NYMC Faculty Publications

A Review of the Pathophysiology, Diagnosis, and Treatment of Aortic Valve Stenosis in Elderly Patients

Author Type(s)

Faculty

DOI

10.3810/hp.2013.10.1082

Journal Title

Hospital Practice

First Page

66

Last Page

77

Document Type

Article

Publication Date

1-1-2013

Department

Medicine

Abstract

Elderly patients experiencing valvular aortic stenosis (AS) show an increased prevalence of coronary risk factors, coronary artery disease, and other atherosclerotic vascular diseases. Angina pectoris, syncope or near syncope, and congestive heart failure are the 3 classic manifestations of severe AS in patients. Prolonged duration and late peaking of an aortic systolic ejection murmur best differentiate severe AS from mild AS upon physical examination of the patient. Doppler echocardiography is used to diagnose the severity of patient AS. In the article, indications for aortic valve replacement (AVR) in patients, the use of warfarin after AVR in patients with mechanical prostheses, and the use of aspirin or warfarin after AVR in patients with bioprosthesis are discussed. Transcatheter aortic valvular replacement should be performed in non-operable patients with symptomatic severe AS to improve their survival and quality of life rather than using regular medical management of the condition.

Link to Full Text

Share

COinS