New therapeutic targets for calcific aortic valve stenosis: the lipoprotein(a)-lipoprotein-associated phospholipase A2-oxidized phospholipid axis
- PMID: 24161316
- PMCID: PMC5928500
- DOI: 10.1016/j.jacc.2013.08.1639
New therapeutic targets for calcific aortic valve stenosis: the lipoprotein(a)-lipoprotein-associated phospholipase A2-oxidized phospholipid axis
Abstract
Calcific aortic valve stenosis (CAVS) is the most common form of acquired valvular heart disease, present in 3% of the population more than 75 years of age (1). Although risk factors are similar for CAVS and atherosclerosis, ~50% of patients with CAVS do not have clinically significant cardiovascular disease (CVD), suggesting related, but unique, pathophysiology (1). Although surgical aortic valve replacement remains the gold standard treatment for most patients, at least one-third of symptomatic patients with CAVS may not undergo surgical aortic valve replacement.
Keywords: Lp-PLA2; aortic stenosis; calcific aortic valve disease; lysophosphatidylcholine; valve interstitial cells.
Comment on
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Elevated expression of lipoprotein-associated phospholipase A2 in calcific aortic valve disease: implications for valve mineralization.J Am Coll Cardiol. 2014 Feb 11;63(5):460-9. doi: 10.1016/j.jacc.2013.05.105. Epub 2013 Oct 23. J Am Coll Cardiol. 2014. PMID: 24161325
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Elevated lipoprotein(a) and risk of aortic valve stenosis in the general population.J Am Coll Cardiol. 2014 Feb 11;63(5):470-7. doi: 10.1016/j.jacc.2013.09.038. Epub 2013 Oct 23. J Am Coll Cardiol. 2014. PMID: 24161338 Clinical Trial.
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