Aortic stenosis: a growing challenge
Aortic stenosis is the most common type of heart valve disease in the elderly affecting yearly more than 1.5 million people over the age of 65 in the UK.1 It can greatly reduce life expectancy and if left untreated 50% of those with symptomatic severe AS may die within 2 years.2
Why are patients being missed?
- Shortness of breath
- Reduced physical activity
- Chest pain or tightness
- Feeling faint or fainting upon exertion
Listening to the heart is the best
diagnosis tool for a GP
As a clear sign of aortic stenosis is a heart murmur, most patients with aortic stenosis are first diagnosed following auscultation.5 Primary care physicians, who are often the first point of contact for patients, play a vital role in diagnosis, timely referral and ensuring patients receive appropriate treatment.
Watch Primary Care Cardiovascular Lead, East Midlands, and former GP of the Year, Dr Yassir Javaid, talk about the burden of aortic stenosis and introduce a new resource, exclusive to UK primary care physicians, to support you in the early diagnosis of AS.
Listen. Suspect. Refer.
“Listen to the Heart is an excellent educational interactive resource for primary care physicians to help guide them through diagnosis of aortic stenosis and includes all the key interventions that are now available to support the best outcomes for patients." Dr Yassir Javaid
www.listentotheheart.co.uk includes the following information on aortic stenosis;
- d’Arcy JL, et al. Large-scale community echocardiographic screening reveals a major burden of undiagnosed valvular heart disease in older people: The OxVALVE Population Cohort Study. European Heart Journal; First published online: 26 June 2016 http://dx.doi.org/10.1093/eurheartj/ehw229
- Iung B, Cachier A, Baron G et al. Decision-making in elderly patients with severe aortic stenosis: why are so many denied surgery? Eur Heart J 2005; 26: 2714-20.
- Gaede L, Di Bartolomeo R, van der Kley F et al. Aortic valve stenosis – what do people know? A Heart Valve Disease Awareness Survey of over 8,800 people aged 60 or over. Eurointervention: Journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology. 2016;12:883–9.
- Alliance for Aging Research. Aortic Stenosis: Under-Diagnosed and Under-Treated. 2010. https://www.agingresearch.or/newsletters/view/36. Accessed August 12, 2016
- Nishimura RA, Otto CM, Bonow RO et al. 2014 AHA/ACC Guideline for the management of patients with valvular heart disease: executive summary. Circulation 2014;10;129:2440–92