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Volume 348:1735-1736 May 1, 2003 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The development of heart failure in patients with aortic stenosis is associated with a high mortality rate — unless aortic-valve replacement is performed. There is an especially high risk of death among patients with aortic stenosis and a decreased ejection fraction. Before surgery is performed in such patients, initial management must include an evaluation of the severity of the stenotic lesion and the functional state of the left ventricle; in addition, the heart failure must be treated and the patient's condition stabilized. It is possible to pursue both of these goals simultaneously with echocardiographic techniques or cardiac catheterization techniques, together . . . [Full Text of this Article]

Source Information

From the Cardiology Division, Department of Medicine, Gazes Cardiac Research Institute, Medical University of South Carolina, and the Ralph H. Johnson Department of Veterans Affairs Medical Center — both in Charleston, S.C. (M.R.Z.); and the Department of Cardiovascular Medicine, Lahey Clinic, Burlington, Mass. (W.H.G.).

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