Interv Akut Kardiol. 2011;10(4):187-190

Medical treatment in coincident valvular heart disease and arterial hypertension

Zdeněk Monhart¹, Václav Monhart²

¹ Interní oddělení, Nemocnice Znojmo

² Interní klinika 1. LF UK a ÚVN, Praha

Causal therapy of valvular heart disease falls within the realm of cardiac surgery. A number of patients with valvular heart disease concurrently

suffer from arterial hypertension – they are either patients with a defect that has not yet been indicated for surgery or those

in whom a conservative approach has been chosen due to high surgical risk. When treating arterial hypertension in these patients, it is

often possible to select antihypertensive agents with a certain „added value“ in terms of affecting the symptoms of valvular disease and

left ventricular volumes. These include, in particular, ACE inhibitors in aortic and mitral regurgitation. This group of medications is no

longer prohibited in treating hypertension in patients with aortic stenosis; however, the presumed positive effect on slowing down the

progression of valvular heart disease itself has not been demonstrated.

Keywords: valvular heart disease, arterial hypertension, medication treatment, vasodilator agents

Published: July 1, 2011  Show citation