Open Access

Pathophysiology of valvular heart disease (Review)

  • Authors:
    • Yi Zeng
    • Rongrong Sun
    • Xianchi Li
    • Min Liu
    • Shuang Chen
    • Peiying Zhang
  • View Affiliations

  • Published online on: February 5, 2016     https://doi.org/10.3892/etm.2016.3048
  • Pages: 1184-1188
  • Copyright: © Zeng et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Valvular heart disease (VHD) is caused by either damage or defect in one of the four heart valves, aortic, mitral, tricuspid or pulmonary. Defects in these valves can be congenital or acquired. Age, gender, tobacco use, hypercholesterolemia, hypertension, and type II diabetes contribute to the risk of disease. VHD is an escalating health issue with a prevalence of 2.5% in the United States alone. Considering the likely increase of the aging population worldwide, the incidence of acquired VHD is expected to increase. Technological advances are instrumental in identifying congenital heart defects in infants, thereby adding to the growing VHD population. Almost one‑third of elderly individuals have echocardiographic or radiological evidence of calcific aortic valve (CAV) sclerosis, an early and subclinical form of CAV disease (CAVD). Of individuals ages >60, ~2% suffer from disease progression to its most severe form, calcific aortic stenosis. Surgical intervention is therefore required in these patients as no effective pharmacotherapies exist. Valvular calcium load and valve biomineralization are orchestrated by the concerted action of diverse cell‑dependent mechanisms. Signaling pathways important in skeletal morphogenesis are also involved in the regulation of cardiac valve morphogenesis, CAVD and the pathobiology of cardiovascular calcification. CAVD usually occurs without any obvious symptoms in early stages over a long period of time and symptoms are identified at advanced stages of the disease, leading to a high rate of mortality. Aortic valve replacement is the only primary treatment of choice. Biomarkers such as asymmetric dimethylarginine, fetuin‑A, calcium phosphate product, natriuretic peptides and osteopontin have been useful in improving outcomes among various disease states. This review, highlights the current understanding of the biology of VHD, with particular reference to molecular and cellular aspects of its regulation. Current clinical questions and the development of new strategies to treat various forms of VHD medically were addressed.
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April-2016
Volume 11 Issue 4

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Copy and paste a formatted citation
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Spandidos Publications style
Zeng Y, Sun R, Li X, Liu M, Chen S and Zhang P: Pathophysiology of valvular heart disease (Review). Exp Ther Med 11: 1184-1188, 2016.
APA
Zeng, Y., Sun, R., Li, X., Liu, M., Chen, S., & Zhang, P. (2016). Pathophysiology of valvular heart disease (Review). Experimental and Therapeutic Medicine, 11, 1184-1188. https://doi.org/10.3892/etm.2016.3048
MLA
Zeng, Y., Sun, R., Li, X., Liu, M., Chen, S., Zhang, P."Pathophysiology of valvular heart disease (Review)". Experimental and Therapeutic Medicine 11.4 (2016): 1184-1188.
Chicago
Zeng, Y., Sun, R., Li, X., Liu, M., Chen, S., Zhang, P."Pathophysiology of valvular heart disease (Review)". Experimental and Therapeutic Medicine 11, no. 4 (2016): 1184-1188. https://doi.org/10.3892/etm.2016.3048