Herzklappenersatz bei über Sechzigjährigen*
| العنوان: | Herzklappenersatz bei über Sechzigjährigen* |
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| المؤلفون: | D Wohltmann, Frank A. Flachskampf, P. Bardos, Bruno J. Messmer, C. Minale, S. Effert, Heinz Lambertz |
| المصدر: | DMW - Deutsche Medizinische Wochenschrift. 111:1347-1351 |
| بيانات النشر: | Georg Thieme Verlag KG, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, Mortality rate, medicine.medical_treatment, General Medicine, medicine.disease, Nyha class, Surgery, medicine.anatomical_structure, Aortic valve replacement, Valve replacement, Mitral valve, medicine, In patient, Heart valve replacement, business, Double valve replacement |
| الوصف: | UNLABELLED Between 1976 and 1984, 182 patients over 60 years with valvular defects were examined invasively and valve replacement was performed. 34 patients (19%) were older than 70 years. Hospital mortality was 2% in aortic valve replacement, 4% in mitral valve and 8% in double valve replacement. Overall early mortality in patients between 60 and 70 years of age was 3.4% and 6% in patients over 70 years for all operations. Simultaneous aortocoronary bypass surgery did not enhance the operation risk. During the follow-up period of 23 +/- 22 months a total of 21 patients died (12%). Only 4% of the survivals showed clinical deterioration by at least one NYHA class. Clinical tendency to improvement was as clearly evident among the patients of over 70 years of age as among the entire group. Preoperative invasive and noninvasive data do not display any significant correlation with the result of surgery. Significantly higher (P less than 0.05) mortality rates or inferior functional operation results were seen only with higher age, a preceding valve operation, and preoperative NYHA class IV. CONCLUSION In elderly patients indication for valve replacement should not be more restrictive than in younger ones. Postponement of valve replacement in these age groups until the patient experiences symptoms when at rest (NYHA class IV) will adversely affect the chances of success and increase the mortality risk. |
| تدمد: | 1439-4413 0012-0472 |
| DOI: | 10.1055/s-2008-1068632 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::bb834ca3ee4e64c5644d3d25f1ab6488 https://doi.org/10.1055/s-2008-1068632 |
| رقم الانضمام: | edsair.doi...........bb834ca3ee4e64c5644d3d25f1ab6488 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14394413 00120472 |
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| DOI: | 10.1055/s-2008-1068632 |