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Heart Disease (Expert Forum)
Aortic Stenosis
Answered by
Cleveland Clinic - Heart
Cleveland - OH
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Aortic Stenosis
by johnm82, Dec 19, 2008 01:10PM
I had a stress echo and regular echo within the last year. My peak pressure gradient was 14.9 mmHg and mean pressure gradient was 7.5 mmHg. My AVA is 2.33 cm2. My doctor told me that it would be a stretch to say that I have aortic stenosis. Does the pressure gradient indicate a problem? Is it normal to have a pressure gradient under 15 mmHg? I have no symptoms and performed well on a stress test.
Doctor's Answer
by Cleveland Clinic, Dec 22, 2008 09:41PM
, Dec 22, 2008 09:41PM
You have mild aortic stenosis. A normal aortic valve normally does not generate any gradient at rest, and maybe only a small gradient with exercise. With this sized valve and your absence of symptoms you need no other treatment other than coronary artery disease prevention ( with a statin and maybe aspirin) and screening echocardiograms every 3-5 years.
Member Comments (2)
by johnm82, Dec 23, 2008 06:51PM
I have mild calcification of aortic valve as well. I guess that is expected with the condition. I am reading contradictory things. Many sources indicate that aortic stenosis is the closing of the valve. The pressure gradient is a way of determining how severe it is. What else could be causing the pressure gradient? The valve is the normal size. I am 38 years old. Does the early calcification mean that I am destined for severe heart problems or is it impossible to tell?
