<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-4142</journal-id>
<journal-title><![CDATA[Revista Costarricense de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. costarric. cardiol]]></abbrev-journal-title>
<issn>1409-4142</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Cardiología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-41422022000100005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estenosis aórtica: ¿Cuándo intervenir?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Francis Gómez]]></surname>
<given-names><![CDATA[Melissa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Departamento de Cardiología Hospital William Allen  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>5</fpage>
<lpage>10</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-41422022000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-41422022000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-41422022000100005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La estenosis aórtica es la valvulopatía más frecuente en los países desarrollados. La etiología degenerativa es la principal, esto está íntimamente relacionado con una tendencia exponencial en la longevidad de la población actual; por lo que sería correcto esperar un aumento en la casuística de esta patología. El reemplazo valvular aórtico, ya sea percutáneo o quirúrgico, es la estrategia casi única de manejo. Las guías de manejo de las distintas sociedades científicas, actualmente, norman la realización del reemplazo valvular como indicación principal en aquellos pacientes portadores de estenosis aórtica severa que, además, presenten síntomas o bien presenten datos de reducción en su fracción de eyección. Sin embargo, varios estudios han demostrado el beneficio de no retrasar la intervención de estos pacientes y por el contrario realizar la intervención valvular de forma temprana.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Aortic stenosis is currently the most common valve disease in developed countries. Degenerative ethology is the main one, this being intimately related to the exponential trend towards longevity in the current population. Aortic valve replacement, either percutaneous or open, is almost the only management strategy. The current management guidelines of the different scientific societies regulate the performance of valve replacement in patients with severe aortic stenosis who also present symptoms or data of reduced ejection fraction. However, several studies have shown the benefit of not delaying the management of these patients and, on the contrary, performing valve intervention early.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Estenosis aórtica]]></kwd>
<kwd lng="es"><![CDATA[asintomática]]></kwd>
<kwd lng="es"><![CDATA[Fracción de eyección]]></kwd>
<kwd lng="es"><![CDATA[GLS]]></kwd>
<kwd lng="es"><![CDATA[Estadiaje]]></kwd>
<kwd lng="es"><![CDATA[daño cardiaco.]]></kwd>
<kwd lng="en"><![CDATA[Aortic stenosis]]></kwd>
<kwd lng="en"><![CDATA[asymptomatic]]></kwd>
<kwd lng="en"><![CDATA[Ejection fraction]]></kwd>
<kwd lng="en"><![CDATA[GLS]]></kwd>
<kwd lng="en"><![CDATA[Staging]]></kwd>
<kwd lng="en"><![CDATA[heart damage]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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