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Correspondence
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Volume 360:85-86 January 1, 2009 Number 1
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Calcific Aortic Stenosis

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 by Otto, C. M.
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 by Rossebø, A. B.
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To the Editor: In their article on intensive lipid lowering, Rossebø et al. (Sept. 25 issue)1 report that therapy with simvastatin and ezetimibe did not reduce aortic-valve disease and calcifications in patients with mild-to-moderate asymptomatic aortic stenosis. In an accompanying editorial, Otto2 accurately states that "calcific aortic stenosis is not atherosclerosis." However, she does not take advantage of this opportunity to develop the conclusion further. Indeed, in a variety of murine models, vascular calcification develops in the absence of overt atherosclerosis.3 Furthermore, osteoprotegerin has been reported to inhibit vascular calcification without affecting atherosclerosis,3 and therapy with bone morphogenetic protein 7 . . . [Full Text of this Article]




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