Aortic stenosis (AS) is the most common age-related valvular condition with a prevalence of 13.1% in patients older than 75 years of age. Based on the severity of AS and symptoms, current guidelines recommend interval monitoring with transthoracic echocardiogram (TTE). However, no guidelines exist regarding screening asymptomatic persons for AS. Prevalence of AS is comparable to conditions such as colorectal cancer, lung cancer, breast cancer, and abdominal aortic aneurysm where dedicated screening programs are offered resulting in reduction of overall morbidity and mortality. We review recent advancements in treatment options, and we propose an AS screening program for high-risk individuals without known history of AS including all persons over age 75 and persons aged 70 years and older with dialysis dependent end-stage renal disease (ESRD).

主动脉瓣狭窄 (AS) 是最常见的与年龄相关的瓣膜疾病，在 75 岁以上的患者中患病率为 13.1%。根据 AS 和症状的严重程度，目前的指南建议使用经胸超声心动图 (TTE) 进行间隔监测。然而，没有关于筛查 AS 无症状人群的指南。AS 的患病率与结直肠癌、肺癌、乳腺癌和腹主动脉瘤等疾病相当，在这些疾病中，提供专门的筛查计划可降低总体发病率和死亡率。我们回顾了治疗方案的最新进展，并提出了针对没有已知 AS 病史的高危人群的 AS 筛查计划，包括所有 75 岁以上的人和 70 岁及以上患有透析依赖性终末期肾病 (ESRD) 的人。