Navigation Links
Half of Eligible Patients Do Not Get Aortic Valve Replacement

ANN ARBOR, Mich., Nov. 20 /PRNewswire-USNewswire/ -- Fear about the risk of surgery is among the reasons half of eligible patients are not getting aortic valve replacement surgery, according to a study by physicians at the University of Michigan Health System.

Earlier this year, former First Lady Barbara Bush and comedian Robin Williams underwent aortic valve replacement surgery, but many patients may be missing out on the potentially life-saving surgery.

In the study published online ahead of print Nov. 17 in Circulation: Cardiovascular Quality and Outcomes, two-thirds of the patients who did not have valve replacement were suffering symptoms such as shortness of breath that would have improved if they had the surgery.

"Aortic valve replacement not only treats the symptoms, but also saves lives," says lead author David S. Bach, M.D., professor of internal medicine at the U-M Medical School and cardiologist at the U-M Cardiovascular Center.

Aortic stenosis, a narrowing of the aortic valve opening, is common among older adults. In those age 75 and older, as many as 5 percent have the heart condition.

Over time, the heart thickens as it tries to pump blood through the small valve opening, which can lead to heart failure. People with severe aortic stenosis may have shortness of breath, chest discomfort, or lose consciousness due to the low blood flow across the valve.

Authors say they were surprised to learn that more than a handful of patients were denied surgery.

Researchers identified 369 patients from three Michigan hospitals who had aortic stenosis. They had been screened by electrocardiogram. Among them, 191 did not have their aortic valve replaced.

The lack of referrals for surgery occurred in a variety of settings - whether patients saw a community physician or one affiliated with a university or veterans hospital - which suggests a widespread lack of awareness about the benefits of surgery, or overestimation of the risks associated with the surgery.

A review of patient charts showed the most common reasons for not referring for surgery were surgical risk and presence of other major health problems.

But surgical risk scores for patients who did not have surgery were lower than doctors had predicted, according to surgical risk guidelines created by the Society of Thoracic Surgery.

Surgery is considered the best treatment for aortic stenosis, and the consequences of waiting or passing up surgery are substantial. Only 66 percent of the patients who did not undergo surgery survived 12 months later.

Bach suggests cardiologists become more familiar with guideline recommendations and the data on which they are based, discuss options more fully with patients, and when possible, involve a cardiac surgeon in consultation.

Additional Authors: Derrick Siao, M.D., resident at University of California-San Francisco; Steven E. Girard, M.D., cardiologist, Ypsilanti, Mich., Claire Duvernoy, M.D., cardiologist and assistant professor at U-M Medical School and director of the Women's Heart Program at VA Ann Arbor Healthcare System; and Sarah Gualano, M.D., cardiologist and assistant professor at Southwestern Medical Center.

Funding: Edwards Lifesciences.

Reference: Circulation Cardiovascular Quality and Outcomes, DOI: 10.1161


U-M Cardiovascular Center

SOURCE University of Michigan Health System

SOURCE University of Michigan Health System
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Greenway Medical Technologies EHR Solution, PrimeSuite, Enables Eligible Professionals to Participate in PQRI Through Integration With Outcome Sciences, a 2009 CMS Qualified PQRI Registry
2. MedImmune Expands Access for Eligible Premature Infants to Receive Synagis(R) at No Cost
3. Spencers Benefits Reports COBRA Survey Finds Recession Takes Hold: More Were Eligible, Fewer Signed Up, Costs Stay High
4. China Medicine Wins Best 1000 SME Award in Guangdong Province; Eligible for RMB 25 Million Loan
5. Deaconess Hospital Partners With Senior Market Sales to Expand Insurance Offering for Medicare-Eligible Patients
6. Radiology procedure may help increase long-term survival in patients with severe liver cancer
7. Rare pancreatic cancer patients may live longer when treated with radiation therapy
8. St. Jude Patients and Expert Chefs Join Forces To Create Gingerbread House
9. Multidisciplinary meeting on urological cancers aims to benefit cancer patients
10. How to execute dietary management in eating disorder patients
11. Older E-Patients Prefer Facts, Not Friendship from Health Organizations Communicating Via Social Media, According to Path of the Blue Eye Project Survey
Post Your Comments:
(Date:11/28/2015)... ... 28, 2015 , ... Safe storage for contraceptive devices may not always be ... New Jersey and the other from Bradley Beach, New Jersey, there is an easy ... of having to replace NuvaRings more often than necessary. As such, it affords peace ...
(Date:11/27/2015)... ... November 28, 2015 , ... There is only one major question facing all ... year? , This question has not been an easy question to answer. Especially when ... and the younger workforce don’t share the same discipline around working long hours. ...
(Date:11/27/2015)... ... November 27, 2015 , ... ... care in America. As people age, more care is needed, especially with Alzheimer’s, ... and medical professionals are being overworked. The forgotten part of this equation: 80 ...
(Date:11/27/2015)... ... , ... Lizzie’s Lice Pickers just announced a special promotion that will run ... purchase of lice treatment product. In addition, customers will receive a complimentary head Check ... lice is a sure way to ruin the holidays, so we encourage all of ...
(Date:11/27/2015)... (PRWEB) , ... November 27, 2015 , ... ... motto of progress through sharing, the 2016 Building Better Radiology Marketing Programs ... conference will begin on Sunday, March 6, 2016, at Caesars Palace in Las ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... 26 november 2015 AAIPharma Services ... geplande investering aan van ten minste $15,8 ... en het mondiale hoofdkantoor in ... resulteren in extra kantoorruimte en extra capaciteit ... groeiende behoeften van de farmaceutische en biotechnologische ...
(Date:11/26/2015)... 26, 2015 Research and Markets ( ) ... Pacemaker Market Outlook to 2019 - Rise in Cardiac Disorders ... report to their offering. Boston ... Boston scientific and others. --> ... Biotronik, Boston scientific and others. ...
(Date:11/26/2015)... 2015 ... the  "2016 Future Horizons and Growth ... Testing Market: Supplier Shares, Competitive Intelligence, ... --> ) has ... Future Horizons and Growth Strategies in ...
Breaking Medicine Technology: