[The importance of mitral calcification in the elderly].
The echocardiographic study of 480 patients over 60 years (medium age: 75.4) revealed 37 (33 women) of them having mitral calcification (MC). The analysis of clinical and metabolic data of these 37 patients plus their electro, phono and echocardiographic assessment revealed: 1) MC was observed in 7.7% of this elderly population and its incidence tended to increase with age; 2) MC was more frequent and more pronounced in women; 3) cardiocirculatory abnormalities responsible for a high systolic pressure in the left ventricle, such as hypertension (64.9%) and aortic stenosis (10.8%) were the most commonly associated cardiac pathologies; 4) no history of illnesses usually aggressive to the mitral valve was detected; 5) plasma lipids and calcium were normal; 6) in 27.0% of patients with MC there was some degree of mitral stenosis and/or insufficiency and surgical correction has been considered in some cases; 7) changes in production and/or conduction properties were frequent, causing bradyarrhythmias, tachyarrhythmias and intraventricular block. Taking these points into consideration, a careful follow-up of confirmed cases is suggested, in order to detect and treat any complications without delay.
Carvalho Filho
E T
ET
Leitão
H de A
Hde A
Barbato
A
A
Alves
A T
AT
Curiati
J A
JA
Netto
M P
MP
D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology; D002114:Calcinosis / Q000175:diagnosis* / Q000209:etiology; D002118:Calcium / Q000378:metabolism; D002784:Cholesterol / Q000097:blood; D004452:Echocardiography; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D012737:Sex Factors; D014280:Triglycerides / Q000097:blood
D014280:Triglycerides; D002784:Cholesterol; D002118:Calcium
A importância da calcificação mitral no idoso.