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Perfíl clínico de idosos portadores de estenose aórtica severa / Clinical Profile of Critical Aortic Stenosis in the Elderly
Pierri, Humberto; Décourt, Luiz V; Wajngarten, Mauricio; Gebara, Otavio; Serro-Azul, João Batista; Nusbacher, Amit; Abensur, Henry; Pivotto, Ligia; Barretto, Antônio Carlos Pereira.
  • Pierri, Humberto; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
  • Décourt, Luiz V; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
  • Wajngarten, Mauricio; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
  • Gebara, Otavio; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
  • Serro-Azul, João Batista; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
  • Nusbacher, Amit; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
  • Abensur, Henry; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
  • Pivotto, Ligia; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
  • Barretto, Antônio Carlos Pereira; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
Arq. bras. cardiol ; 68(6): 415-420, Jun. 1997. tab
Article Dans Portugais | LILACS | ID: lil-320327
RESUMO

PURPOSE:

To evaluate clinical symptoms and echocardiographic findings in elderly patients with severe aortic stenosis and possible gender differences.

METHODS:

We studied 54 patients, 24 (44.5) males and 30 (55.5) females aged 80.7 +/- 5.2 years with severe aortic stenosis. The following variables were analyzed presence of clinical manifestations (dyspnea, angina, and syncope) and echocardiographic indices (left ventricular [LV] dimensions, ejection fraction [EF], and mass index).

RESULTS:

Dyspnea was the most frequent symptom with overall prevalence of 44. EF was lower than 50in only 2 patients. There were no gender differences in the prevalence of any of the clinical manifestations. Male patients had higher LV volumes (p < 0.05) and lower EF (p = 0.03).

CONCLUSION:

The data showing dyspnea as the most common clinical manifestation; EF > 50; lower LV volumes and greater EF in female patients suggest that the adaptive mechanisms to this condition may be different between the two sexes.
Sujets)

Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Sténose aortique Type d'étude: Facteurs de risque Limites du sujet: Adulte très âgé / Aged80 / Femelle / Humains / Mâle langue: Portugais Texte intégral: Arq. bras. cardiol Thème du journal: Cardiologie Année: 1997 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: Universidade de São Paulo/BR

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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Sténose aortique Type d'étude: Facteurs de risque Limites du sujet: Adulte très âgé / Aged80 / Femelle / Humains / Mâle langue: Portugais Texte intégral: Arq. bras. cardiol Thème du journal: Cardiologie Année: 1997 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: Universidade de São Paulo/BR