%0 Journal Article
%T Estenosis a車rtica grave en situaci車n cr赤tica
%A G車mez Rubin De Celix
%A M.C.
%A Moreno
%A R.
%A Dobarro
%A D.
%A Calvo
%A L.
%A L車pez De Sa
%A E.
%A L車pez-Sendon
%A J.L.
%J Medicina Intensiva
%D 2012
%I Ediciones Doyma, S.L.
%R 10.1016/j.medin.2010.01.001
%X there is little information about patients with severe aortic stenosis (sas) who require admission to acute care units. we studied 27 patients with sas admitted in a tertiary hospital coronary care unit. the most frequent reasons for admission were severe heart failure (42%), acute coronary syndrome (39%) and cardiac arrest (8%). at a mean follow-up of 6.5 months, 11 patients died. cumulative survival was 74㊣8%, 70㊣9%, and 62㊣10% at 7, 30 and 60 days, respectively. out of the 27 patients, 13 (48%) underwent surgical intervention, these patients having lower euroscore (13㊣11 vs. 34㊣18%, p=0.002) and higher survival (92㊣7% at 7, 30 and 60 days vs. 50㊣13%, 40㊣14% and 30㊣14%; p=0.002). thus, patients with sas who require hospitalization in the intensive care units constitute a very high risk population, with very high mortality, especially during the first week after admission and in patients who have not undergone surgery.
%K valvular aortic stenosis
%K prognosis
%K valvular prosthesis.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0210-56912012000700010&lng=en&nrm=iso&tlng=en