Patient Screening

Buechel Ronny, Gräni Christoph, Edwin Ho, Mizuki Miura, Alberto Pozzoli, Michael Gagesch, Gregor Freystätter, Heike A. Bischoff-Ferrari, Philipp Haager, Hans Rickli, Gudrun Feuchtner, Thomas Senoner, Michel Zuber, Francesco Maisano, Hatem Alkadhi, Philipp Kaufmann

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This second chapter is dedicated to the preoperative screening of patients, when the aortic disease has assumed a degree of severity that requires a thorough understanding in view of the treatment. Which imaging tests are indicated for the diagnosis and quantification of the associated coronary artery disease, as well as mitral and tricuspidal valvulopathies will be discussed. Cardiac tumours and incidental findings and the evaluation of the most relevant non-cardiac co-pathologies are discussed from the point of view of multimodal imaging techniques. Particular attention will be given to the characterisation of the concept of “Frailty”, with state-of-the-art criteria of analysis provided to establish operability, assess the preoperative psychophysical and social conditions. This is to optimise treatment towards a true patient-tailored approach. Finally, rare conditions associated with aortic disease, e.g. amyloidosis, and particular precautions in some settings (e.g. pregnant women, renal failure and the presence of cardiac pacemakers) will be illustrated.

Original languageEnglish (US)
Title of host publicationMultimodality Imaging for Cardiac Valvular Interventions, Volume 1 Aortic Valve
Subtitle of host publicationFrom Diagnosis to Decision-Making
PublisherSpringer International Publishing
Pages63-89
Number of pages27
Volume1
ISBN (Electronic)9783030275846
ISBN (Print)9783030275839
DOIs
StatePublished - Jan 1 2020
Externally publishedYes

Keywords

  • Angiography
  • Aortic regurgitation
  • Aortic stenosis
  • Aortic valve
  • Assessment of concomitant cardiac pathologies
  • Cardiac computed tomography
  • Cardiac magnetic resonance
  • Coronary angiography and functional assessment
  • Echocardiography
  • Frailty
  • Positron emission tomography
  • Stress echocardiography
  • Stress test

ASJC Scopus subject areas

  • General Medicine

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