Evaluating Medical Therapy for Calcific Aortic Stenosis: JACC State-of-the-Art Review.

ABSTRACT: Despite numerous promising therapeutic targets, there are no proven medical treatments for calcific aortic stenosis (AS). Multiple stakeholders need to come together and several scientific, operational, and trial design challenges must be addressed to capitalize on the recent and emerging mechanistic insights into this prevalent heart valve disease. This review briefly discusses the pathobiology and most promising pharmacologic targets, screening, diagnosis and progression of AS, identification of subgroups that should be targeted in clinical trials, and the need to elicit the patient voice earlier rather than later in clinical trial design and implementation. Potential trial end points and tools for assessment and approaches to implementation and design of clinical trials are reviewed. Th

SUBMITTER: Lindman BR 

PROVIDER: S-EPMC8647810 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature