Baseline characteristics of 205 elderly patients with aortic stenosis, and the determinants of surgical treatment
Variable | Total | Univariate analysis | |||||
---|---|---|---|---|---|---|---|
Medical (n) | Surgical (n (%)) | RR | 95% CI | ||||
Total | 205 | 111 | 94 (46) | ||||
Age | |||||||
<80 years | 138 | 60 | 78 (57) | ||||
⩾80 years | 67 | 51 | 16 (24) | 0.42 | 0.27 to 0.66 | ||
Sex | |||||||
Male | 73 | 35 | 38 (52) | ||||
Female | 132 | 76 | 56 (42) | 0.81 | 0.61 to 1.10 | ||
Syncope | |||||||
No | 178 | 101 | 77 (43) | ||||
Yes | 27 | 10 | 17 (63) | 1.46 | 1.04 to 2.03 | ||
Angina or dyspnoea | |||||||
NYHA I/II | 70 | 55 | 15 (21) | ||||
NYHA III/IV | 135 | 56 | 79 (59) | 2.73 | 1.71 to 4.37 | ||
Heart failure | |||||||
No | 147 | 80 | 67 (46) | ||||
Yes | 58 | 31 | 27 (47) | 1.02 | 0.74 to 1.42 | ||
Previous infarct | |||||||
No | 169 | 85 | 84 (50) | ||||
Yes | 36 | 26 | 10 (28) | 0.56 | 0.32 to 0.97 | ||
LVH on ECG | |||||||
No | 119 | 73 | 46 (39) | ||||
Yes | 86 | 38 | 48 (56) | 1.44 | 1.08 to 1.93 | ||
Atrial fibrillation | |||||||
No | 170 | 86 | 84 (49) | ||||
Yes | 35 | 25 | 10 (29) | 0.58 | 0.34 to 1.00 | ||
AS ⩾75 mm Hg | |||||||
No | 97 | 80 | 17 (18) | ||||
Yes | 108 | 31 | 77 (71) | 4.07 | 2.60 to 6.37 | ||
LV function | |||||||
Normal | 130 | 66 | 64 (49) | ||||
Impaired | 75 | 45 | 30 (40) | 0.81 | 0.59 to 1.13 | ||
Mitral regurgitation | |||||||
Grade 0 or I | 111 | 63 | 48 (43) | ||||
Grade II | 94 | 48 | 46 (49) | 1.13 | 0.84 to 1.52 |
AS, aortic stenosis (maximum gradient across aortic valve); CI, confidence interval; LV, left ventricular; LVH, left ventricular hypertrophy; NYHA, New York Heart Association class; RR, risk ratio.