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The Role of Arterial Hypertension in Mitral Valve Regurgitation

  • Vasiliki Katsi
  • Georgios GeorgiopoulosEmail author
  • Nikolaos Magkas
  • Dimitrios Oikonomou
  • Agostino Virdis
  • Petros Nihoyannopoulos
  • Konstantinos Toutouzas
  • Dimitrios Tousoulis
Hypertension and the Heart (Bharathi Upadhya, Section Editor)
  • 74 Downloads
Part of the following topical collections:
  1. Topical Collection on Hypertension and the Heart

Abstract

Purpose of Review

To review medical literature for evidence of association between hypertension and mitral regurgitation (MR) and summarize potential favorable effects of antihypertensive drugs on MR natural history and treatment.

Recent Findings

Hypertension and MR are common diseases affecting a large proportion of the general population. Contemporary evidence suggests that hypertension may worsen the progression and prognosis of MR through augmented mechanical stress and increased regurgitation volume. Renin-angiotensin axis inhibitors, beta-blockers, and vasodilators have been tested in order to prevent or decrease primary or secondary MR.

Summary

Although antihypertensive agents may improve hemodynamic parameters and left ventricular remodeling in primary MR, there is no strong evidence of benefit on clinical outcomes. On the other hand, a beneficial effect of these drugs on secondary MR is better established. Moreover, there are no studies evaluating a possible benefit of lower blood pressure targets in MR. Randomized controlled trials are warranted to elucidate the precise role of antihypertensive therapy on treatment of MR.

Keywords

Mitral valve Mitral regurgitation Mitral calcification Hypertension Antihypertensive treatment 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors report no relationships that could be construed as a conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Vasiliki Katsi
    • 1
  • Georgios Georgiopoulos
    • 1
    Email author
  • Nikolaos Magkas
    • 1
  • Dimitrios Oikonomou
    • 2
  • Agostino Virdis
    • 3
  • Petros Nihoyannopoulos
    • 1
  • Konstantinos Toutouzas
    • 1
  • Dimitrios Tousoulis
    • 1
  1. 1.First Department of Cardiology, ‘Hippokration’ HospitalUniversity of Athens, Medical SchoolAthensGreece
  2. 2.Department of Cardiology‘Evaggelismos’ General HospitalAthensGreece
  3. 3.Department of Clinical and Experimental MedicineUniversity of PisaPisaItaly

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