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Aortic stenosis

Stenosis ostii aortae · Stenóza aortální chlopně

What it is

The exit valve calcifies and narrows; the left ventricle thickens behind it.

Symptoms & signs

  • Breathlessness
  • chest pain
  • fainting on exertion
  • ejection murmur
  • heart failure once severe

🚩 Get help if…

  • call 112 / 911 now Fainting, especially during exertion
  • call 112 / 911 now Chest pain or severe breathlessness at rest
  • see a doctor soon Breathlessness or chest tightness on exertion
  • see a doctor soon Dizziness or tiring faster than before

Where it strikes

Medical treatment

  • TAVI or surgical valve replacement (the only real fix)
  • treat heart failure meanwhile

Natural & lifestyle

  • Blood-pressure and lipid control
  • dental hygiene
  • activity guided by symptoms

Emerging & experimental

  • Lp(a)-lowering to slow calcification
  • polymer valves with longer durability

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Vitamin K2 to slow calcification — a trial found no slowing not confirmed in trials
  • Statins to slow the valve — large trials found no effect on the valve not confirmed in trials

ICD codes