{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:54:10Z","timestamp":1790927650691,"version":"4.1.0"},"reference-count":0,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,5,14]],"date-time":"2018-05-14T00:00:00Z","timestamp":1526256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:p>Grading severity of <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> is complicated by varying stroke volumes associated with fluctuating maximum velocities and pressure gradients across the aortic valve. Current guidelines recommend averaging five continuous\u2010wave peak velocity and mean gradient (<jats:styled-content style=\"fixed-case\">MG<\/jats:styled-content>) Doppler signals across the aortic valve when estimating severity of <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>. However, it is unknown when grading severity of <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> how the average of multiple Doppler signals vs the highest Doppler signal in <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> compares to the Doppler signals when the patient is in normal sinus rhythm. We present a series of patients with <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> who had two echocardiograms performed within 2\u20104\u00a0months of each other, one when in normal sinus rhythm and one when in <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>, and compare the aortic valve hemodynamics associated with the two rhythms.<\/jats:p>","DOI":"10.1111\/echo.14020","type":"journal-article","created":{"date-parts":[[2018,5,14]],"date-time":"2018-05-14T10:16:13Z","timestamp":1526292973000},"page":"869-871","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Aortic valve hemodynamics in atrial fibrillation: Should the highest Doppler signal be used to estimate severity of aortic stenosis?"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8750-7880","authenticated-orcid":false,"given":"Said","family":"Alsidawi","sequence":"first","affiliation":[{"name":"Minneapolis Heart Institute at Abbott Northwestern Hospital  Minneapolis MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sana","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Mayo Clinic School of Medicine  Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sorin V.","family":"Pislaru","sequence":"additional","affiliation":[{"name":"Department of Cardiology Mayo Clinic School of Medicine  Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vuyisile T.","family":"Nkomo","sequence":"additional","affiliation":[{"name":"Department of Cardiology Mayo Clinic School of Medicine  Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,14]]},"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fecho.14020","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.14020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T22:14:15Z","timestamp":1695507255000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.14020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,14]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1111\/echo.14020"],"URL":"https:\/\/doi.org\/10.1111\/echo.14020","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"value":"0742-2822","type":"print"},{"value":"1540-8175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,14]]},"assertion":[{"value":"2018-05-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}