31 ±8 | 25 ±6 | 0.67 | 0.002 |
Ejection time [ms] | 304 ±40 | 319 ±30 | 322 ±30 | 0.02 | 0.05 |
MSF [ml/s] | 169 ±41 | 171 ±44 | 129 ±29 | 0.79 | < 0.001 |
LVOT diameter [cm] | 1.8 ±0.21 | 1.8 ±0.23 | 1.74 ±0.18 | 0.27 | 0.10 |
Heart rate [beats/min] | 73 ±12 | 74 ±14 | 75 ±13 | 0.43 | .040 |
n – number of subjects, AVA – aortic valve area, EDV – end diastolic volume, SV biplane – stroke volume biplane Simpson’s method, LVOT – left ventricular outflow tract, MSF – mean systolic flow.