December 1, 1977Archives of Surgery

Aortic Valve Replacement in the Elderly

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Why the study?

Does isolated aortic valve replacement carry similar risks and provide similar functional improvement in patients aged 60 and over compared to those under 60?

Structured PICO

Does isolated aortic valve replacement carry similar risks and provide similar functional improvement in patients aged 60 and over compared to those under 60?

Population

350 patients (73 aged 60 and over, and 277 under 60 years of age) who underwent isolated aortic valve replacement (AVR) for aortic stenosis, regurgitation, and mixed disease from 1966 through 1975.

Intervention

Isolated aortic valve replacement (AVR) in patients aged 60 and over.

Comparator

Isolated aortic valve replacement (AVR) in patients under 60 years of age.

Outcome

Hospital mortality, late cardiac mortality, and changes in left ventricular end-diastolic pressure, cardiac index, and functional class.hard clinical

Isolated aortic valve replacement in patients aged 60 and older carries a similarly low risk and comparable improvement in left ventricular pump function as seen in younger patients.

Discussion

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Implication

Supports similar mortality and functional gains with isolated AVR in patients ≥60; leaves open need for randomized confirmation.

Cite This Study

Mark S. Hochberg (1977) studied this question.

synapsesocial.com/papers/6a7bf0780bfa86fad9c65123 https://doi.org/10.1001/archsurg.1977.01370120065007

Topics

Valvular heart disease Heart failure HFrEF treatment

View Full Paper

Ask AI

Bookmark

Aortic Valve Replacement in the Elderly

Structured PICO

Discussion

Implication

Cite This Study

Topics

Aortic Valve Replacement in the Elderly

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider