[Aortic valve replacement and screening for frailty]. / Aortaklepvervanging en screening op kwetsbaarheid.
Ned Tijdschr Geneeskd
; 158: A7381, 2014.
Article
em Nl
| MEDLINE
| ID: mdl-25027217
ABSTRACT
The prevalence of aortic stenosis is increasing due to aging of the general population. Transcatheter aortic valve implantation (TAVI) is an alternative for surgical aortic valve replacement (AVR) for high-risk patients. Cardiac scoring systems have been developed to predict the risk of adverse outcomes following surgery, but currently they do not include frailty parameters, and frail patients have an increased risk of adverse health outcomes. Preoperative frailty correlates with adverse outcomes, mortality and functional decline in patients undergoing TAVI; by identifying these patients it is possible to counteract symptoms of frailty by implementing tailored intervention by the geriatrician. The Comprehensive Geriatric Assessment (CGA) is a tool used to detect frailty. Based on the current literature, we highly recommend performing a CGA and a minimum of a Timed Up and Go test, a mini nutritional assessment and serum albumin measurements in patients aged > 70 years undergoing a TAVI or surgical AVR, in order to aim reducing the accompanying risks of the intervention.
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Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Estenose da Valva Aórtica
/
Avaliação Geriátrica
/
Idoso Fragilizado
/
Medição de Risco
/
Implante de Prótese de Valva Cardíaca
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
Nl
Revista:
Ned Tijdschr Geneeskd
Ano de publicação:
2014
Tipo de documento:
Article