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Published on: February 4, 2021
[Degenerative Aortic Stenosis: Modern View on Development, Course, and Management]
A L Burdeinaya1, M S Safarova1, M V Ezhov1
1Myasnikov Clinical Cardiology Institute, Russian Cardiology Research Center, Moscow, Russia.
Insights
Degenerative aortic stenosis involves thickening and calcification of heart valves, leading to narrowing and increased cardiovascular risks. This review covers its development and optimal management strategies.
Area of Science:
- Cardiovascular Medicine
- Valvular Heart Disease
- Cardiac Surgery
Background:
- Degenerative aortic stenosis is a prevalent acquired heart defect.
- It involves progressive thickening and calcification of aortic valve leaflets.
- This condition leads to orifice narrowing and left ventricular hypertrophy.
Purpose of the Study:
- To present modern concepts on the formation and progression of degenerative aortic stenosis.
- To discuss optimal management strategies for patients with this condition.
Main Methods:
- Literature review of current research on degenerative aortic stenosis.
- Synthesis of information on disease mechanisms and clinical outcomes.
Main Results:
- Degenerative aortic stenosis results from progressive calcification of aortic valve leaflets.
- Associated risks include left ventricular hypertrophy and significant cardiovascular complications.
- Optimal management requires a comprehensive approach.
Conclusions:
- Understanding the pathogenesis of degenerative aortic stenosis is crucial for effective treatment.
- Timely and appropriate management can mitigate cardiovascular risks.
- Further research into novel therapeutic strategies is warranted.
Abstract:
Degenerative aortic stenosis is an acquired heart defect manifesting as progressive thickening and calcification of leaflets of originally normal tricuspid or congenital bicuspid aortic valve with development of orifice narrowing, left ventricular hypertrophy, and high risk of cardiovascular complications. In this review we present modern concepts of formation and progression of degenerative aortic stenosis and discuss optimal methods of management of this disease.
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