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Mechanical valves improve survival in middle-aged patients

Saturday, January 23, 2016

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Source

Source Name: European Heart Journal

Author(s)

Glaser N, Jackson V, Holzmann MJ, Franco-Cereceda A, Sartipy U

In a propensity-matched analysis of the national database of Sweden, Glaser et al found that survival among patients aged 50-69 who underwent aortic valve replacement was significantly better in those receiving a mechanical versus biological valves. In a subgroup analysis this was evident in patients aged 50-59 but not in those aged 60-69. These results are crucial in the current era in which surgeons lower the age cut-off for implanting bioprosthetic valves.

Comments

Interesting to see 1in 10 relatively young patients receiving tissue valves whilst suffering from atrial fibrillation, I would expect their assumed need for long term anti coagulation to indicate a mechanical valve.

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