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Updated: Aug 18, 2026

Quantitative Analysis and Characterization of Atherosclerotic Lesions in the Murine Aortic Sinus
Published on: December 7, 2013
Aortic sclerosis: not an innocent murmur but a marker of increased cardiovascular risk
A K Nightingale1, J D Horowitz
1Department of Cardiology, The Queen Elizabeth Hospital, The University of Adelaide, Adelaide, Australia. drangus@doctors.org.uk
Insights
Aortic sclerosis, detected by ejection systolic murmurs, indicates future aortic valve obstruction and cardiovascular event risk. It serves as a valuable tool for cardiovascular risk stratification.
Area of Science:
- Cardiology
- Valvular Heart Disease
Background:
- Ejection systolic murmurs in the aortic region suggest aortic sclerosis or minor aortic valve disruption.
- Aortic sclerosis is linked to future significant aortic valve obstruction.
- It also serves as a marker for increased cardiovascular event risk.
Purpose of the Study:
- To review evidence supporting aortic sclerosis in cardiovascular risk stratification.
- To highlight the progression of aortic sclerosis to aortic stenosis as a focus for monitoring and intervention.
Main Methods:
- Literature review of evidence on aortic sclerosis.
- Analysis of its role in risk stratification and progression to stenosis.
Main Results:
- Aortic sclerosis is a significant predictor of future aortic valve obstruction.
- It is a valuable adjunctive tool for cardiovascular risk stratification.
- Progression to hemodynamically significant aortic stenosis is a key clinical implication.
Conclusions:
- Aortic sclerosis is crucial for identifying individuals at higher risk of cardiovascular events.
- Monitoring the progression of aortic sclerosis to aortic stenosis is important for patient management and research.
Abstract:
The detection of an ejection systolic murmur in the aortic valve region often corresponds to a diagnosis of aortic sclerosis or minor disruption of the aortic valve with associated turbulence but minimal obstruction. Aortic sclerosis has two important clinical implications. Firstly, aortic sclerosis is an antecedent to clinically significant aortic valve obstruction and, secondly, it acts as a marker of increased risk of cardiovascular events. This article reviews the evidence that aortic sclerosis is a useful adjunctive tool in cardiovascular risk stratification and that its progression to haemodynamically significant aortic stenosis is a potential focus for individual monitoring and for interventional studies.
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