The association of hypertension and aortic valve sclerosis

Simon W Rabkin1

  • 1Department of Medicine (Cardiology), University of British Columbia, Vancouver, Canada. rabkin@interchange.ubc.ca

Blood Pressure
|November 1, 2005
PubMed

Insights

Hypertension is associated with aortic valve sclerosis (AVS), a precursor to aortic stenosis. However, current evidence does not confirm a causal link, necessitating further research on blood pressure and AVS.

Area of Science:

  • Cardiology
  • Hypertension Research
  • Valvular Heart Disease

Background:

  • Aortic valve sclerosis (AVS) is thickening/calcification of the aortic valve, preceding aortic stenosis.
  • AVS is linked to increased cardiovascular event risk.
  • The relationship between blood pressure and AVS requires clarification.

Purpose of the Study:

  • To critically review existing data on the association between blood pressure, hypertension, and AVS.
  • To evaluate the evidence for hypertension as a risk factor for AVS.

Main Methods:

  • Systematic literature search of MEDLINE and EMBASE (to June 2004).
  • Keywords: hypertension and aortic valve.
  • Inclusion criteria: English language papers, studies with a control group.

Main Results:

  • Population-based studies (n=6450) showed a significant association between hypertension and AVS (OR 1.23-1.74).
  • Smaller case-control studies (n=1609) had inconsistent results (OR 1.75-2.38).
  • Multivariate analyses in some studies identified hypertension as a significant factor, but blood pressure measurements in AVS patients were not consistently elevated.

Conclusions:

  • Cross-sectional studies suggest an association between hypertension and AVS (OR 1.23-1.74).
  • A causal relationship is not established due to lack of risk gradient and varied definitions.
  • Further research is needed to confirm a causal link between elevated blood pressure and AVS.
Abstract

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