Table 1.
Urgency categories for patients with severe aortic valve stenosis awaiting transcatheter aortic valve replacement
Timing intervention | <1 Week | <1 Month | <3 Months |
---|---|---|---|
Indication | Life‐threatening in case of deferral of procedure | Potentially life‐threatening or negatively impacting prognosis in case of deferral of procedure for more than 1 month | Limited impact on prognosis in case of deferral of procedure for more than 1 month |
Symptomatology | Severely symptomatic | Moderately symptomatic | Mildly symptomatic |
Complaints | Heart failure requiring hospitalization, severe orthopnea | Syncope due to AS, dizziness | NYHA I–II, anginal complaints |
Echocardiography | Critical AS (AVA <0.6 cm2 and/or mean gradient >60 mmHg) or severe AS (AVA <1.0 cm2 and/or mean gradient >40 mmHg) | Critical AS (AVA <0.6 cm2 and/or mean gradient >60 mmHg) or severe AS (AVA <1.0 cm2 and/or mean gradient >40 mmHg) | Severe AS (AVA <1.0 cm2 and/or mean gradient >40 mmHg) |
Abbreviations: AS, aortic valve stenosis; AVA, aortic valve area.