March 17, 2008Heart
Management of the elderly patient with aortic stenosis
Key result
Severe symptomatic aortic stenosis historically reduces median survival to under 5 years, necessitating careful risk-benefit evaluation for aortic valve replacement in elderly patients.
Population
Elderly patients with aortic stenosis
Comparison
Aortic valve replacement (AVR) vs Spontaneous outcome / natural history
Design
Review
Authors
Discussion
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Implication
Emphasizes individualized risk-benefit assessment for AVR in elderly severe symptomatic AS patients; leaves open optimal strategies with contemporary valve options.
Structured PICO
P
Population
Elderly patients with aortic stenosis
I
Intervention
Aortic valve replacement (AVR)
C
Comparator
Spontaneous outcome / natural history
This review discusses the management and decision-making process for aortic valve replacement in elderly patients with severe symptomatic aortic stenosis.
Limitations
- Extrapolating historical natural history data to contemporary elderly patients may be debatable
Cite This Study
Bernard Iung (2008) conducted a review in Aortic stenosis. Aortic valve replacement vs. Natural history was evaluated. Severe symptomatic aortic stenosis historically reduces median survival to under 5 years, necessitating careful risk-benefit evaluation for aortic valve replacement in elderly patients.