Protocolo terapéutico de las valvulopatías en el anciano
- Martínez Monzonís, Amparo
- Abu Assi, Emad
- Raposeiras Roubín, Sergio
- Vega Fernández, J. M.
ISSN: 0304-5412
Ano de publicación: 2013
Serie: 11
Número: 41
Páxinas: 2486-2488
Tipo: Artigo
Outras publicacións en: Medicine: Programa de Formación Médica Continuada Acreditado
Resumo
Old patients� population requiring cardiac surgery has increased. Euro Heart Survey (HVS) and other epidemiological studies have reported a rising prevalence of valvulopathies among elderly population. Older age is associated with a higher frequency of comorbidity with important management implications. Age and associated comorbidities are the major prognostic markers for valvulopathies surgery, though populations having undergone surgical treatment may present different prognostic. In recent years, two new surgical risk markers have emerged: frailty and impairment. New risk factors and new risk scales, in addition to the former (age and comorbidities), should be taken in account to select the optimal treatment.
Referencias bibliográficas
- Affilalo J, Motillo S, Eissemberg MJ, Alexnader KP, Noiseux N. Addition of frailty and disability to cardicac surgery risk of mortali-ty or major morbility. Circ Cardiovascular Qual Outcomes. 2012;5: 222-8.
- Bernstein AD, Parsonet V. Bedside estimation of risk as an aid for decision-making in cardiac surgery. Ann Thorac Surg. 2000;69:823-8
- Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. Lancet. 2013;381:752-62.
- 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.
- Lee Dh, Buth KJ, MartinB-J, Yip AM, Hirsch M. Frail patients are at increased risk for mortality and prolonged institutional care after cardiac surgery. Circ. 2010;121:973-8.
- Nashef SA, Roques F, Michel P, Gauducheau P, Lemeshow F, Salamon R. European System for Cardiac Operative Risk Evaluation (EuroSCORE). Eur J Cardiothorac Surg. 1999;16:9-13.
- O ́Brien SM, Shahian DM, Filardo G, Ferraris VA, Haan CK, Rich JB. The society of thoracic surgeons 2008 cardicac surgery risk models, part 2: isolated valve surgery. Ann Thorac Surg. 2009;88: S23-42.
- Partridge JS, Harari D, Dheshi JK. Frailty in the older surgical patient: a review. Age and Ageing. 2012;41:142-7.
- Rosenhek R, Lung B, Tornos P, Antunes MJ, Prendergast BD, Otto CM. ESC working Group on Valvular Herat disease. Position Paper: assessing the risk of interventions in patients with valvular heart disease. Eur Heart J. 2012;33:822-8.