Page last updated: 2024-11-07

spironolactone and Aortic Stenosis

spironolactone has been researched along with Aortic Stenosis in 12 studies

Spironolactone: A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827)
spironolactone : A steroid lactone that is 17alpha-pregn-4-ene-21,17-carbolactone substituted by an oxo group at position 3 and an alpha-acetylsulfanyl group at position 7.

Research Excerpts

ExcerptRelevanceReference
"The aim of the study is to determine whether the selective aldosterone-receptor antagonist eplerenone delays onset of left ventricular (LV) systolic dysfunction or reduces LV hypertrophy in asymptomatic patients with moderate to severe aortic stenosis."9.13A randomized trial of the aldosterone-receptor antagonist eplerenone in asymptomatic moderate-severe aortic stenosis. ( Cowan, BR; Doughty, RN; Edwards, C; Freidlander, D; Kerr, AJ; Occleshaw, C; Richards, AM; Stewart, RA; Whalley, GA; White, HD; Williams, M; Young, AA; Zeng, I, 2008)
"BACKGROUND In the setting of acute decompensated heart failure (ADHF), tolvaptan, a selective V₂ receptor antagonist, did not alter plasma renin activity or angiotensin II level, but significantly increased plasma aldosterone by the activation of V₁ₐ receptor, suggesting that a high-dose mineralocorticoid receptor antagonist (MRA) combined with a V₂ receptor antagonist might be of interest, especially in ADHF patients."7.91Adding High-Dose Spironolactone to Tolvaptan Improves Acute Decompensated Heart Failure Due to Obstructive Hypertrophic Cardiomyopathy and Aortic Stenosis: A Case Report. ( Kajimoto, K; Otsubo, S, 2019)
" We evaluated the effects of aldosterone antagonist spironolactone on cardiac remodeling in rats with ascending aortic stenosis (AS)."7.83Effects of early aldosterone antagonism on cardiac remodeling in rats with aortic stenosis-induced pressure overload. ( Campos, DHS; Cezar, MDM; Cicogna, AC; Costa, LCO; Damatto, RL; Iyomasa, RM; Martinez, PF; Minicucci, MF; Okoshi, K; Okoshi, MP; Silva, MB, 2016)
"The aim of the study is to determine whether the selective aldosterone-receptor antagonist eplerenone delays onset of left ventricular (LV) systolic dysfunction or reduces LV hypertrophy in asymptomatic patients with moderate to severe aortic stenosis."5.13A randomized trial of the aldosterone-receptor antagonist eplerenone in asymptomatic moderate-severe aortic stenosis. ( Cowan, BR; Doughty, RN; Edwards, C; Freidlander, D; Kerr, AJ; Occleshaw, C; Richards, AM; Stewart, RA; Whalley, GA; White, HD; Williams, M; Young, AA; Zeng, I, 2008)
"BACKGROUND In the setting of acute decompensated heart failure (ADHF), tolvaptan, a selective V₂ receptor antagonist, did not alter plasma renin activity or angiotensin II level, but significantly increased plasma aldosterone by the activation of V₁ₐ receptor, suggesting that a high-dose mineralocorticoid receptor antagonist (MRA) combined with a V₂ receptor antagonist might be of interest, especially in ADHF patients."3.91Adding High-Dose Spironolactone to Tolvaptan Improves Acute Decompensated Heart Failure Due to Obstructive Hypertrophic Cardiomyopathy and Aortic Stenosis: A Case Report. ( Kajimoto, K; Otsubo, S, 2019)
" We evaluated the effects of aldosterone antagonist spironolactone on cardiac remodeling in rats with ascending aortic stenosis (AS)."3.83Effects of early aldosterone antagonism on cardiac remodeling in rats with aortic stenosis-induced pressure overload. ( Campos, DHS; Cezar, MDM; Cicogna, AC; Costa, LCO; Damatto, RL; Iyomasa, RM; Martinez, PF; Minicucci, MF; Okoshi, K; Okoshi, MP; Silva, MB, 2016)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19902 (16.67)18.7374
1990's0 (0.00)18.2507
2000's4 (33.33)29.6817
2010's6 (50.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Kajimoto, K1
Otsubo, S1
Okoshi, MP1
Cezar, MDM1
Iyomasa, RM1
Silva, MB1
Costa, LCO1
Martinez, PF1
Campos, DHS1
Damatto, RL1
Minicucci, MF1
Cicogna, AC1
Okoshi, K1
Stewart, RA1
Kerr, AJ1
Cowan, BR1
Young, AA1
Occleshaw, C1
Richards, AM1
Edwards, C1
Whalley, GA1
Freidlander, D1
Williams, M1
Doughty, RN1
Zeng, I1
White, HD1
Ramaraj, R1
Marciniak, TA1
Pocock, SJ1
Ariti, CA1
Collier, TJ1
Wang, D1
Jolobe, OM2
Bang, CN1
Greve, AM1
Wachtell, K1
Kober, L1
Perrier, E1
Kerfant, BG1
Lalevee, N1
Bideaux, P1
Rossier, MF1
Richard, S1
Gómez, AM1
Benitah, JP1
Valentin, N1
Olesen, KH1
Eriksson, I1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Efficacy and Safety of Treatment With Convalescent Plasma for Adults With COVID-19 Pneumonia. A Double-blinded, Randomized, Multicenter Placebo-controlled Trial[NCT04345289]Phase 3147 participants (Actual)Interventional2020-05-01Terminated (stopped due to DSMB advise due to high probability of futility)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

