Document Detail

Management of elderly patients with aortic valve disease.
MedLine Citation:
PMID:  18695696     Owner:  NLM     Status:  MEDLINE    
Increased life expectancy has resulted in a growing population of elderly people, among whom aortic stenosis is increasingly prevalent. For the majority of patients, the treatment of aortic stenosis is surgical, and every symptomatic patient should be considered for aortic valve replacement. Although operative mortality seems to be declining over time, a substantial number of patients do not undergo surgery because of excessive risk, advanced age, or treatment preference of either the patient or the physician. The challenge in the near future will be the enhancement of tools for proper clinical decision-making, so that patients can be stratified to appropriate treatment alternatives. Reports on the treatment of aortic valve stenosis should, therefore, include all patients presenting with the disease and not only those who receive surgery.
Ad J J C Bogers; A Pieter Kappetein
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Publication Detail:
Type:  Journal Article     Date:  2008-08-12
Journal Detail:
Title:  Nature clinical practice. Cardiovascular medicine     Volume:  5     ISSN:  1743-4300     ISO Abbreviation:  -     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-24     Completed Date:  2008-12-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101226507     Medline TA:  Nat Clin Pract Cardiovasc Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  600-1     Citation Subset:  IM    
Department of Cardiothoracic Surgery at Erasmus Medical Centre, Rotterdam, The Netherlands.
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MeSH Terms
Age Factors
Aortic Valve Stenosis / surgery,  therapy*
Health Services for the Aged*
Heart Valve Prosthesis Implantation / adverse effects*
Patient Selection
Quality of Life
Risk Assessment
Risk Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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