Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Open-heart surgery in elderly patients.

L C Pelletier, Y R Castonguay, B R Chaitman

    Canadian Medical Association Journal
    |February 15, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    A randomized, placebo-controlled study of the effects of telcagepant on exercise time in patients with stable angina.

    Clinical pharmacology and therapeutics·2012
    Same author

    Bivalirudin versus heparin during coronary angioplasty for unstable or postinfarction angina: Final report reanalysis of the Bivalirudin Angioplasty Study.

    American heart journal·2001
    Same author

    Increased mortality after coronary artery bypass graft surgery is associated with increased levels of postoperative creatine kinase-myocardial band isoenzyme release: results from the GUARDIAN trial.

    Journal of the American College of Cardiology·2001
    Same author

    Atorvastatin for acute coronary syndromes.

    JAMA·2001
    Same author

    Risk stratification after successful coronary revascularization: the lack of a role for routine exercise testing.

    Journal of the American College of Cardiology·2001
    Same author

    Fifteen-year experience with the mitral Carpentier-Edwards PERIMOUNT pericardial bioprosthesis.

    The Annals of thoracic surgery·2001

    Open-heart surgery is a viable option for elderly patients (70-78 years), showing a low operative death risk and significant long-term functional improvement. This approach can restore a normal lifestyle for eligible seniors.

    Area of Science:

    • Cardiovascular Surgery
    • Geriatric Medicine
    • Cardiac Procedures

    Background:

    • Elderly patients (aged 70-78 years) represent a growing demographic undergoing cardiac procedures.
    • Assessing the safety and efficacy of open-heart surgery in this age group is crucial for clinical decision-making.

    Purpose of the Study:

    • To evaluate the outcomes of open-heart surgery in elderly patients.
    • To assess early and late mortality, postoperative complications, and functional status improvement.

    Main Methods:

    • Retrospective analysis of 50 patients aged 70-78 years undergoing open-heart surgery between March 1975 and March 1980.
    • Procedures included coronary bypass, valve replacement, and combined surgeries.
    • Data collected on early/late deaths, complications, and functional class (New York Heart Association classification).

    Related Experiment Videos

    Main Results:

    • Four early deaths (8%) occurred, all cardiac-related.
    • Early postoperative complications were observed in 58% of patients.
    • The 5-year cumulative survival rate was 76%. Survivors showed significant functional improvement (82% pre-op Class III/IV to 90% post-op Class I/II).
    • Late nonfatal complications occurred in 8 survivors.

    Conclusions:

    • Open-heart surgery can be safely offered to elderly patients with a low operative mortality risk.
    • The substantial late clinical improvement and return to a normal lifestyle justify surgical intervention in elderly patients in good general condition.
    • Careful patient selection and management are essential for optimizing outcomes in this population.