Aortic stenosis medical therapy

Aortic Stenosis Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Claudia P. Hochberg, M.D. [2]; Abdul-Rahman Arabi, M.D. [3]; Keri Shafer, M.D. [4]; Priyamvada Singh, MBBS [5]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [6]

Overview

Prior to surgical intervention, clinicians may opt to utilize medical therapy for aortic stenosis treatment. Pharmacological therapies can be used on some aortic stenosis patients. Caution must be taken in avoiding complications such as excess vasodilation, as such could lead to functional decline in the patient.

Medical Therapy

Pharmacotherapy

Aortic stenosis may be medically treated to control symptoms. Extreme care should be taken to avoid excess vasodilation in the patient with critical aortic stenosis which could precipitate a downward spiral of low forward output, impaired subendocardial perfusion, ischemia and further reductions in forward output.