SCAI 2026 The End of Watchful Waiting: Long Term TAVR Evidence and a New Proactive Paradigm-Improving Patient Identification

Improving Patient Identification - No AS Patient Left Behind, Dr. Poulin

Video Transcription

Video Summary

The speaker discusses how aortic stenosis is often underdiagnosed and undertreated, with many eligible patients never receiving valve replacement. Causes include missed symptoms, nonstandard echo reporting, fragmented care, and access disparities. Two solutions are highlighted: enhanced echocardiogram reports that clearly summarize severity and guideline-based recommendations, and electronic provider notifications powered by AI that alert clinicians when patients meet criteria for severe disease. Trials showed these alerts increased timely valve intervention and improved survival, including among women, older adults, and hospitalized patients. The talk concludes that better reporting, alerts, registries, and referral pathways are needed to prevent patients from falling through the cracks.

Asset Caption

closed captions are computer-generated

Keywords

aortic stenosis

valve replacement

echocardiogram reporting

AI provider alerts

timely intervention