Section of Cardiovascular Diseases, Department of Experimental and Applied Medicine,, University of Study of Brescia, Brescia, Italy -
Panminerva Med. 2013 Dec;55(4):391-5.
Aortic valve stenosis is the most common native valve disease and its most common cause in the United States and Europe is the calcification of a normal trileaflet. Recently, there is increasing evidence indicating that valve calcification has common underlying mechanisms with atherosclerosis. This connection raises interest in the potential efficacy of antiatherosclerosis medications in calcific valve stenosis (AS) therapy. Among them statins, are one of the most promising candidates, because of their pleiotropic effects. The aim of this review is to summarize and analyze the findings of contemporary studies and to discuss the rationale for statin usage in AS populations.
主动脉瓣狭窄是最常见的原发性瓣膜疾病,在美国和欧洲,其最常见的原因是正常三叶瓣的钙化。最近,越来越多的证据表明,瓣膜钙化与动脉粥样硬化有共同的潜在机制。这种联系引起了人们对在钙化性主动脉瓣狭窄(AS)治疗中使用抗动脉粥样硬化药物的潜在疗效的兴趣。其中,他汀类药物是最有前途的候选药物之一,因为它们具有多效性作用。本文综述的目的是总结和分析当代研究的结果,并讨论他汀类药物在 AS 人群中的应用的基本原理。