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The standard for diagnosis of aortic stenosis is non-invasive testing with echocardiography. Cardiac catheterization is reserved for cases in which there is a discrepancy between the clinical picture and non-invasive testing, due to risks inherent to crossing the aortic valve, such as stroke. [7]
395.0 Rheumatic aortic stenosis; 395.1 Rheumatic aortic insufficiency; 395.2 Rheumatic aortic stenosis with insufficiency; 395.9 Other and unspecified; 396 Diseases of mitral and aortic valves; 397 Diseases of other endocardial structures. 397.0 Diseases of tricuspid valve; 397.1 Rheumatic diseases of pulmonary valve; 397.9 Rheumatic diseases ...
Anticoagulants: To prevent embolization.. Beta blockers: To block the effects of certain hormones on the heart to slow the heart rate.. Calcium Channel Blockers: Help slow the heart rate by blocking the number of electrical impulses that pass through the AV node into the lower heart chambers (ventricles).
Another important cause of aortic stenosis is chronic rheumatic fever, which can cause repeated inflammation and repair, leading to fibrosis. In this case, the leaflets can actually fuse together, called commissural fusion, which can be an important distinction from the type caused by mechanical stress over time.
Mitral stenosis is almost always caused by rheumatic heart disease. [16] Less than 10% of aortic stenosis is caused by rheumatic heart disease. [15] [16] Rheumatic fever can also cause chronic mitral and aortic regurgitation. [16]
In some parts of the world rheumatic heart disease is a major cause of valvular heart disease, typically leading to mitral or aortic stenosis and caused by the body's immune system reacting to a streptococcal throat infection. [60] [61]
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