Comparison of 1-Year Outcome in Patients With Severe Aorta Stenosis Treated Conservatively or by Aortic Valve Replacement or by Percutaneous Transcatheter Aortic Valve Implantation (Data from a Multicenter Spanish Registry)

Autor: Hugo González-Saldivar, Carlos Rodriguez-Pascual, Gonzalo de la Morena, Covadonga Fernández-Golfín, Carmen Amorós, Mario Baquero Alonso, Luis Martínez Dolz, Albert Ariza Solé, Gabriela Guzmán-Martínez, Juan José Gómez-Doblas, Antonio Arribas Jiménez, María Eugenia Fuentes, Laura Galian Gay, Martin Ruiz Ortiz, Pablo Avanzas, Emad Abu-Assi, Tomás Ripoll-Vera, Oscar Díaz-Castro, Eduardo P. Osinalde, Manuel Martínez-Sellés, Hugo González Saldivar, Teresa Parajes-Vazquez, Marina Montero-Magan, Gonzalo De la Morena, Pedro J. Flores-Blanco, Cristina Lozano, Luis Miguel Rincón, Xavier Borras, Eva García Camacho, Andrés Sánchez Pérez, Herminio Morillas Climent, Jorge Sanz Sánchez, María Ferré Vallverdú, Óscar González-Fernández, Maria Jesús Garcia Sánchez, Pedro Luis Sánchez Fernandez, María Victoria Millán, Isaac Pascual, César Morís, Tomás Ripoll Vera, Yolanda Gómez Pérez, Oscar Diaz-Castro, Jesús Jimenez Borreguero, Eduardo Pozo, Paula Antuña, Dafne Viliani, María Victoria Mogollón Jiménez, Gonzalo Marcos Gómez, Marcelino Cortés García, Miguel Orejas Orejas, Juan Quiles, Clara Gunturiz, Javier Castrodeza, Javier Tobar, Javier López, Martin Jesús Garcia Gonzalez, Eva Bernal Labrador, Jorge López Ayerbe, Sonia María Barros, Antoni Carol Ruiz, Javier Botas, Alberto Núñez García, Esther Sanz Girgas, Alfredo Bardají Ruiz, Cesar S. Caro Martinez, Alicia Gómez Aguera, Teresa Pareja Sierra, Fiorella Quinte Yarcuri, Irene Mateo Rodriguez, Maria del Pilar Zuazola Martínez, Teresa Pérez, Vicente Ignacio Arrarte Esteban, Francisco Sogorb Garri, Miguel A. Ramirez-Marrero, Sonia Ibars Campaña, Ferrán Padilla Marchan, Jorge Rodríguez-Capitán, Ramón Andion, Leopoldo Pérez de Isla, Patricia Mahía Casado, José Plaza Carrera, Bernardo García de la Villa Redondo, Félix M. Valencia-Serrano, Daniel Bravo Bustos, Isaac Lacambra-Blasco, Guillermo Isasti, Alicia Bautista Paves, Eduardo Pereyra, Eva Pueo, Luis Cornide Santos, Ana Garrido Martín, Clara Bonanad Lozano, Javier Lopez Diaz, Javier Castrodeza Calvo, Javier Tobar Ruiz
Rok vydání: 2016
Předmět:
Aortic valve
Male
medicine.medical_specialty
Percutaneous
Estenosis aórtica
Enfermedad cardiovascular
Clinical Decision-Making
Comorbidity
030204 cardiovascular system & hematology
Conservative Treatment
Asymptomatic
Severity of Illness Index
Tertiary Care Centers
Transcatheter Aortic Valve Replacement
03 medical and health sciences
0302 clinical medicine
Aortic valve replacement
Internal medicine
medicine
Odds Ratio
Humans
030212 general & internal medicine
Registries
Survival rate
Aged
Aged
80 and over
Heart Failure
business.industry
Stroke Volume
Odds ratio
Aortic Valve Stenosis
medicine.disease
Prognosis
Surgery
Cardiac surgery
Survival Rate
Stenosis
medicine.anatomical_structure
Treatment Outcome
Echocardiography
Spain
Asymptomatic Diseases
Cardiology
Female
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Zdroj: AMERICAN JOURNAL OF CARDIOLOGY
r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe
instname
r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
ISSN: 1879-1913
0002-9149
Popis: The factors that influence decision making in severe aortic stenosis (AS) are unknown. Our aim was to assess, in patients with severe AS, the determinants of management and prognosis in a multicenter registry that enrolled all consecutive adults with severe AS during a 1-month period. One-year follow-up was obtained in all patients and included vital status and aortic valve intervention (aortic valve replacement [AVR] and transcatheter aortic valve implantation [TAVI]). A total of 726 patients were included, mean age was 77.3 ± 10.6 years, and 377 were women (51.8%). The most common management was conservative therapy in 468 (64.5%) followed by AVR in 199 (27.4%) and TAVI in 59 (8.1%). The strongest association with aortic valve intervention was patient management in a tertiary hospital with cardiac surgery (odds ratio 2.7, 95% confidence interval 1.8 to 4.1, p
Databáze: OpenAIRE
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