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Cardiothoracic Surgery

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Geriatrics for Specialists

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Abstract

The rapid growth of the elderly population continues to challenge cardiothoracic surgeons to achieve high quality outcomes that consider a patient’s quality of life and functional ability. It is imperative that surgeons, cardiologists, geriatricians, and other medical professionals collaborate in multi- and interdisciplinary teams to optimally evaluate frailty and other risk factors and then manage accordingly seniors with symptomatic CAD and AS. The current technological advances, clinical investigations, and access to increasingly valuable national registries will allow clinicians to improve the quality of interventions offered to elders with CAD and AS.

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References

  1. Mozaffarian D, Benjamin E, Go AS, et al. Heart disease and stroke statistics—2015 Update. Circulation. 2015;131:e29–322.

    Article  PubMed  Google Scholar 

  2. Bergman H, Ferrucci L, Guralnik J, et al. Frailty: an emerging research and clinical paradigm – issues and controversies. J Gerontol A Biol Sci Med Sci. 2007;62:731–7.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Walston J, McBurnie MA, Newman A, et al. Frailty and activation of the inflammation and coagulation systems with and without clinical comorbidities: results from the Cardiovascular Health Study. Arch Intern Med. 2002;162:2333–41.

    Article  PubMed  Google Scholar 

  4. BarzilayJI BC, Moore T, et al. Insulin resistance and inflammation as precursors of frailty: the Cardiovascular Health Study. Arch Intern Med. 2007;167:635–41.

    Article  Google Scholar 

  5. Schaup LA, Pluijm SMF, Deeg DJH, et al. Low testosterone levels and decline in physical performance and muscle strength in older men: findings from two prospective cohort studies. Clin Endocrinol. 2008;68:42–50.

    Article  Google Scholar 

  6. Howell K, Cleveland Jr JC, Meng X. Il-6 production during cardiac surgery correlates with increasing age. J Surg Res. 2016;201(1):76–81.

    Google Scholar 

  7. Afilalo J, Eisenberg MJ, Morin JF, et al. Gait speed as an incremental predictor of mortality and morbidity in elderly patients undergoing cardiac surgery. J Am Coll Cardiol. 2010;56:1668–76.

    Article  PubMed  Google Scholar 

  8. Sephehri A, Beggs T, Hassan A, et al. The impact of frailty on outcomes after cardiac surgery: a systematic review. J Thorac Cardiovasc Surg. 2014;148:3110–7.

    Article  Google Scholar 

  9. Kurlansky P. Do octogenarians benefit from coronary artery bypass surgery: a question with a rapidly changing answer? Curr Opin Cardiol. 2012;27:611–9.

    Article  PubMed  Google Scholar 

  10. Krumhotz HM, Forman DE, Kuntz, et al. Coronary revascularization after MI in the very elderly: outcomes and long-term follow up. Ann Int Med. 1993;119:1084–90.

    Google Scholar 

  11. Kaul TK, Fields BL, Wyatt DA, et al. Angioplasty versus coronary artery bypass in octogenarians. Ann Thorac Surg. 1994;58:1419–26.

    Article  CAS  PubMed  Google Scholar 

  12. Graham MM, Ghali WA, Faris PD, et al. Survival after coronary revascularization in the elderly. Circulation. 2002;105:2378–84.

    Article  PubMed  Google Scholar 

  13. Fruitman DS, MacDougall CE, Ross DB, et al. Cardiac surgery in octogenarians: can elderly patients benefit? Quality of life after cardiac surgery. Ann Thorac Surg. 1999;68:2129–35.

    Article  CAS  PubMed  Google Scholar 

  14. Leon MB, Smith CR, Mack M, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363:1597–607.

    Article  CAS  PubMed  Google Scholar 

  15. Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Eng J Med. 2011;364:2187–98.

    Article  CAS  Google Scholar 

  16. Adams DH, Popma JJ, Reardon MJ, et al. Transcatheter aortic-valve replacement with a self-expanding prosthesis. N Engl J Med. 2014;370:1790–8.

    Article  CAS  PubMed  Google Scholar 

  17. Szeto WY, Svensson LG, Rajeswaran J, et al. Appropriate patient selection or health care rationing? Lessons from surgical aortic valve replacement in the Placement of Aortic Transcatheter Valves I trial. J Thorac Cardiovasc Surg. 2015;150:557–68.

    Article  PubMed  Google Scholar 

  18. Green P, Woglom AE, Genereux P, et al. The impact of frailty status on survival after transcatheter aortic valve replacement in older adults with severe aortic stenosis. J Am Coll Cardiol Intv. 2012;5:974–81.

    Article  Google Scholar 

  19. Kodali S. Early clinical and echocardiographic outcomes with the Sapien 3 transcatheter aortic valve replacement system in inoperable, high-risk, and intermediate-risk aortic stenosis patients. Presented at: American College of Cardiology/i2 Scientific Session; March 15, 2015; San Diego, CA.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Division of CT Surgery, University of Colorado Anscutz Medical Center, 12631 East 17th Avenue, Academic Office 1, Room 6602, Aurora, CO, 80045, USA

    Joseph C. Cleveland Jr. MD

Authors
  1. Joseph C. Cleveland Jr. MD
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Correspondence to Joseph C. Cleveland Jr. MD .

Editor information

Editors and Affiliations

  1. Johns Hopkins University School of Medicine The Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA

    John R. Burton

  2. Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA

    Andrew G. Lee

  3. Division of Geriatrics and Gerontology Home Instead Center for Successful Aging Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA

    Jane F. Potter

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© 2017 Springer International Publishing Switzerland

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Cleveland, J.C. (2017). Cardiothoracic Surgery. In: Burton, J., Lee, A., Potter, J. (eds) Geriatrics for Specialists. Springer, Cham. https://doi.org/10.1007/978-3-319-31831-8_10

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  • DOI: https://doi.org/10.1007/978-3-319-31831-8_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31829-5

  • Online ISBN: 978-3-319-31831-8

  • eBook Packages: MedicineMedicine (R0)

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