Increased risk profile in the treatment of patients with symptomatic degenerative aortic valve stenosis over the last 10 years

摘要

Introduction Currently, Cardiology Centres are overfilled with patients with degenerative aortic valve stenosis (DAS), usually eldery, with severe concommittant comorbidities, who are referred for further decisions and possible intervention. Aim To evaluate changes in the risk profile of patients with severe DAS admitted to the cardiology department a?decade ago compared with patients currently being admitted. Material and methods We retrospectively evaluated all patients admitted with confirmed severe DAS, hospitalized during 2005–2006 (group I: 140 patients) and in 2016 (group II: 152 patients), admitted for aortic valve intervention. A?standard transthoracic echocardiogram, cardiovascular symptom and risk factor distribution, perioperative risk with the logistic EuroSCORE II and STS mortality scores were obtained. Results Patients in group II were significantly older (p Conclusions In just a?decade, the risk profile of patients admitted with DAS has increased hugely, mainly due to older age, accumulation of comorbidities and more advanced disease at presentation. Although transcatheter aortic valve intervention has expanded the indications for intervention in high-risk patients, the number of patients disqualified from interventional treatment remains high.