Monday, March 8, 2010

Medical Management for Aortic Stenosis

Surgical repairs increases survival rate greater than fourfold compared to medical treatment.

However there is no proven medical treatments that delay the progression of AS

Also most AS patients have cardiac conditions that are controlled using medication which is hypertension, AF, CAD

Hypertension –

Uses Angiotensin converting enzyme inhibitors for severe AS

Use second generation dihydropyridine calcium channel blockers for asymptomatic AS patients

Diuretics

AF –

Use beta blockers and rate slowing calcium channel blockers

CAD –

No smoking

Regular exercise

Aspirin prophylaxis

Antimicrobial prophylaxis

Statins

Antiplatelet therapy

Anticoagulant therapy

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