The Echo Journal

The Echo Journal

Low-Flow, Low-Gradient Aortic Stenosis

When the Numbers Don’t Add Up

Aram K.'s avatar
Aram K.
May 28, 2026
∙ Paid

Low-Flow, Low-Gradient Aortic Stenosis

You’ve visualized the aortic valve. Reduced area. Calcified. Maybe severely so. But the gradient? It’s barely in the moderate range…and nothing adds up.

This is one of the most clinically consequential discrepancies in all of echocardiography, and it affects more patients than you might think. Miss it, and a patient …

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