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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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ORIGINAL ARTICLES  CARDIAC SECTION


The Journal of Cardiovascular Surgery 2002 February;43(1):43-7

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Quality of life after cardiac surgery in the elderly

Mittermair R. P., Müller L. C.

From the Department of Cardiac Surgery Innsbruck Medical Center University of Innsbruck, Innsbruck, Austria


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Background. Cardiac sur­gery in ­the eld­er­ly is per­formed ­with increas­ing fre­quen­cy. Beside ­low mor­tal­ity an evi­dent ­gain in qual­ity of ­life is ­the ­most impor­tant ­aim of ther­a­py. To inves­ti­gate ­the medi­um ­term out­come of car­diac sur­gery, we eval­u­at­ed ­patients ­over 75 ­years of ­age ­who ­were oper­at­ed on with­in a 1.5-­year peri­od.
Methods. Between 01/98 ­and 06/99, 124 ­patients (76 ­male, 48 ­female), ­mean ­age of 76.6 (­range 75-86) ­years ­were oper­at­ed on. Eighty-­four per ­cent ­had iso­lat­ed cor­o­nary or ­valve pro­ce­dures ­and 16% ­had com­bined pro­ce­dures. Pre- ­and post­op­er­a­tive ­NYHA clas­sifi­ca­tion, fol­low-up peri­od, per­i­op­er­a­tive mor­tal­ity ­and ­the sub­jec­tive sat­is­fac­tion ­were record­ed.
Results. Total per­i­op­er­a­tive mor­tal­ity ­was 6.4%. After a ­mean fol­low-up ­time of 15.2 (­range 6-24) ­months, ­patient sat­is­fac­tion ­with ­the oper­a­tive ­results ­was excel­lent in 73%, ­good in 26% ­and ­low (unsat­is­fied) in 1%.
Conclusions. Cardiac sur­gery in ­the eld­er­ly ­can be per­formed ­with an accept­able mor­bid­ity ­and mor­tal­ity. The ­fact ­that 99.1% of ­the ­patients ­are sat­is­fied ­with ­their oper­a­tion ­and ­the dra­mat­ic improve­ment in func­tion­al stat­us (96.5% ­NYHA I ­and II) jus­ti­fy car­diac sur­gery in ­this ­age.

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