title: [Non-cardiac aspects of aortic stenosis in the elderly: A review].
abstract: Aortic stenosis (AS) is the most frequent valve disease in the elderly population Treatment is valve replacement either by open surgery, or in the case of patients at high surgical risk, by TAVI (Transcatheter Aortic Valve Implantation). However, almost 40% of patients who have undergone TAVI show poor health outcomes, either due to death or because their clinical status does not improved. This review examines the non-cardiac aspects of patients with AS, which may help answer three key questions in order to evaluate this condition pre-surgically: 1) Are the symptoms presented by the patient exclusively explained by the AS, or are there other factors or comorbidities that could justify or increase them?, 2) What possibilities for improvement of health status and quality of life has the patient after the valve replacement?, and 3) How can we reduce the risk of a futile valve replacement?
authors.affiliation: Geriatría, Servicio de Medicina Interna, Hospital Regional Universitario de Málaga, Málaga, España. Electronic address: balvarez@t2v.com.
authors.forename: Baldomero
authors.initials: B
authors.lastname: Álvarez-Fernández
authors.affiliation: Servicio de Medicina Interna, Hospital Universitari de Bellvitge, IDIBELL, Hospitalet de Llobregat, Barcelona, España.
authors.forename: Francesç
authors.initials: F
authors.lastname: Formiga
authors.affiliation: Servicio de Cardiología, Instituto Biomédico de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Málaga, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: de Mora-Martín
authors.affiliation: Servicio de Cirugía Cardiovascular, Hospital Regional Universitario de Málaga, Málaga, España.
authors.forename: Fernando
authors.initials: F
authors.lastname: Calleja
authors.affiliation: Servicio de Medicina Interna, Instituto Biomédico de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Málaga, España.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Gómez-Huelgas
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans
keywords: Anciano; Aortic stenosis; Elderly; Estenosis aórtica; Fragilidad; Fragility; Implante valvular aórtico transcatéter; Transcatheter aortic valve implantation