Perfíl clínico de idosos portadores de estenose aórtica severa / Clinical Profile of Critical Aortic Stenosis in the Elderly
Arq. bras. cardiol
;
68(6): 415-420, Jun. 1997. tab
Artigo
em Português
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Estenose da Valva Aórtica
Tipo de estudo:
Fatores de risco
Limite:
Idoso
/
Aged80
/
Feminino
/
Humanos
/
Masculino
Idioma:
Português
Revista:
Arq. bras. cardiol
Assunto da revista:
Cardiologia
Ano de publicação:
1997
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade de São Paulo/BR
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