Effect of Gender on Treatment and Outcomes in Severe Aortic Stenosis

The aim of this study was to evaluate the effect of gender on operative rates and outcomes in men and women with severe aortic stenosis. An institutional echocardiographic database was used to identify all adult patients with severe aortic stenosis from 2004 through 2005. Only patients with class I...

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Bibliographic Details
Published in:The American journal of cardiology 2011-06, Vol.107 (11), p.1681-1686
Main Authors: Hartzell, Maryanne, MD, Malhotra, Rajeev, MD, Yared, Kibar, MD, Rosenfield, Hannah R, Walker, Jennifer D., MD, Wood, Malissa J., MD
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aortic Valve Stenosis - diagnostic imaging
Aortic Valve Stenosis - surgery
Biological and medical sciences
Cardiology
Cardiology. Vascular system
Cardiovascular
Endocardial and cardiac valvular diseases
Female
Gender
Heart
Heart surgery
Humans
Male
Medical sciences
Middle Aged
Risk Assessment
Severity of Illness Index
Sex Factors
Studies
Surgical outcomes
Treatment Outcome
Ultrasonic imaging
Ultrasonography
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Summary:The aim of this study was to evaluate the effect of gender on operative rates and outcomes in men and women with severe aortic stenosis. An institutional echocardiographic database was used to identify all adult patients with severe aortic stenosis from 2004 through 2005. Only patients with class I indication for aortic valve replacement (AVR) during the period of follow-up were included in the study. Three hundred sixty-two patients were identified with severe aortic stenosis and class I indication for AVR (52% women). Overall operative rate for the cohort was 72%. In patients who underwent AVR, Kaplan–Meier survival rates were the same for men and women. Sixty-four percent of women versus 81% of men underwent AVR (p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2011.01.059