mirage

Comparison of 1-year outcome in patients with severe aorta stenosis treated conservatively or by aortic valve replacement or by percutaneous transcatheter aortic valve implantation (data from a multicenter Spanish registry)

ABACUS/Manakin Repository

Show simple item record

dc.contributor.author González Saldivar, Hugo
dc.contributor.author Rodríguez Pascual, Carlos
dc.contributor.author Morena, Gonzalo de la
dc.contributor.author Fernández-Golfín, Covadonga
dc.contributor.author Amorós, Carmen
dc.contributor.author Baquero Alonso, Mario
dc.contributor.author Martínez Dolz, Luis
dc.contributor.author Ariza Solé, Albert
dc.contributor.author Guzmán Martínez, Gabriela
dc.contributor.author Gómez Doblas, J. J.
dc.contributor.author Arribas Jiménez, Antonio
dc.contributor.author Fuentes, María Eugenia
dc.contributor.author Galian Gay, Laura
dc.contributor.author Ruiz Ortiz, Martín
dc.contributor.author Avanzas, Pablo
dc.contributor.author Abu-Assi, Emad
dc.contributor.author Ripoll Vera, Tomás
dc.contributor.author Díaz-Castro, Óscar
dc.contributor.author Osinalde, Eduardo P.
dc.contributor.author Martínez Sellés Oliveria Soares, Manuel
dc.date.accessioned 2016-12-12T12:06:23Z
dc.date.available 2016-12-12T12:06:23Z
dc.date.issued 2016
dc.identifier.citation González-Saldivar, H., Rodriguez-Pascual, C., de la Morena, G., Fernández-Golfín, C., Amorós, C., Alonso, M. B., … & Martínez-Sellés, M. (2016). Comparison of 1-year outcome in patients with severe aorta stenosis treated conservatively or by aortic valve replacement or by percutaneous transcatheter aortic valve implantation (data from a multicenter Spanish registry). The American Journal of Cardiology, 2(118), 244-250. DOI: 10.1016/j.amjcard.2016.04.044 spa
dc.identifier.issn 00029149
dc.identifier.uri http://hdl.handle.net/11268/6081
dc.description.abstract The factors that influence decision making in severe aortic stenosis (AS) are unknown. Our aim was to assess, in patients with severe AS, the determinants of management and prognosis in a multicenter registry that enrolled all consecutive adults with severe AS during a 1-month period. One-year follow-up was obtained in all patients and included vital status and aortic valve intervention (aortic valve replacement [AVR] and transcatheter aortic valve implantation [TAVI]). A total of 726 patients were included, mean age was 77.3 ± 10.6 years, and 377 were women (51.8%). The most common management was conservative therapy in 468 (64.5%) followed by AVR in 199 (27.4%) and TAVI in 59 (8.1%). The strongest association with aortic valve intervention was patient management in a tertiary hospital with cardiac surgery (odds ratio 2.7, 95% confidence interval 1.8 to 4.1, p <0.001). The 2 main reasons to choose conservative management were the absence of significant symptoms (136% to 29.1%) and the presence of co-morbidity (128% to 27.4%). During 1-year follow-up, 132 patients died (18.2%). The main causes of death were heart failure (60% to 45.5%) and noncardiac diseases (46% to 34.9%). One-year survival for patients treated conservatively, with TAVI, and with AVR was 76.3%, 94.9%, and 92.5%, respectively, p <0.001. One-year survival of patients treated conservatively in the absence of significant symptoms was 97.1%. In conclusion, most patients with severe AS are treated conservatively. The outcome in asymptomatic patients managed conservatively was acceptable. Management in tertiary hospitals is associated with valve intervention. One-year survival was similar with both interventional strategies. spa
dc.description.sponsorship SIN FINANCIACIÓN spa
dc.language.iso spa spa
dc.title Comparison of 1-year outcome in patients with severe aorta stenosis treated conservatively or by aortic valve replacement or by percutaneous transcatheter aortic valve implantation (data from a multicenter Spanish registry) spa
dc.type article spa
dc.description.impact 3.398 JCR (2016) Q2, 47/126 Cardiac and Cardiovacular Systems spa
dc.identifier.doi 10.1016/j.amjcard.2016.04.044
dc.rights.accessRights closedAccess spa
dc.subject.uem Estenosis aórtica spa
dc.subject.unesco Enfermedad cardiovascular spa
dc.description.filiation UEM spa
dc.peerreviewed Si spa


Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record