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[Cardiac surgery in patients older than 60 years (author's transl)]
Aktuelle Gerontologie
|January 1, 1979
Insights
Cardiac surgery is successful in geriatric patients, particularly those with valve issues or congenital defects. However, outcomes must be weighed against increased early mortality in elderly surgical candidates.
Area of Science:
- Cardiology
- Geriatric Medicine
- Cardiac Surgery
Context:
- Geriatric patients undergoing cardiac surgery represent a significant clinical challenge.
- A notable proportion (12%) of cardiac surgery patients are over 60 years old.
- Specific conditions like aortic/mitral valve disease, unstable angina, and atrial septal defects are common in this demographic.
Purpose:
- To evaluate the success and risks of cardiac surgery in geriatric patients.
- To compare the prognosis of specific cardiac conditions in the elderly with surgical outcomes.
Summary:
- Cardiac surgery can be successfully performed in patients over 60.
- The study analyzed 525 patients, with 63 (12%) being geriatric.
- Common indications included valvular stenosis/incompetence, unstable angina, and atrial septal defects.
Impact:
- Highlights the feasibility of cardiac surgery in older adults.
- Emphasizes the need to balance potential benefits against higher early mortality risks in this population.
- Informs clinical decision-making for geriatric cardiac surgery candidates.
Abstract:
If indicated cardiac surgery can be performed in geriatric patients with success. Among 525 own patients there were 63 older than 60 years (12%), especially patients with stenosis and/or incompetence of aortic or mitral valve, instable angina pectoris, and certain congenital malformations (atrial septal defect). The poor prognosis of these diseases in the elderly must be compared with the higher early mortality in surgically treated aged patients.