title: Aortic valve disease: current recommendations.
abstract: Aortic stenosis is a common valvular abnormality. Surgical valve replacement is the standard of care for symptomatic patients with severe aortic stenosis and is appropriate for certain asymptomatic patients. Statin therapy may slow progression of the disease. Contrary to conventional wisdom, vasodilator therapy may in fact be safe and effective in certain instances of severe aortic stenosis. Chronic aortic regurgitation is commonly treated with vasodilator therapy, which is certainly indicated for the asymptomatic patient with hypertension. Surgery is recommended for left ventricular dilatation, diminished ventricular systolic function, or symptoms.
authors.affiliation: Division of Cardiovascular Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
authors.forename: Naomi F
authors.initials: NF
authors.lastname: Botkin
authors.forename: Gerard P
authors.initials: GP
authors.lastname: Aurigemma
mesh_terms: D001022:Aortic Valve Insufficiency / Q000601:surgery / Q000628:therapy*; D001024:Aortic Valve Stenosis / Q000601:surgery / Q000628:therapy*; D001026:Coronary Artery Bypass; D005080:Exercise Test; D006801:Humans; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D014665:Vasodilator Agents