Short-term follow-up after open-heart surgery in the elderly
Authors:
D. Čoček; A. Mokráček
Authors place of work:
Primář: MUDr. Aleš Mokráček CSc.
; Kardiocentrum Nemocnice České Budějovice a. s.
Published in the journal:
Prakt. Lék. 2009; 89(4): 193-196
Category:
Of different specialties
Summary
The purpose of the study:
Short-term follow-up of patients aged over 75 years after open-heart surgery.
Patients:
A group of 504 patients at least four years after surgery at the Department of Cardiac Surgery, České Budějovice General Hospital, was analyzed.
Results:
73 % of patients in the age group 75–79 years and 60 % in the age group over 80 years were alive. 47 % patients are without symptoms; 94 % of patients believed their health had improved and 97 % of patients stated that the decision to undergo surgery was the correct one.
Conclusion:
Despite the higher operating risk, open-heart surgery in elderly people is the method of choice that leads to a better quality of life.
Key words:
short-term follow-up, open-heart surgery, elderly people.
Zdroje
1. Akins, C.W., Daggett, W.M., Vlahakes, J.G. et al. Cardiac operations in patients 80 years old and older. Ann. Thorac. Surg. 1997, 64, p. 606-615.
2. Čoček, D., Pirk, J., Šetina, M. a kol. Srdeční operace u pacientů nad 75 let. Cor. Vasa 2001, 43(4), s. 179-183.
3. Kolh, P., Kerzmann, A., Honore, Ch. et al. Aortic valve surgery in octogenerians: predictive factors for operative and long-term results. Eur. J. Cardiothorac. Surg. 2007, 31: p. 600-606.
4. Čoček, D., Mokráček, A., Šetina, M. a kol. Kardiochirurgické operace v pokročilém věku. Kde je hranice vysokého rizika? Prakt. Lék. 2007, 87(7), p. 418-420.
5. Likosky, D.S., Lawrence, J.D., Baribeau, Y.R. et al. Long-term survival of the very elderly undergoing coronary artery bypass grafting. Ann. Thorac, Surg. 2008, 85, p. 1233-1238.
6. Chukwuemeka, A., Borger, M.A., Ivanov, J. et al. Valve surgery in octogenerians: A safe option with good medium-term results. J. Heart Valve Dis. 2006, 15, p. 191-196.
7. Český statistický úřad. Demografická ročenka České republiky 2007. Dostupná na http://www.czso.cz/csu/2008edicniplan.nsf/publ/4019-08-2007.
Štítky
General practitioner for children and adolescents General practitioner for adultsČlánok vyšiel v časopise
General Practitioner
2009 Číslo 4
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