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A Cirurgia de Substituição Valvular Aórtica Melhora a Qualidade de Vida dos Octogenários com Estenose Aórtica Severa

2019Journal article Open access
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dc.contributor.authorBento, D
dc.contributor.authorCoelho, P
dc.contributor.authorLopes, J
dc.contributor.authorFragata, J
dc.date.accessioned2022-03-10T15:07:27Z
dc.date.available2022-03-10T15:07:27Z
dc.date.issued2019
dc.description.abstractIntroduction: Aortic stenosis (AS) is the most common valvular disease in the elderly, affecting around 8.1% by the age of 85, with a negative impact on quality of life. Objective: To determine the impact of surgical aortic valve replacement (SAVR) on quality of life in octogenarians. Methods: In a single-center retrospective study of octogenarians undergoing isolated SAVR for symptomatic AS between 2011 and 2015, quality of life was assessed using the Medical Outcomes Study Short Form (SF-36) at baseline and at three, six and 12 months after surgery. Scores for the eight domains and two components of the SF-36 were compared at baseline and in the postoperative period by one-way analysis of variance. Results: Over a five-year period, 163 octogenarians underwent SAVR, of whom 3.1% died in the hospital. Deceased patients and those who did not complete the SF-36 were excluded. A total of 81 patients were included, mean age 83±2 years, 63% female, 60.5% in NYHA class II or higher and 19.7% with left ventricular systolic dysfunction. The mean logistic EuroSCORE was 10.7±5.1%. In the hospital, 1.2% suffered stroke, 1.2% received a permanent implantable pacemaker and 23.5% presented atrial fibrillation. In the assessment of quality of life, improvement was seen in all SF-36 domains (p<0.002) and in the physical component (p<0.001) at three, six and 12 months compared to baseline. The mental component also showed improvement, which was significant at six months (p=0.011). Conclusion: SAVR improved the physical and mental health status of octogenarians with severe AS. This improvement was evident at three months and consistent at six and 12 months.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRev Port Cardiol. 2019;38(4):251-258.pt_PT
dc.identifier.doi10.1016/j.repc.2018.06.011.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3996
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.subjectHSM CCTpt_PT
dc.subjectAge Factorspt_PT
dc.subjectAged, 80 and overpt_PT
dc.subjectAortic Valve / diagnostic imagingpt_PT
dc.subjectAortic Valve / surgery*pt_PT
dc.subjectAortic Valve Stenosis / diagnosispt_PT
dc.subjectAortic Valve Stenosis / mortalitypt_PT
dc.subjectAortic Valve Stenosis / surgery*pt_PT
dc.subjectEchocardiographypt_PT
dc.subjectFemalept_PT
dc.subjectMalept_PT
dc.subjectHumanspt_PT
dc.subjectFollow-Up Studiespt_PT
dc.subjectHealth Surveys / methodspt_PT
dc.subjectPortugal / epidemiologypt_PT
dc.subjectQuality of Lifept_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectRisk Factorspt_PT
dc.subjectSeverity of Illness Indexpt_PT
dc.subjectSurvival Rate / trendspt_PT
dc.subjectTranscatheter Aortic Valve Replacement / methods*pt_PT
dc.titleA Cirurgia de Substituição Valvular Aórtica Melhora a Qualidade de Vida dos Octogenários com Estenose Aórtica Severapt_PT
dc.title.alternativeSurgical Aortic Valve Replacement Improves the Quality of Life of Octogenarians with Severe Aortic Stenosispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage258pt_PT
oaire.citation.startPage251pt_PT
oaire.citation.titleRevista Portuguesa de Cardiologiapt_PT
oaire.citation.volume38pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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