We read with great interest the recently published article by Keller et al., "Syncope
in Patients With Severe Aortic Stenosis Undergoing Transcatheter Aortic Valve Replacement,”
in the Canadian Journal of Cardiology.
1
First of all, we congratulate the authors for their contribution to the understanding
of the role of aortic stenosis in the etiology of syncope.To read this article in full you will need to make a payment
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References
Keller LS, Nuche J, Mesnier J, et al. Syncope in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement [e-pub ahead of print]. Can J Cardiol https://doi.org/10.1016/J.CJCA.2023.02.012
- Syncope in patients with severe aortic stenosis: more than just an obstruction issue.Can J Cardiol. 2020; 37: 284-291
- Syncope: the underestimated threat in severe aortic stenosis.JACC Cardiovasc Imaging. 2019; 12: 225-232
Article info
Publication history
Published online: March 06, 2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
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- Syncope in Patients With Severe Aortic Stenosis Undergoing Transcatheter Aortic Valve ReplacementCanadian Journal of Cardiology
- Reply to Francisco-Pascual and Rivas-Gándara—Syncope in Patients With Severe Aortic Stenosis Undergoing Transcatheter Aortic Valve ReplacementCanadian Journal of Cardiology
- PreviewWe appreciate Drs Francisco-Pascual and Rivas-Gándara’s interest in our work,1 and we thank them for their enriching comments.2 The authors point out the marked difference between their previous experience,3 in which a direct relation between syncope and aortic stenosis (AS) was found in only 18% of patients compared with the 87% in our population. The different definitions of AS-related syncope would be the main reason for such disparity; whereas in their population exercise-induced low cardiac output was required to call for certain or highly probable AS-related syncope, in our cohort, all patients in whom arrhythmic events leading to syncope were not identified were classified as such.
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