Initial surgery versus conservative management of symptomatic severe mitral regurgitation in the elderly

Initial surgery versus conservative management of symptomatic severe mitral regurgitation in the elderly

- in HEALTH
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In contrast with conservative administration, preliminary surgical procedure is related to important long-term reductions in cardiac and general mortality and cardiac occasions in aged sufferers with extreme degenerative MR and delicate signs. Subsequently, surgical procedure shouldn’t be delayed solely for previous age within the trendy period.

Key messages

What’s already recognized on this topic?

Current advances in mitral valve (MV) surgical procedure have led to decreases in operative mortality within the aged sufferers. Nevertheless, the choice relating to surgical intervention stays a scientific dilemma in aged sufferers with extreme MR, as superior age has a serious destructive impression on the result of MV surgical procedure.

What does this examine add?

We noticed that in contrast with conservative administration, the preliminary surgical technique was related to important long-term reductions in cardiac mortality (HR zero.31; 95% CI zero.13 to zero.73) and general mortality (HR zero.39; 95% CI zero.21 to zero.74) in aged sufferers with extreme degenerative MR and delicate signs.

How would possibly this impression on scientific observe?

Our outcomes counsel that the onset of delicate signs ought to be a sign for immediate MV surgical procedure in aged sufferers with extreme mitral regurgitation and low operative threat.

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