Asymptomatic Aortic Stenosis in an Older Patient: How the Geriatric Approach Can Make a Difference

Author:

Finazzi Alberto1,Bruni Adriana Antonella2,Nistri Stefano3,Bellelli Giuseppe12ORCID

Affiliation:

1. School of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Monza-Brianza, Italy

2. Acute Geriatric Unit, S. Gerardo Hospital, 20900 Monza, Monza-Brianza, Italy

3. Cardiology Service C.M.S.R. Veneto Medica, Altavilla Vicentina, 36077 Vicenza, Italy

Abstract

We present a case report of an older patient with aortic stenosis who was managed before and after transcatheter aortic valve implantation by a team of cardiologists but without the support of a geriatrician. We first describe the patient’s post-interventional complications from a geriatric perspective and afterwards, discuss the unique approach that the geriatrician would have provided. This case report was written by a group of geriatricians working in an acute hospital, along with a clinical cardiologist who is an expert in aortic stenosis. We discuss the implications for modifying conventional practice in tandem with existing literature.

Publisher

MDPI AG

Subject

Clinical Biochemistry

Reference40 articles.

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3. Scottish Intercollegiate Guidelines Network (SIGN) (2019). Risk Reduction and Management of Delirium, Edinburgh. Available online: http://www.sign.ac.uk.

4. (2022, October 01). World Report on Ageing and Health. Available online: https://apps.who.int/iris/handle/10665/186463.

5. Gait Speed and Survival in Older Adults;Studenski;JAMA,2011

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