- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Chapter 95 Cardiac and vascular ageing
- Chapter 96 Dyslipidemias and other cardiometabolic risk factors in older adults
- Chapter 97 Physical factors in arterial ageing
- Chapter 98 Peripheral vascular disease in older adults: diagnostic and treatment considerations
- Chapter 99 Aneurysmal diseases
- Chapter 100 Pulmonary thromboembolism
- Chapter 101 Hypertension in older adults
- Chapter 102 Syncope and neurocardiovascular instability
- Chapter 103 Management of atrial fibrillation and anticoagulant therapies
- Chapter 104 Management of bradyarrhythmias
- Chapter 105 Management of tachyarrhythmias
- Chapter 106 Ischaemic heart disease
- Chapter 107 Valvular heart disease: state of the art and treatment perspectives
- Chapter 108 Heart failure: definitions, investigation, and management
- Chapter 109 Cardiac rehabilitation
- Chapter 110 Cardiopulmonary resuscitation: outcomes and decision-making processes for older adults
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing
(p. 827) Valvular heart disease: state of the art and treatment perspectives
- Chapter:
- (p. 827) Valvular heart disease: state of the art and treatment perspectives
- Author(s):
Alain Cribier
and Helene Eltchaninoff
- DOI:
- 10.1093/med/9780198701590.003.0107
Decision-making for the management of valvular disease (VHD) is rapidly evolving with advances in surgical and interventional techniques. The main causes of VHD has moved from rheumatic to degenerative, more particularly in industrial countries. In this chapter will be briefly discuss the aetiologies, presentation, and natural history of VHD in adults. The medical and surgical options available to date and the threshold for intervention will be then described. The role of a multidisciplinary Heart Valve Team working together with a geriatrician has become crucial to determine the optimal therapeutic option for VHD in older adults. Surgical valve replacement has been for decades the only possible option for the three leading VHDs in developed countries: aortic stenosis (AS), aortic regurgitation (AR) and mitral regurgitation (MR). Mitral stenosis (MS) has almost disappeared in Western countries while its prevalence remains high in the developing world.
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- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Chapter 95 Cardiac and vascular ageing
- Chapter 96 Dyslipidemias and other cardiometabolic risk factors in older adults
- Chapter 97 Physical factors in arterial ageing
- Chapter 98 Peripheral vascular disease in older adults: diagnostic and treatment considerations
- Chapter 99 Aneurysmal diseases
- Chapter 100 Pulmonary thromboembolism
- Chapter 101 Hypertension in older adults
- Chapter 102 Syncope and neurocardiovascular instability
- Chapter 103 Management of atrial fibrillation and anticoagulant therapies
- Chapter 104 Management of bradyarrhythmias
- Chapter 105 Management of tachyarrhythmias
- Chapter 106 Ischaemic heart disease
- Chapter 107 Valvular heart disease: state of the art and treatment perspectives
- Chapter 108 Heart failure: definitions, investigation, and management
- Chapter 109 Cardiac rehabilitation
- Chapter 110 Cardiopulmonary resuscitation: outcomes and decision-making processes for older adults
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing