Technologies of diagnosis and treatment

Contemporary methods of diagnosis and predicting results of the surgical treatment of aortic stenosis

B.M. Todurov ¹, N.V. Ponych ¹, O.A. Epanchitseva ¹, О.J. Zharinov ²

¹ Heart Institute Healthcare Ministry of Ukraine, Kyiv, Ukraine

² Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine

Prevalence, etiological factors, and main stages of aortic stenosis are reviewed in the article. The possibilities of traditional and contemporary methods of diagnosis, i.e. two- and three-dimensional transthoracic and transesophageal echocardiography, stress echocardiography, tissue Doppler imaging and «speckle tracking» are discussed. Current guidelines for surgery of aortic stenosis are presented. Possibilities of the reverse left ventricular remodeling and influence upon prognosis after aortic valve replacement are described.

Key words: aortic stenosis, aortic valve replacement, reverse remodeling of left ventricle, echocardiography.