1 review available for spironolactone and Aortic Stenosis

ArticleYear
Evolving strategies for the use of spironolactone in cardiovascular disease.
    European journal of internal medicine, 2013, Volume: 24, Issue:4

    Topics: Aortic Valve Stenosis; Diuretics; Humans; Hyperkalemia; Hypertension; Mineralocorticoid Receptor Ant

2013

Trials

1 trial available for spironolactone and Aortic Stenosis

ArticleYear
A randomized trial of the aldosterone-receptor antagonist eplerenone in asymptomatic moderate-severe aortic stenosis.
    American heart journal, 2008, Volume: 156, Issue:2

    Topics: Aged; Aortic Valve Stenosis; Blood Flow Velocity; Echocardiography, Doppler; Eplerenone; Female; Hum

2008

Other Studies

10 other studies available for spironolactone and Aortic Stenosis

ArticleYear
Adding High-Dose Spironolactone to Tolvaptan Improves Acute Decompensated Heart Failure Due to Obstructive Hypertrophic Cardiomyopathy and Aortic Stenosis: A Case Report.
    The American journal of case reports, 2019, Jul-12, Volume: 20

    Topics: Acute Disease; Aged, 80 and over; Antidiuretic Hormone Receptor Antagonists; Aortic Valve Stenosis;

2019
Effects of early aldosterone antagonism on cardiac remodeling in rats with aortic stenosis-induced pressure overload.
    International journal of cardiology, 2016, Nov-01, Volume: 222

    Topics: Aldosterone; Animals; Aortic Valve Stenosis; Cardiomegaly; Electrocardiography; Male; Mineralocortic

2016
Role of aldosterone receptor antagonist eplerenone in aortic stenosis.
    American heart journal, 2009, Volume: 157, Issue:3

    Topics: Aortic Valve Stenosis; Eplerenone; Humans; Mineralocorticoid Receptor Antagonists; Potassium; Spiron

2009
Eplerenone treatment of aortic stenosis. [letter].
    American heart journal, 2009, Volume: 157, Issue:3

    Topics: Aortic Valve Stenosis; Eplerenone; Humans; Mineralocorticoid Receptor Antagonists; Potassium; Spiron

2009
The win ratio: a new approach to the analysis of composite endpoints in clinical trials based on clinical priorities.
    European heart journal, 2012, Volume: 33, Issue:2

    Topics: Angiotensin II Type 1 Receptor Blockers; Aortic Valve Stenosis; Benzimidazoles; Biphenyl Compounds;

2012
A therapeutic opportunity that needs to be optimized.
    American heart journal, 2012, Volume: 164, Issue:4

    Topics: Antihypertensive Agents; Aortic Valve Stenosis; Asymptomatic Diseases; Atrial Fibrillation; Eplereno

2012
Global systolic load, left ventricular hypertrophy, and atrial fibrillation.
    American heart journal, 2012, Volume: 164, Issue:4

    Topics: Antihypertensive Agents; Aortic Valve Stenosis; Asymptomatic Diseases; Atrial Fibrillation; Eplereno

2012
Mineralocorticoid receptor antagonism prevents the electrical remodeling that precedes cellular hypertrophy after myocardial infarction.
    Circulation, 2004, Aug-17, Volume: 110, Issue:7

    Topics: Action Potentials; Animals; Aorta, Abdominal; Aortic Valve Stenosis; Calcium; Calcium Channels, L-Ty

2004
Muscle electrolytes and total exchangeable electrolytes in patients with cardiac diseases.
    Scandinavian journal of clinical and laboratory investigation, 1973, Volume: 32, Issue:2

    Topics: Adult; Age Factors; Aortic Valve Stenosis; Body Water; Chlorides; Cytoplasm; Digoxin; Diuretics; Ext

1973
Severe hypernatremia complicating heart valve surgery. A preliminary report.
    Scandinavian journal of thoracic and cardiovascular surgery, 1969, Volume: 3, Issue:1

    Topics: Aortic Valve; Aortic Valve Stenosis; Body Weight; Chlorides; Heart Failure; Heart Valve Prosthesis;

1969