title: [Clinical profile of aged patients with severe aortic stenosis].
abstract: OBJECTIVE
  To evaluate clinical symptoms and echocardiographic findings in elderly patients with severe aortic stenosis and possible gender differences.
  
  
  METHODS
  We studied 54 patients, 24 (44.5%) males and 30 (55.5%) females aged 80.7 +/- 5.2 years with severe aortic stenosis. The following variables were analyzed: presence of clinical manifestations (dyspnea, angina, and syncope) and echocardiographic indices (left ventricular [LV] dimensions, ejection fraction [EF], and mass index).
  
  
  RESULTS
  Dyspnea was the most frequent symptom with overall prevalence of 44%. EF was lower than 50% in only 2 patients. There were no gender differences in the prevalence of any of the clinical manifestations. Male patients had higher LV volumes (p < 0.05) and lower EF (p = 0.03).
  
  
  CONCLUSIONS
  The data showing dyspnea as the most common clinical manifestation; EF > 50%; lower LV volumes and greater EF in female patients suggest that the adaptive mechanisms to this condition may be different between the two sexes.
authors.affiliation: Instituto do Coração do Hospital das Clínicas-FMUSP.
authors.forename: H
authors.initials: H
authors.lastname: Pierri
authors.forename: L V
authors.initials: LV
authors.lastname: Décourt
authors.forename: M
authors.initials: M
authors.lastname: Wajngarten
authors.forename: O
authors.initials: O
authors.lastname: Gebara
authors.forename: J B
authors.initials: JB
authors.lastname: Serro-Azul
authors.forename: A
authors.initials: A
authors.lastname: Nusbacher
authors.forename: H
authors.initials: H
authors.lastname: Abensur
authors.forename: L
authors.initials: L
authors.lastname: Pivotto
authors.forename: A C
authors.initials: AC
authors.lastname: Barretto
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D014463:Ultrasonography
vernacular_title: Perfíl clínico de idosos portadores de estenose aórtica severa.