Abstract
Objectives:
To evaluate clinical and laboratorial profile in elderly patients with severe aortic stenosis and possible gender differences.
Method:
We studied 30 patients (18 males and 12 females) aged 70,7±5,3 years with severe aortic stenosis, analyzing clinical manifestations, risk factors, eletrocardiographic and ecocardiographic indexes and association with coronary artery disease by coronary angiographic assessment.
Results:
Dyspnea was the most frequent symptom with overall prevalence of 40%. Women had more angina than men. Ejection fraction was low in only two patients. Male patients had lower ejection fraction (p<0,05). High prevalence (53,3%) of associated coronary artery disease was observed. Conclusions: Data showed dyspnea as the most common clinical manifestation, gender differences of clinical manifestations and lower ejection fraction in male patients suggest that adaptive mechanisms to this condition may be different in both genders. There is a strong association between aortic stenosis in elderly and coronary artery disease.
Key words:
Health Profile; Aged; Health of the Elderly; Aortic Valve Stenosis; Odds Ratio; Gender and Health