Aortic valve replacement in the elderly: frequently indicated yet frequently denied.

Abstract:

BACKGROUND:The prevalence of aortic stenosis is nearly 20% in octogenarians. Aortic valve replacement (AVR) is the optimal therapy choice, yet many symptomatic patients are denied this beneficent technology. Whether mechanical or bioprosthetic, aortic valves are not a scarce resource and their safety, effectiveness and longevity are proven. OBJECTIVE:Because the geriatric population is soaring, clinicians will be encountering more cases of aortic stenosis and the decision-making that leads to surgical referral or non-referral warrants exploration. METHODS:A literature review was conducted to explore the notion that physicians deny AVR to their patients based solely on their chronological age value. RESULTS:Using age as the sole exclusion criterion, medical literature documents the fact that AVR is frequently denied to the elderly. CONCLUSION:It appears that AVR is another beneficent cardiac technology that has been added to the age discrimination list, even though the devices are not scarce, they are cost-effective, and they can improve the life of a symptomatic elderly patient. There is no ethical justification for denying AVR to clinically suitable elderly candidates who request such therapy.

journal_name

Gerontology

journal_title

Gerontology

authors

Bramstedt KA

doi

10.1159/000066502

keywords:

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

46-9

issue

1

eissn

0304-324X

issn

1423-0003

pii

66502

journal_volume

49

pub_type

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