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. 2020 Oct 13;115(4):720–775. [Article in Portuguese] doi: 10.36660/abc.20201047

Table 28. Aortic stenosis: Individualized follow-up1,2.

Aortic stenosis Follow-up SBC AHA ESC
Severe and asymptomatic, without prognostic factors

  • Clinical and echocardiographic evaluation

 Every 6 months Every 0.5 to 1 year Every 6 months

  • Concomitant intervention in patients who will undergo another cardiac surgical procedure (coronary revascularization, ascending aorta, or other valve procedures)

 I C I B I C
Moderate (AVA between 1.0 and 1.5 cm² and mean transaortic gradient 25 – 39 mmHg)

  • Clinical and echocardiographic evaluation

 Every year Every 1 to 2 years Every year

  • Concomitant intervention in patients who will undergo another cardiac surgical procedure (coronary revascularization, ascending aorta, or other valve procedures)

 IIa C IIa C IIa C
Mild (AVA > 1.5 cm² and mean transaortic gradient < 25 mmHg)

  • Clinical and echocardiographic evaluation

 Every 2 to 3 years Every 3 to 5 years Every 2 to 3 years

AHA: American Heart Association; AVA: aortic valve area; LV: left ventricle; SC: European Society of Cardiology; SBC: Sociedade Brasileira de Cardiologia (Brazilian Society of Cardiology).