Protocolo diagnóstico de las valvulopatías en el anciano
- Martínez Monzonís, Amparo
- Abu Assi, Emad
- Raposeiras Roubín, Sergio
- Vega Fernández, J. M.
ISSN: 0304-5412
Year of publication: 2013
Series: 11
Issue: 41
Pages: 2483-2485
Type: Article
More publications in: Medicine: Programa de Formación Médica Continuada Acreditado
Abstract
Over the last decades, diagnosis, treatment and monitoring of valvular heart disease in elderly patients have changed. Elderly patients undergo more diagnostic and therapeutic procedures due to the significant increase of life expectancy and the improvement in quality of life. Significant development in the cardiovascular area with improved percutaneous treatments and surgical procedures has taken place in recent decades. Different studies show that elderly patients who have been operated on for valvulopathies improve their quality of life and their survival rates are similars to that of the population of the same age. For this reason, therapeutic approaches to valvular elderly patients are changing. The aim of the diagnostic protocol is to present a guide for physicians in order to select the best possible management strategies for the individual patient suffering from a specific valvular heart disease.
Bibliographic References
- Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr, Faxon DP, Freed MD. 2008 Focused update incorporated into the ACC/AHA 2006 gguidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: endorsed by the Society and Interventions, and Society of Thoracic Surgeons of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography. Circulation. 2008;118:e523-661.
- Iung B, Baron G, Butchart EG, Delahaye F, Gohlke-Bärwolf C, Levang OW. A prospective survey of patients with valvular heart disease in Europe: the Euro Heart Survey on valvular heart disease. Eur Heart J. 2003;24:1231-43.
- Maréchaux S, Hachicha Z, Bellouin A, Dumesnil JG, meimoun P, Pasquet A. Usefulnes of exercise estress echocardiography for risk stratification of true asyntomatic patients with aortic valve stenosis. Eur Herat J. 2010;31:1390-97.
- Nkomo VT, Gardin JM, Skelton TN, Gottdiener JS, Sarano ME. Burden of valvular heart diseases. A population-based study. Lancet. 2006;368:1005-11.
- Vahanian A, Alfieri O, Andreotti F, Antunes MJ, Barón-Esquivias G, Baumgartner H. Guidelines on the management of valvular heart disease (version 2012). Eur Heart J. 2012;33(19):2451-96.
- Zamorano JL, Gonzalves A. Exercise echocardiography in aortic stenosis. One more piece in the puzzle. Eur Heart J. 2010;31:1295-97.