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Published on: February 4, 2021
[Natural course of aortic valve stenosis in patients with normal and abnormal lipid profile]
Jolanta Swierszcz1, Jacek S Dubiel, Tomasz Milewicz
1II Klinika Kardiologii Collegium Medicum, Uniwersytetu Jagiellońskiego. grasshoppers@interia.eu
Insights
Hypercholesterolemia may accelerate aortic valve stenosis (AVS) progression. Echocardiographic findings showed worsening AVS in patients with high cholesterol, suggesting shared risk factors with atherosclerosis.
Area of Science:
- Cardiology
- Biochemistry
- Medical Imaging
Background:
- Aortic valve stenosis (AVS) is a significant cardiovascular condition.
- The role of hypercholesterolemia in AVS progression requires further elucidation.
Purpose of the Study:
- To compare echocardiographic findings in AVS patients with and without hypercholesterolemia.
- To observe the natural course of AVS over 12 months in relation to cholesterol levels.
Main Methods:
- Sixty AVS patients unwilling to undergo surgery were divided into two groups based on serum total cholesterol levels.
- Biochemical markers (total cholesterol, HDL, LDL, triglycerides, Lp(a)) and echocardiographic parameters were assessed over 12 months.
Main Results:
- Patients with high cholesterol (Group A) showed increased aortic valve gradients (AOG max, AOG mean, V max) and left ventricular posterior wall thickness.
- Left atrial diameter increased and aortic valve area decreased significantly in Group A.
- While total cholesterol remained stable in Group A, it increased in Group B. HDL decreased in Group A, and LDL increased in Group B.
Conclusions:
- Hypercholesterolemia is associated with accelerated progression of aortic valve stenosis.
- The findings suggest potential shared risk factors between AVS progression and atherosclerosis.
Aim:
Comparison of echocardiographic findings in AVS patients with and without hypercholesterolemia during 12 months' observation of AVS natural course.
Patients:
60 AVS patients who did not agree for operational treatment were divided into group A (n = 47) with high serum total cholesterol and into group B (n = 13) with normal plasma cholesterol.
Methods:
plasma total cholesterol, HDL-cholesterol, LDL-cholesterol, tri-glycerides and lipoprotein (a) were measured every 12 months and echocardiographic evaluation of aortic valve was also done every 12 months.
Results:
Means total cholesterol did not change in group A, while increased in group B. HDL-cholesterol decreased in group A and LDL-cholesterol increased in group B. Mean TG and Lp(a) levels did not change in both groups. Increase in AOG max and AOG mean as well as V max were found only group A. LVPW syst increase was found in group A. LA diameter increased and AVA decreased only in group A.
Conclusion:
The results may suggest risk factors similarity of AVS progression and atherosclerosis.
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