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老年患者的无症状性主动脉瓣狭窄:老年医学方法如何发挥作用。

Asymptomatic Aortic Stenosis in an Older Patient: How the Geriatric Approach Can Make a Difference.

作者信息

Finazzi Alberto, Bruni Adriana Antonella, Nistri Stefano, Bellelli Giuseppe

机构信息

School of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Monza-Brianza, Italy.

Acute Geriatric Unit, S. Gerardo Hospital, 20900 Monza, Monza-Brianza, Italy.

出版信息

Diagnostics (Basel). 2023 Feb 27;13(5):909. doi: 10.3390/diagnostics13050909.

Abstract

We present a case report of an older patient with aortic stenosis who was managed before and after transcatheter aortic valve implantation by a team of cardiologists but without the support of a geriatrician. We first describe the patient's post-interventional complications from a geriatric perspective and afterwards, discuss the unique approach that the geriatrician would have provided. This case report was written by a group of geriatricians working in an acute hospital, along with a clinical cardiologist who is an expert in aortic stenosis. We discuss the implications for modifying conventional practice in tandem with existing literature.

摘要

我们报告一例老年主动脉瓣狭窄患者的病例,该患者在经导管主动脉瓣植入术前后由心脏病专家团队进行管理,但没有老年病专家的支持。我们首先从老年病学角度描述患者介入后的并发症,然后讨论老年病专家可能采取的独特方法。本病例报告由一组在急症医院工作的老年病专家以及一位主动脉瓣狭窄专家临床心脏病专家撰写。我们结合现有文献讨论对改变传统做法的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e880/10001207/7d8bd821718e/diagnostics-13-00909-g001.jpg

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