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Diagnosis and Management of Aortic Valvular Disease in the Elderly
Andrew J Gorton1, Suresh Keshavamurthy1, Sibu P Saha1
1Division of Cardiothoracic Surgery, Department of Surgery, University of Kentucky, Lexington, Kentucky.
Insights
Aortic valvular disease is common in older adults. This review covers diagnosing and treating aortic stenosis and regurgitation using the latest evidence.
Area of Science:
- Cardiology
- Geriatrics
- Valvular Heart Disease
Background:
- Aortic valvular disease, encompassing aortic stenosis and aortic regurgitation, is increasingly prevalent with advancing age.
- The aging global population leads to a higher incidence of elderly patients with aortic valve pathology.
- There is an increasing expectation for prompt diagnosis and effective treatment of aortic valve conditions.
Purpose of the Study:
- To review the diagnostic approaches for aortic valvular disease.
- To discuss current and emerging treatment options for aortic valve pathology.
- To provide an evidence-based overview for managing aortic valve disease in the elderly.
Main Methods:
- Literature review of recent evidence on aortic valvular disease.
- Analysis of diagnostic strategies for aortic stenosis and regurgitation.
- Evaluation of current therapeutic paradigms, including surgical and interventional options.
Main Results:
- Diagnostic criteria and imaging modalities for aortic valvular disease are presented.
- Surgical and interventional therapies are detailed as primary treatment modalities.
- The review synthesizes the latest evidence to guide clinical decision-making.
Conclusions:
- Prompt diagnosis and timely intervention are crucial for managing aortic valvular disease in the elderly.
- Treatment decisions should be individualized based on patient factors and the latest evidence.
- The review provides a framework for optimizing care for patients with aortic valve pathology.
Abstract:
Aortic valvular disease, including aortic stenosis and aortic regurgitation, is increasingly common with age. Due to the aging population, more elderly patients are presenting with aortic valve pathology and expectations for prompt diagnosis and efficacious treatment. The current paradigm for aortic valve disease is based on surgical or interventional therapy. In this review, we discuss the approach to diagnosing aortic valvular disease and the different options for treatment based on the most recent evidence.
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