Cardiovascular Autonomic Dysfunction and its association with Aortic Stenosis
Main Article Content
Abstract
Aortic stenosis remains the most common valvular abnormality that requires intervention and is becoming more prevalent with an ageing population. Untreated symptomatic severe aortic stenosis is associated with a mortality of 50-60% within two years. Valve replacement either surgical or transcatheter remains the only effective treatment.
The autonomic nervous system involuntarily controls many basic cardiac, respiratory, gastrointestinal and genitourinary functions and plays a central role in the regulation of heart rate and blood pressure. Cardiovascular autonomic dysfunction has shown to be a marker of increased mortality. We discuss current methods to assess autonomic function, alongside abnormalities noted in common cardiac conditions and their correlation to mortality, and review current literature available that confirms severe aortic stenosis is associated with dysregulation of cardiovascular autonomic system.
Keywords:
Cardiovascular, Cardiovascular Dysfunction, Cardiovascular Autonomic Dysfunction, Aortic Stenosis
Article Details
How to Cite
BRANDON, Lisa et al.
Cardiovascular Autonomic Dysfunction and its association with Aortic Stenosis.
Medical Research Archives, [S.l.], v. 11, n. 1, jan. 2023.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/3495>. Date accessed: 21 nov. 2024.
doi: https://doi.org/10.18103/mra.v11i1.3495.
Section
Review Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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2. Bhatia N BSSAWN. Aortic valve disease in the older adult. J Geriatr Cardiol 2016 Dec;13(12):941-944 doi: 1011909/j.issn1671-5411201612004.
3. Goody PR, Hosen MR, Christmann D, et al. Aortic valve stenosis: From basic mechanisms to novel therapeutic targets. Arterioscler Thromb Vasc Biol. Published online April 1, 2020:885-900. doi:10.1161/ATVBAHA.119.313067
4. Akahori H, Tsujino T, Masuyama T, Ishihara M. Mechanisms of aortic stenosis. J Cardiol. 2018;71(3):215-220. doi:10.1016/j.jjcc.2017.11.007
5. Rassi AN, Pibarot P, Elmariah S. Left ventricular remodelling in aortic stenosis. Canadian Journal of Cardiology. 2014;30(9):1004-1011. doi:10.1016/j.cjca.2014.04.026
6. Pawade TA, Newby DE, Dweck MR. THE PRESENT AND FUTURE STATE-OF-THE-ART REVIEW Calcication in Aortic Stenosis The Skeleton Key. Vol 66.; 2015.
7. Zhao Y, Nicoll R, He Y hua, Henein MY. The effect of statins on valve function and calcification in aortic stenosis: A meta-analysis. Atherosclerosis. 2016;246:318-324. doi:10.1016/j.atherosclerosis.2016.01.023
8. Pawade TA, Doris MK, Bing R, et al. Effect of Denosumab or Alendronic Acid on the Progression of Aortic Stenosis: A Double-Blind Randomized Controlled Trial. Circulation. 2021;143(25):2418-2427. doi:10.1161/CIRCULATIONAHA.121.053708
9. Agstam S, Agarwal T, Gupta A, Bansal S. Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors in aortic stenosis - Is this the light at the end of the tunnel for patients with aortic stenosis? Indian Heart J. 2021;73(2):249-252. doi:10.1016/j.ihj.2021.01.017
10. Michelena HI, Chandrasekaran K, Topilsky Y, et al. The Bicuspid Aortic Valve Condition: The Critical Role of Echocardiography and the Case for a Standard Nomenclature Consensus. Prog Cardiovasc Dis. 2018;61(5-6):404-415. doi:10.1016/j.pcad.2018.11.003
11. Liu T, Xie M, Lv Q, et al. Bicuspid aortic valve: An update in morphology, genetics, biomarker, complications, imaging diagnosis and treatment. Front Physiol. 2019;10(JAN). doi:10.3389/fphys.2018.01921
12. Vahanian A, Beyersdorf F, Praz F, et al. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. EuroIntervention. 2022;17(14):E1126-E1196. doi:10.4244/EIJ-E-21-00009
13. Ben-Dor I, Pichard AD, Gonzalez MA, et al. Correlates and causes of death in patients with severe symptomatic aortic stenosis who are not eligible to participate in a clinical trial of transcatheter aortic valve implantation. Circulation. 2010;122(11 SUPPL. 1). doi:10.1161/CIRCULATIONAHA.109.926873
14. Marques-Alves P, Marinho AV, Teixeira R, et al. Going beyond classic echo in aortic stenosis: Left atrial mechanics, a new marker of severity. BMC Cardiovasc Disord. 2019;19(1). doi:10.1186/s12872-019-1204-2
15. Bottaro G, Zappulla P, Deste W, et al. Severe aortic valve stenosis: Symptoms, biochemical markers, and global longitudinal strain. J Cardiovasc Echogr. 2020;30(3):154. doi:10.4103/jcecho.jcecho_13_20
16. Kaden JJ et al. Systemic and local levels of fetuin-A in calcific aortic valve stenosis. International journal of molecular medicine vol 20,2 (2007): 193-7.
17. Yalta K, Palabiyik O, Gurdogan M, Gurlertop Y. Serum copeptin might improve risk stratification and management of aortic valve stenosis: a review of pathophysiological insights and practical implications. Ther Adv Cardiovasc Dis. 2019;13:1-11. doi:10.1177/1753944719826420
18. Gharacholou SM, Karon BL, Shub C, Pellikka PA. Aortic valve sclerosis and clinical outcomes: Moving toward a definition. American Journal of Medicine. 2011;124(2):103-110. doi:10.1016/j.amjmed.2010.10.012
19. Owens DS, Katz R, Takasu J, Kronmal R, Budoff MJ, O’Brien KD. Incidence and Progression of Aortic Valve Calcium in the Multi-Ethnic Study of Atherosclerosis (MESA). American Journal of Cardiology. 2010;105(5):701-708. doi:10.1016/j.amjcard.2009.10.071
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