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MINERVA CARDIOANGIOLOGICA

A Journal on Heart and Vascular Diseases


Official Journal of the Italian Society of Angiology and Vascular Pathology
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Minerva Cardioangiologica 2004 August;52(4):263-72

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: English

Aortic valve disease: a practical clinical approach

Botkin N. F., Aurigemma G. P.


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The diagnosis and treatment of aortic valve disease can be challenging for the clinician. Aortic regurgitation (AR) may be evaluated with Doppler echocardiography or catheterization. Medical therapy consists of vasodilators. Surgery may be appropriate for patients with symptoms, left ventricular dilatation or diminished left ventricle systolic function. Aortic stenosis (AS) can be evaluated with the same modalities as AR. There is evidence that statin therapy may slow the progression of AS. Contrary to conventional wisdom, vasodilators are safe and effective in certain patients. Surgical valve replacement is performed for symptoms and in certain asymptomatic patients.

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