Paradoxical Low Flow Aortic Stenosis: A Clinical Dilemma

Abstract

Internists as well as cardiologists often receive echocardiogram reports which failed to offer a clear definition of the aortic stenosis (AS) severity due to discordant data regarding the aortic valve gradients and the valve area. Sometimes AS appears severe according to the valve area criteria, in spite of the fact that gradients across the valve are not in the severe range. This implies a clinical dilemma and potential under or over diagnoses Abstract