OPERATION FOR HYPERTROPHIC SUBAORTIC STENOSIS IN THE ELDERLY

在这项研究中检验的假设是，隔肌切除术 姑息性手术 在这65年里，心肌病同样值得治疗， 老年人，如年轻患者所示。 52例患者， 完整的数据可用于超过5年后， 手术或直至死亡构成研究。 平均年龄 年龄为69 ± 3岁（范围65-81岁），其中57%为 女性 41例患者无冠状动脉疾病（CAD） 需要手术缓解 其余的都是CAD。 82和 左心室流出道压差峰值降低95% 两组均达到了预期效果。 8%的医院 死亡率和75 ± 8%的5年生存率， 没有CAD的人 CAD患者的住院率增加 死亡率和较低的5年生存率。 这些数据支持 临床印象，年龄较大不是禁忌症， 尽管存在显著的CAD， 增加风险。

The hypothesis tested in this study was that the septal myectomy operation for palliative treatment of hypertrophic cardiomyopathy was equally worthwhile in those 65 years and older as has been shown for younger patients. 52 patients for whom complete data were available for greater than 5 years after the operation or until death comprised the study. The mean age was 69 plus or minus 3 years (range 65-81) 57% of whom were female. 41 patients had no coronary artery disease (CAD) requiring surgical palliation. The remainder had CAD. 82 and 95% reduction in peak left ventricular outflow pressure gradients was achieved in the two groups, respectively. An 8% hospital mortality and 75 plus or minus 8% 5 year survival was achieved in those without CAD. Those with CAD had increased hospital mortality and lower 5 year survival rates. These data support the clinical impression that older age is not a contraindication to operative palliation although the presence of significant CAD increases risk.