Nonrandomized Retrospective Studies of Medical Therapy to Prevent Progression of Calcific Aortic Stenosis.
First Author, Year | No. of Subjects | Mean Age (% Male) | Mean F/U Interval | Study Groups | Parameter Reported | P |
---|---|---|---|---|---|---|
EBT calcium | ||||||
Pohle 200111 | 104 | 65 y (86) | 1.25 y | Increase in valve calcium (per year) | ||
LDL ≤130 mg/dL | 9 ±22% | ≤0.001 | ||||
LDL >130 mg/dL | 43 ±44% | |||||
Shavelle 200212 | 65 | 67 y | 2.5 y | Increase in valve calcium (per year) | ||
Statin therapy (43%) | 12.1% | 0.006 | ||||
No statin therapy | 32% | |||||
Echocardiography | ||||||
Aronow 200114 | 180 | 82 y (31) | 2.8 y | Increase in peak gradient (mm Hg/y) | ||
LDL ≥125 mg/dL, not on statin | 6.3±1.4 | <0.0001 | ||||
LDL ≥125 mg/dL, on statin | 3.4±1.0 | |||||
LDL <125 mg/dL, not on statin | 3.1 ±1.1 | |||||
Novaro 200115 | 174 | 68 y (44) | 1.8 y | Decrease in valve area (cm2/y) | 0.03 | |
Statin therapy (33%) | 0.06±0.16 | |||||
No statin therapy | 0.11 ±0.18 | |||||
Bellamy 200213 | 156 | 77 y (58) | 3.7 y | Decrease in valve area (cm2/y) | 0.04 | |
Statin therapy (24%) | 0.04±0.15 | |||||
No statin therapy | 0.09±0.17 | |||||
Rosenhek 200410 | 211 | 70 y (51) | 2.0 y | Increase in aortic velocity (m · s−1·y−1) | ||
Statin therapy | 0.10±0.41 | 0.0001 | ||||
No statin therapy | 0.39±0.42 | |||||
ACE inhibitor | 0.29±0.44 | 0.29 | ||||
No ACE inhibitor | 0.35±0.44 |
EBT indicates electron-beam tomography.