What is it about?
Presence of high blood pressure is commonly seen in older adults and it results in worse prognosis when it is present concomitantly with severe aortic valve narrowing. High blood pressure plays an important role in remodeling of the heart in these patients with aortic stenosis. Therefore, it has become increasingly important to study the implications of high blood pressure in aortic stenosis after it has been replaced by non-surgical procedure. This paper illustrates a thorough review of current literature in this field, sheds light on the interplay between the percutaneous valve and blood pressure parameters and its clinical implications.
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Why is it important?
The most common valvular problem in old age is aortic valve disease. Aortic valve disease is a condition in which the valve between the main pumping chamber of your heart (left ventricle) and the main artery to your body (aorta) doesn't work properly. If the valve is abnormally narrow (aortic stenosis), the narrowed valve isn't able to open fully, which reduces or blocks blood flow from heart into aorta and the rest of your body.
Perspectives
Development of high blood pressure after treatment of aortic valve narrowing via a non-surgical approach may not be a bad thing. Current literature suggest people who have high blood pressure before the procedure do worse and also that people who develop high blood pressure after the procedure tend to do better.
NIDHISH TIWARI
Albert Einstein College of Medicine, Bronx, NY, USA
Read the Original
This page is a summary of: Hypertension and transcatheter aortic valve replacement: parallel or series?, Integrated Blood Pressure Control, November 2018, Dove Medical Press,
DOI: 10.2147/ibpc.s177258.
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