Evidence map›Paper›PMID 39023065›Full record

ArticleJournal of the American Heart Association2024

Grading of Aortic Valve Calcification Severity and Risk Stratification in Aortic Stenosis.

Lionel Tastet, Mulham Ali, Philippe Pibarot, Romain Capoulade, Kristian Altern Øvrehus, Marie Arsenault, Amal Haujir, Élisabeth Bédard, Axel Cosmus Pyndt Diederichsen, Jordi S Dahl and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Discordant High-Gradient Aortic Stenosis: A Systematic Review.Journal of cardiovascular development and disease · 2025
    Review
  8. Article
  9. What Are SAVR Indications in the TAVI Era?Journal of clinical medicine · 2025
    Review
  10. TAVI with the ACURATE neo2 in severe bicuspid aortic valve stenosis: the Neo2 BAV Registry.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Lionel TastetInstitut universitaire de cardiologie et de pneumologie de Québec Université Laval Québec City Québec Canada.ORCID 0000-0002-6374-5398
Mulham AliDepartment of Cardiology Odense University Hospital Odense Denmark.ORCID 0009-0009-2855-1713
Philippe PibarotInstitut universitaire de cardiologie et de pneumologie de Québec Université Laval Québec City Québec Canada.ORCID 0000-0002-3607-279X
Romain CapouladeNantes Université, CHU Nantes, CNRS, INSERM, l'institut du thorax Nantes France.ORCID 0000-0002-7233-7409
Kristian Altern ØvrehusDepartment of Cardiology Odense University Hospital Odense Denmark.
Marie ArsenaultInstitut universitaire de cardiologie et de pneumologie de Québec Université Laval Québec City Québec Canada.
Amal HaujirDepartment of Cardiology Odense University Hospital Odense Denmark.ORCID 0009-0009-5747-6839
Élisabeth BédardInstitut universitaire de cardiologie et de pneumologie de Québec Université Laval Québec City Québec Canada.
Axel Cosmus Pyndt DiederichsenDepartment of Cardiology Odense University Hospital Odense Denmark.ORCID 0000-0002-1285-4826
Jordi S DahlDepartment of Cardiology Odense University Hospital Odense Denmark.ORCID 0000-0002-8345-204X
Marie-Annick ClavelInstitut universitaire de cardiologie et de pneumologie de Québec Université Laval Québec City Québec Canada.ORCID 0000-0002-8924-740X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThresholds of aortic valve calcification (AVC) to define hemodynamically moderate aortic stenosis (AS) from mild are lacking. We aimed to establish a novel grading classification of AVC as quantified by computed tomography and determine its prognostic value. METHODS AND

resultsThis study included 915 patients with at least mild AS (mean age 70±12 years, 30% women) from a multicenter prospective registry. All patients underwent Doppler-echocardiography and noncontrast computed tomography within 3 months. Primary end point was the occurrence of all-cause death. Receiver operating characteristic curves analyses were used to determine the sensitivity and specificity of sex-specific thresholds of AVC to identify hemodynamically moderate AS. Optimal thresholds (ie, with best sensitivity/specificity) of AVC to distinguish moderate (aortic valve area 1.0-1.5 cm

conclusionsA novel grading classification of anatomic AS severity based on sex-specific thresholds of AVC provides significant prognostic value for predicting mortality. These findings support the complementarity of computed tomography-calcium scoring to Doppler-echocardiography to corroborate AS severity and enhance risk stratification in patients with AS.

Indexed as

Aortic ValveAortic Valve StenosisCalcinosisEchocardiography, DopplerRegistriesSeverity of Illness IndexAgedAged, 80 and overFemaleHemodynamicsHumansMaleMiddle AgedPredictive Value of TestsPrognosisProspective Studiesaortic stenosisaortic valve calcificationsex differences

Identifiers

PMID39023065
PMCPMC11964013

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.