Аннотация:may limit exercise to avoid symptoms.In many centres, aortic stenosis is still regarded as a contraindication rather than an indication for exercise testing.In view of the frequency and clinical importance of silent aortic stenosis, we should consider national screening strategies and ways of ensuring that patients with noteworthy murmurs have echocardiography.We need also to develop specialist clinical experience in aortic but also other types of valve disease since diagnostic formulations, treatment plans, and surgery may often be difficult.Aortic valve disease is under-recognised politically as well as clinically.It is not yet covered properly a national strategy document from the National Institute for Clinical Excellence (NICE) or any other organisation.As our population ages, the prevalence of aortic stenosis inevitably rises.By 2020, about 3.5 million of a total population of 54 million in England can be expected to have aortic sclerosis and 150 000 to have severe aortic stenosis. 12 We should prepare for this epidemic now.
