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Aortic stenosis is the most common adult heart valve condition seen in the Western world and its incidence continues to rise. No established disease modifying treatments retard progression of the stenotic process. Recent insights into the pathogenesis of calcific aortic stenosis suggest that the disease mimics atherosclerosis. The natural history and progression of calcific aortic stenosis are described with particular emphasis on new and emerging medical treatments that may modify the disease process. In particular, statins and angiotensin converting enzyme inhibitors appear to hold promise but definitive evidence from large clinical trials is awaited.

Original publication




Journal article



Publication Date





729 - 734


Angiotensin-Converting Enzyme Inhibitors, Aortic Valve Stenosis, Calcinosis, Drug Therapy, Combination, Humans, Hydroxymethylglutaryl-CoA Reductase Inhibitors