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Background In aortic stenosis (AS), LVH occurs due to cellular hypertrophy and extracellular matrix expansion (diffuse fibrosis). After aortic valve replacement (AVR) early regression has been shown by extracellular volume fraction (ECV) measurement to be cellular regression at 6 months, but diffuse fibrosis regression, predicted by one year, has not been demonstrated non-invasively. Myocardial fibrosis is a key potential drug target for new therapies in heart failure, and non-invasive proof of fibrosis regression would be a

Diffuse myocardial fibrosis - a therapeutic target? Proof of regression at 1-year following aortic valve replacement: the RELIEF-AS study