Wenger N K
Cardiol Clin. 1986 May;4(2):263-71.
Patients with isolated or combined valvular heart disease who reach old age without symptoms or functional impairment can usually be managed with medical therapy. Prevention of infective endocarditis is important. When symptoms impair activities of daily living, surgery should be considered. Aortic stenosis is the most important valvular lesion in the aged and its severity is often underestimated; valve replacement markedly improves the prognosis for symptomatic patients with significant valvular obstruction.
患有孤立性或合并性心脏瓣膜病且步入老年却无症状或功能未受损的患者，通常可采用药物治疗。预防感染性心内膜炎很重要。当症状影响日常生活活动时，应考虑手术治疗。主动脉瓣狭窄是老年人中最重要的瓣膜病变，其严重程度常被低估；瓣膜置换术可显著改善有明显瓣膜梗阻的有症状患者的预后。
