title: Arterial hypertension and aortic valve stenosis: Shedding light on a common "liaison".
abstract: Arterial hypertension and aortic valve stenosis are common disorders and frequently present as concomitant diseases, especially in elderly patients. The impact of hypertension on heart haemodynamics is substantial, thus affecting the clinical presentation of any coexisting valvulopathy, especially of aortic stenosis. However, the interaction between these 2 entities is not thoroughly discussed in the European or/and American guidelines on the management of hypertension or/and valvular heart disease. The present review summarizes all available evidence on the potential interplay between hypertension and aortic valve stenosis, aiming to help physicians understand the pathophysiology and select the best diagnostic and therapeutic strategies (medical or/and interventional) for better management of these high-risk patients, taking into account the impact on outcome as well as the risk-benefit-ratio.
authors.affiliation: ESH Centre of Excellence for Hypertension, 1st Cardiology Department, "Hippokration" Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece. Electronic address: bliakos@med.uoa.gr.
authors.forename: Charalampos I
authors.initials: CI
authors.lastname: Liakos
authors.affiliation: ESH Centre of Excellence for Hypertension, Cardiology Department, "KAT" General Hospital of Attica, Athens, Greece.
authors.forename: Charalampos A
authors.initials: CA
authors.lastname: Grassos
authors.affiliation: ESH Centre of Excellence for Hypertension, Cardiology Department, "Laiko" General Hospital, Athens, Greece.
authors.forename: Dimitrios P
authors.initials: DP
authors.lastname: Papadopoulos
authors.affiliation: ESH Centre of Excellence for Hypertension, 1st Cardiology Department, "Hippokration" Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
authors.forename: Kyriakos S
authors.initials: KS
authors.lastname: Dimitriadis
authors.affiliation: ESH Centre of Excellence for Hypertension, 1st Cardiology Department, "Hippokration" Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
authors.forename: Constantinos P
authors.initials: CP
authors.lastname: Tsioufis
authors.affiliation: ESH Centre of Excellence for Hypertension, 1st Cardiology Department, "Hippokration" Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Tousoulis
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006439:Hemodynamics / Q000187:drug effects* / Q000502:physiology; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology; D008297:Male; D017410:Practice Guidelines as Topic; D015995:Prevalence; D011379:Prognosis; D012307:Risk Factors
keywords: Aortic valve stenosis; Arterial hypertension; High blood pressure