Pathology and prognosis of aortic stenosis in the elderly

Research output: Contribution to journalArticle

Abstract

Current results of the surgical treatment of aortic stenosis are gratifying. However, establishing the diagnosis of aortic stenosis in elderly patients can be difficult. First, systolic murmurs are a common finding in the elderly, and their potential significance in patients with angina, heart failure or spells of dizziness or lightheadedness may be underestimated. Second, calcific aortic stenosis in the elderly differs clinically and morphologically from typical aortic stenosis. Fortunately, the use of Doppler echocardiography has greatly enhanced our non-invasive diagnostic capabilities in recent years. A third important issue is the use of balloon valvuloplasty to relieve aortic stenosis; this technique has been applied successfully in congenital forms of aortic and pulmonic stenosis, as well as in rheumatic mitral stenosis, and its appropriate use in the management of calcific aortic stenosis in elderly patients warrants discussion.

Original languageEnglish (US)
Pages (from-to)166-170
Number of pages5
JournalCardiology in the Elderly
Volume3
Issue number3
StatePublished - 1995

Fingerprint

Aortic Valve Stenosis
Pathology
Dizziness
Systolic Murmurs
Balloon Valvuloplasty
Pulmonary Valve Stenosis
Doppler Echocardiography
Mitral Valve Stenosis
Heart Failure
Calcification of Aortic Valve

Keywords

  • aortic stenosis
  • balloon valvuloplasty
  • Doppler echocardiography
  • elderly
  • pathology
  • prognosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Geriatrics and Gerontology

Cite this

Pathology and prognosis of aortic stenosis in the elderly. / Achuff, Stephen C.

In: Cardiology in the Elderly, Vol. 3, No. 3, 1995, p. 166-170.

Research output: Contribution to journalArticle

@article{c44fad26ac5f4f18ae87e7fbc92aa723,
title = "Pathology and prognosis of aortic stenosis in the elderly",
abstract = "Current results of the surgical treatment of aortic stenosis are gratifying. However, establishing the diagnosis of aortic stenosis in elderly patients can be difficult. First, systolic murmurs are a common finding in the elderly, and their potential significance in patients with angina, heart failure or spells of dizziness or lightheadedness may be underestimated. Second, calcific aortic stenosis in the elderly differs clinically and morphologically from typical aortic stenosis. Fortunately, the use of Doppler echocardiography has greatly enhanced our non-invasive diagnostic capabilities in recent years. A third important issue is the use of balloon valvuloplasty to relieve aortic stenosis; this technique has been applied successfully in congenital forms of aortic and pulmonic stenosis, as well as in rheumatic mitral stenosis, and its appropriate use in the management of calcific aortic stenosis in elderly patients warrants discussion.",
keywords = "aortic stenosis, balloon valvuloplasty, Doppler echocardiography, elderly, pathology, prognosis",
author = "Achuff, {Stephen C}",
year = "1995",
language = "English (US)",
volume = "3",
pages = "166--170",
journal = "Coronary Artery Disease",
issn = "0954-6928",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Pathology and prognosis of aortic stenosis in the elderly

AU - Achuff, Stephen C

PY - 1995

Y1 - 1995

N2 - Current results of the surgical treatment of aortic stenosis are gratifying. However, establishing the diagnosis of aortic stenosis in elderly patients can be difficult. First, systolic murmurs are a common finding in the elderly, and their potential significance in patients with angina, heart failure or spells of dizziness or lightheadedness may be underestimated. Second, calcific aortic stenosis in the elderly differs clinically and morphologically from typical aortic stenosis. Fortunately, the use of Doppler echocardiography has greatly enhanced our non-invasive diagnostic capabilities in recent years. A third important issue is the use of balloon valvuloplasty to relieve aortic stenosis; this technique has been applied successfully in congenital forms of aortic and pulmonic stenosis, as well as in rheumatic mitral stenosis, and its appropriate use in the management of calcific aortic stenosis in elderly patients warrants discussion.

AB - Current results of the surgical treatment of aortic stenosis are gratifying. However, establishing the diagnosis of aortic stenosis in elderly patients can be difficult. First, systolic murmurs are a common finding in the elderly, and their potential significance in patients with angina, heart failure or spells of dizziness or lightheadedness may be underestimated. Second, calcific aortic stenosis in the elderly differs clinically and morphologically from typical aortic stenosis. Fortunately, the use of Doppler echocardiography has greatly enhanced our non-invasive diagnostic capabilities in recent years. A third important issue is the use of balloon valvuloplasty to relieve aortic stenosis; this technique has been applied successfully in congenital forms of aortic and pulmonic stenosis, as well as in rheumatic mitral stenosis, and its appropriate use in the management of calcific aortic stenosis in elderly patients warrants discussion.

KW - aortic stenosis

KW - balloon valvuloplasty

KW - Doppler echocardiography

KW - elderly

KW - pathology

KW - prognosis

UR - http://www.scopus.com/inward/record.url?scp=0029157572&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029157572&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0029157572

VL - 3

SP - 166

EP - 170

JO - Coronary Artery Disease

JF - Coronary Artery Disease

SN - 0954-6928

IS - 3

ER -