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Previous Volume 344:227-229 January 18, 2001 Number 3 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In their prospective study of patients with asymptomatic aortic stenosis, Rosenhek et al. (Aug. 31 issue)¹ note that the rate of progression of aortic-jet velocity was significantly higher in patients who underwent aortic-valve replacement or died from cardiac causes. Others have shown similar results.²

However, the rate of change in the aortic-jet velocity might in itself influence the decision to perform surgery. Physicians may refer patients for valve replacement after observing an increase in aortic-jet velocity because they believe that the increase indicates a worsening prognosis. This approach is supported by the guidelines of the American Heart . . . [Full Text of this Article]

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