July 23, 2026 · Mayo Clinic proceedings · DOI: 10.1016/j.mayocp.2026.07.016

Echocardiographic Surveillance Patterns in Patients With Aortic Stenosis: Suboptimal Application of Clinical Practice Guidelines

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The authors aimed to assess the adherence to guideline-directed transthoracic echocardiography (TTE) surveillance among patients with aortic stenosis (AS) and aortic sclerosis (AScl) and to identify factors influencing follow-up. Their analysis revealed that a significant proportion of patients, particularly those with severe and moderate AS, did not receive appropriate follow-up imaging, with notable disparities based on gender and the specialty of the referring provider. The study highlights critical gaps in the application of clinical practice guidelines for monitoring patients with AS.

Dinu V Balanescu, Benjamin R Gochanour, Teodora Donisan, Christopher G Scott, Vuyisile T Nkomo, Sorin V Pislaru, Garvan C Kane, Jeremy J Thaden

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