Heart conditioning as healthy strategy in management of aortic stenosis: A case report

Introduction: Heart conditioning can be utilized as a healthy strategy in the reversion of disease and ageing. In this sense, heart conditioning may benefit the aortic stenosis patients. Case presentation: We describe the case of an 82-year-old man with moderate to severe aortic stenosis (aortic valve area 1.01 cm2 with peak pressure gradient 56.7mmHg) who refused valvular intervention. He was treated conservatively with antianginal drugs, and remote ischemic preconditioning as a healthy strategy was delivered once daily. To our surprise, 27 months later, follow-up transthoracic echocardiography showed an aortic valve area of 1.41 cm2. His symptoms were dramatically relieved. Conclusions: This case indicates that heart conditioning as a healthy regimen is a valuable safe and effective adjunctive treatment in aortic stenosis patients, which could affect cardiac reverse remodeling and recovery as well as quality of life.