Mitral valvotomy in patients aged 50 years and over.

Reid, J. M.; Barclay, R. S.; Stevenson, James G.; Welsh, T. M.; McSwan, N.

doi:10.1136/bmj.2.5521.1044

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…275 the series of 434 patients of all ages operated on at Hammetsmith Hospital since 1954 (5.9%). It is definitely lower than the mortality reported in the series of elderly patients published up to now (Lowther and Turner, 1962;Reid et al, 1966). Four other patients died within a year of operation.…”

Section: Results Of Mitral Valvotomy Operative or Early Deathsmentioning

confidence: 60%

“…Physical Findings.-The incidence of atrial fibrillation was extremely high (56 patients; 75%) and increased with age, as shown in Table I (Obeyesekere et al, 1965 ;Reid et al, 1966). Twenty-seven patients (36%) had clinical evidence of associated valve disease.…”

Section: Preoperative and Operative Findingsmentioning

confidence: 98%

“…On account of these factors there are differences of opinion among cardiologists on the advisability of mitral valvotomy in those aged 50 or over, where the operative risks and the proportion of poor results have often been reported to be higher (Goodwin et al, 1955 ;Ellis et al, 1959;Lowther and Turner, 1962 ;Reid et al, 1966).…”

Section: Mitral Valvotomy In Elderly Patientsmentioning

confidence: 99%

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Mitral Valvotomy in Elderly Patients

Kulbertus¹,

Kirk²

1968

BMJ

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Disability and Breakdown-Binks , MEDICALJOURNAL The situation in which these requests have been arising is analysed and related to the presuppositions which lay behind the ideas expressed in the requests.There is no evidence in this country that families are irresponsible, but plenty to indicate that shortage of hospital services for the elderly in the area under review are artificially produced, there being, overall, on accepted criteria, a great excess of hospital beds in relation to the resident population.The main cause for this was the obsession with medical science and technology giving a producer-orientated service, the source and generator of runaway medicine.The old historical accidents of " acute " and " chronic," given indirect statutory sanction in the past, have been perpetuated despite the disappearance 20 years ago of the legal obligations which determined their perpetuation.The alternative to the scientific approach is the rejection and conspiracy of residual custody, with their assault on human dignity, for those for whom or to whom science could do nothing. This traditional approach cannot be contained in an affluent society with full employment and a decreasing number of single women.The answers lie in the historian's method of approach, which is more inclusive than the scientific, the concept of breakdown in practical and effective living, and the place a hospital has in providing sufficient support for the maximum of personal independence.Disability is not the same as disease and explanation is not prediction reversed.

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Section: Results Of Mitral Valvotomy Operative or Early Deathsmentioning

confidence: 60%

Section: Preoperative and Operative Findingsmentioning

confidence: 98%

Section: Mitral Valvotomy In Elderly Patientsmentioning

confidence: 99%

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Mitral Valvotomy in Elderly Patients

Kulbertus¹,

Kirk²

1968

BMJ

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Mitral Valvotomy in the Valve Replacement Era

Bryant¹,

Trinkle²

1971

Annals of Surgery

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Closed Mitral Valvulotomy After the Age of Fifty

Skagen

Hansen

Olesen

1978

Scandinavian Journal of Thoracic and Cardiovascular Surgery

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This retrospective study is based upon a consecutive series of 90 patients with mitral stenosis who had their first closed mitral valvulotomy after the age of fifty. All patients were operated on during the period 1959--70 and were followed-up for at least 5 years until July 1, 1976. Calculated survival curves were compared with those of a group of 68 patients over fifty whose mitral stenosis was medically treated. The surgical mortality was 7.8%, largely due to the high mortality among patients in functional class IV. The late mortality rate after valvulotomy was significantly higher than in a matched population of the same age and sex, but significantly lower than in the medically treated patients. According to functional classification, the patients had improved markedly at the time of follow-up. High incidences of atrial fibrillation and late thromboembolic complications were noted. This study supports the view that closed mitral valvulotomy can be performed safely in patients over fifty with mitral stenosis without significant mitral regurgitation and heavy clacifications in functional classes II and III.

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Mitral valvotomy in patients aged 50 years and over.

Cited by 3 publications

References 13 publications

Mitral Valvotomy in Elderly Patients

Mitral Valvotomy in Elderly Patients

Mitral Valvotomy in the Valve Replacement Era

Closed Mitral Valvulotomy After the Age of Fifty

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