What Is the Treatment of Aortic Stenosis? Valve Intervention Guided by Heart Team Assessment
Clinical Scenario
Aortic stenosis is a progressive valvular condition requiring structured, evidence-based management. Intervention decisions are individualised — clinical, anatomical, and procedural factors are each considered, and coexistent conditions such as hypertension and heart failure influence the overall management plan.
Treatment Approach
The core intervention is aortic valve replacement, with the specific approach determined through multidisciplinary Heart Team assessment tailored to the individual patient.
The full protocol covers the complete selection algorithm, approach decision criteria, and management pathways for coexistent conditions — all remaining detail is in the structured regimen.
References
DOI: 10.1093/eurheartj/ehaf194
- SAVR or TAVI are recommended for all remaining candidates for an aortic BHV according to Heart Team assessment.
- It is recommended that the mode of intervention is based on Heart Team assessment of individual clinical, anatomical, and procedural characteristics, incorporating lifetime management considerations and estimated life expectancy.
- No medical therapies have been shown to influence the natural history of AS to date.
- Coexistent hypertension should be treated to avoid additional afterload, preferably using renin-angiotensin system blockers, although careful titration is required to avoid symptomatic hypotension.
- In patients with persisting HF and/or reduced LVEF, medical therapy should be introduced before and up-titrated after valve intervention according to the current HF Guidelines.
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