Multimorbidity in Older Adults with Aortic Stenosis.
Aortic stenosis is a disease of older adults; many have associated comorbidities. With the aging of the population and the emergence of transcatheter aortic valve replacement as a treatment, clinicians will increasingly be confronted with aortic stenosis and multimorbidity, making the evaluation, management, and treatment of aortic stenosis more complex. To optimize patient-centered clinical outcomes, new treatment paradigms are needed that recognize the import and influence of multimorbidity on patients with aortic stenosis. The authors review the prevalence of medical and aging-related comorbidities in patients with aortic stenosis, their impact on outcomes, and discuss how they influence management and treatment decisions.
Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 South Euclid Avenue, St Louis, MO 63110, USA. Electronic address: blindman@dom.wustl.edu.
Brian R
BR
Lindman
Department of Medicine, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8121, St Louis, MO 63110, USA.
Jay N
JN
Patel
D000368:Aged; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D000066491:Clinical Decision-Making; D015897:Comorbidity; D006801:Humans; D063868:Patient Outcome Assessment; D018579:Patient Selection; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods
Aortic stenosis; Cardiac surgery; Cardiovascular disease; Comorbidity; Frailty; Geriatrics; Multimorbidity; Transcatheter aortic valve replacement