Drugs for Prevention and Treatment of Aortic Stenosis: How Close Are We?

被引：12

作者：

Afshar, Mehdi ^{[1
]}

Yazdan-Ashoori, Shayan ^{[2
]}

Engert, James C. ^{[3
]}

Thanassoulis, George ^{[3
]}

机构：

[1] Univ Toronto, Schulich Heart Ctr, Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada

[2] Univ Guelph, Dept Biomed Sci, Guelph, ON, Canada

[3] McGill Univ, Div Cardiol, Prevent & Genom Cardiol, Montreal, PQ, Canada

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2021年 / 37卷 / 07期

关键词：

LOW-DENSITY-LIPOPROTEIN; ANGIOTENSIN-CONVERTING ENZYME; VALVE INTERSTITIAL-CELLS; POSITRON-EMISSION-TOMOGRAPHY; POLYUNSATURATED FATTY-ACIDS; CORONARY-HEART-DISEASE; KAPPA-B LIGAND; ANTISENSE OLIGONUCLEOTIDES; OXIDIZED PHOSPHOLIPIDS; RECEPTOR ACTIVATOR;

D O I：

10.1016/j.cjca.2021.02.017

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aortic stenosis is one of the most common cardiovascular diseases in the world. Extensive work on the underlying pathophysiology responsible for calcific aortic valve disease and its progression to aortic stenosis has described a complex process involving inflam-mation, lipid deposition, mineralisation, and genetic factors such as elevated lipoprotein(a). With the advancement of gene silencing technology and development of novel therapeutic agents, we may now be closer than ever to having medical therapies that prevent, or at least slow the progression of aortic stenosis. In this review, we highlight the pathophysiology and risk factors of calcific aortic valve disease, along with current, potential, and emerging novel medical therapies. We also provide potential explanations for the failure of statin trials and suggest new avenues for research and new randomised trials in this area.

引用

页码：1016 / 1026

页数：11

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