Over the last couple of years, clinicians have been very ambitious in trying to identify new aortic stenosis (AS) patterns that could benefit from intervention. In the past, the unique accepted indicator for aortic valve replacement (AVR) in the presence of AS was a mean transvalvular gradient (MTG) > 40 mmHg, peak aortic velocity (V max) > 4 m/s, and aortic valve area (AVA) < 1 cm ² with accompanying symptoms. This unique indicator is now part of the history. In an ideal world, all patients should be categorized on each AS stage based on the presenting symptoms and echocardiographic parameters, but it has been seen that up to 40% of AS patients have discrepant results on echocardiographic examination [1] . Thus, allocating the patients according to each AS stage is a difficult task for clinicians.