O diagnóstico de estenose Aórtica moderada é frequente entre idosos.
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A intervenção nesta fase pode ser melhor que o acompanhamento clínico?
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The PROGRESS Trial: A Prospective, Randomized, Controlled Trial to Assess the Management of Moderate Aortic Stenosis by Clinical Surveillance or Transcatheter Aortic Valve Replacement
| Estimated Primary Completion Date : | June 2029 |
Multi-center, international, prospective, randomized study. Subjects will be randomized to either transcatheter aortic valve replacement (TAVR) with the Evolut PRO+ TAVR System, or Evolut FX System, and guideline-directed management (GDMT) or GDMT alone.
| Estimated Primary Completion Date : | February 2026 . |
Como podem ver, respostas objetivas para a pergunta, ainda vão demorar.
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https://www.tctmd.com/news/moderate-patients-baseline-factors-can-help-id-whos-most-risk
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Quem é o paciente?
moderate AS—defined as an aortic valve area of 1-1.5 cm2, a mean gradient of 20-40 mm Hg, and a peak velocity of < 4 m/s
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https://www.ahajournals.org/doi/10.1161/CIRCIMAGING.123.015475