What is considered "Mild" for Aortic Stenosis Severity?

Vmax 2.0-2.9 m/s, Mean Grad < 20

What is considered "Moderate" for Aortic Stenosis Severity?

Vmax 3.0-3.9 m/s, Mean Grad 20-39

Vmax ≥ 4.0 m/s, Mean Grad ≥ 40

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ESC/EACVI 2025 ASE 2024

1. CW Doppler: Vmax ≥ 4 m/s AND Mean Gradient ≥ 40 mm Hg?

2. Valve morphology suspicious for AS?

3. DVI ≤ 0.25 AND AVA ≤ 1.0 cm²?

4. Calculated AVA ≤ 1.0 cm² (or ≤ 0.6 cm²/m²)?

5. Stroke Volume Index (SVI) ≤ 35 ml/m²?

6. AV Calcium Score confirmative (Male > 3000, Female > 1600)?

7. Ejection Fraction (EF) < 50%?

8. Stress Echo results (Low-Flow Low-Gradient):

Clinical decision support tool. Does not replace physician judgment.

Pibarot P, et al. ESC Guidelines for the management of valvular heart disease. 2025.

ESC/EACVI 2025

Vmax 3.0-3.9 m/s, Mean Grad 20-39

Vmax ≥ 4.0 m/s, Mean Grad ≥ 40

Interactive grading of aortic stenosis (AS) based on ESC 2025 guidelines.

Dr. med. Christian Kirsch Verifiziert

Ärztlicher Leiter des MVZ · Klinikum Lippstadt · DEGUM-Ausbilder Stufe II

Zuletzt aktualisiert: 18. März 2026 · 4 Min.

Interactive grading of aortic stenosis (AS) based on ESC 2025 guidelines.

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