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Published on: February 4, 2021
The burden of calcific aortic stenosis: what's behind?
S Romiti1, M Vinciguerra, M D'Abramo
1Department of Clinical, Internal Medicine, Anaesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy. silvia.romiti@uniroma1.it.
Insights
Calcific aortic valve stenosis (CAS) is a common cardiovascular disease with no effective medical treatments. This review explores CAS pathogenesis and potential new therapeutic targets for this growing condition.
Area of Science:
- Cardiovascular Medicine
- Pathophysiology
- Pharmacology
Background:
- Calcific aortic valve stenosis (CAS) is a leading cause of cardiovascular disease (CVD) death in Western countries.
- CAS prevalence increases with age, and current guidelines lack treatments to prevent its development or slow progression.
- The aging population and limited medical options suggest a doubling or tripling of CAS cases in coming decades.
Conclusions:
- CAS is a significant and growing public health concern.
- Understanding CAS pathogenesis is crucial for developing effective treatments.
- Novel therapeutic targets offer hope for managing and potentially preventing CAS progression.
Abstract:
In Western countries, calcific aortic valve stenosis (CAS) is widely common, representing the third cause of death among cardiovascular diseases (CVD). The burden of CAS is high, with an increasing prevalence rate related to age. An efficient medical treatment, according to guidelines, lacks to prevent the development and to reduce the progression of CAS. In this context, due to the aging population and the lack of effective medical management, the prevalence is expected to double-triple within the next decades. In our review, we aim to provide an overview of the underlying mechanisms of pathogenesis and the current state of the art regarding pathophysiological insights and novel potential therapeutic targets.
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