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Management of Hypertension in Patients with Aortic Valvular Stenosis

Kanishk Agnihotri1, Vikas Singh2, Sidakpal S Panaich3

  • 1Saint Peters University Hospital New Brunswick, NJ, United States.

Current Hypertension Reviews
|March 2, 2017
PubMed

Insights

Managing hypertension in aortic stenosis (AS) requires careful consideration of hemodynamic changes. This review examines antihypertensive agents for patients with AS, highlighting the need for further clinical trials.

Area of Science:

  • Cardiology
  • Hypertension Management
  • Valvular Heart Disease

Background:

  • Aortic stenosis (AS) prevalence increases with age and often coexists with hypertension.
  • Hypertension is linked to higher mortality in patients with AS.
  • Managing hypertension in AS is complex due to hemodynamic and structural heart changes.

Purpose of the Study:

  • To review antihypertensive agents for managing hypertension in patients with aortic stenosis.
  • To highlight the need for further randomized control trials in this specific patient population.

Main Methods:

  • Literature review of existing studies and clinical guidelines.
  • Analysis of antihypertensive strategies in the context of AS pathophysiology.
  • Discussion of the impact of comorbidities on treatment decisions.

Main Results:

  • Current management of hypertension in AS necessitates a cautious approach.
  • Various antihypertensive agents may be considered, but specific evidence for AS populations is limited.
  • Comorbidities significantly influence treatment choices.

Conclusions:

  • Further randomized controlled trials are essential to guide antihypertensive therapy in AS patients.
  • Tailored management strategies are crucial for patients with AS and hypertension.
  • Understanding the interplay between AS, hypertension, and comorbidities is key for optimal patient outcomes.

Keywords:
ACE/ARB in AS.Antihypertensives in ASAortic stenosisHypertension

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