Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2011-5-12
pubmed:abstractText
It is almost unknown which demographic factors or medications affect the progression of aortic stenosis (AS) in Japanese patients with mild AS. We identified a total of 194 patients with native tricuspid valvular AS, defined as a continuous-wave Doppler determined peak aortic valve jet velocity of ? 2.0 m/s, in whom echo Doppler studies were repeated at an interim of at least 6 months. Annualized change in peak jet velocity was calculated, and effects of age, sex, diabetes mellitus, blood pressure, serum low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and triglyceride levels, and use of statins and antihypertensive agents on the progression of AS were retrospectively evaluated. Peak aortic valve jet velocity was 2.36 ± 0.79 m/s (mean ± SD) and annualized increase in peak aortic valve jet velocity was 0.17 ± 0.32 m/s/year for all the studied patients. The increase in peak aortic valve jet velocity was lower in patients taking angiotensin-converting enzyme inhibitors (ACE-Is) than in those not taking ACE-Is (0.04 ± 0.22 vs. 0.20 ± 0.32 m/s/year, P < 0.05). Such protective associations were not observed for other first-line antihypertensive agents and statins. Multiple linear regression analysis revealed that ACE-I treatment, decrease in left ventricular ejection fraction, and higher peak aortic valve jet velocity at the first echocardiogram were associated with slower progression of AS. Administration of ACE-Is was associated with the slow progression of mild AS in Japanese patients. Prospective study to assess this hypothesis is needed.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1615-2573
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
26
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
252-7
pubmed:meshHeading
pubmed-meshheading:21063877-Aged, pubmed-meshheading:21063877-Aged, 80 and over, pubmed-meshheading:21063877-Angiotensin-Converting Enzyme Inhibitors, pubmed-meshheading:21063877-Aortic Valve, pubmed-meshheading:21063877-Aortic Valve Stenosis, pubmed-meshheading:21063877-Asian Continental Ancestry Group, pubmed-meshheading:21063877-Disease Progression, pubmed-meshheading:21063877-Echocardiography, Doppler, pubmed-meshheading:21063877-Female, pubmed-meshheading:21063877-Humans, pubmed-meshheading:21063877-Japan, pubmed-meshheading:21063877-Linear Models, pubmed-meshheading:21063877-Male, pubmed-meshheading:21063877-Middle Aged, pubmed-meshheading:21063877-Retrospective Studies, pubmed-meshheading:21063877-Severity of Illness Index, pubmed-meshheading:21063877-Stroke Volume, pubmed-meshheading:21063877-Time Factors, pubmed-meshheading:21063877-Treatment Outcome, pubmed-meshheading:21063877-Ventricular Function, Left
pubmed:year
2011
pubmed:articleTitle
Administration of angiotensin-converting enzyme inhibitors is associated with slow progression of mild aortic stenosis in Japanese patients.
pubmed:affiliation
Cardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, 663-8501, Japan.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't