Cruz-Rivera AG, Solorio-Meza S, Valdespino-Estrada A, Lara-Olivares A

Language: Spanish
References: 11
Page: 115-120
PDF size: 95.70 Kb.

ABSTRACT

Objective: Determining the echocardiographic characteristics in patients older than 65 years old without cardiovascular disease. Material and methods: An echocardiographic study was performed including the next modalities: M-Mode and Two-dimensional echocardiography; such as pulsed-wave, continuous-wave and color-flow Doppler. Results: 92 patients were included, 43 male (46%) and 49 women (54%) with an average age of 82 ± 6.6 years. Sclerosis of the mitral annulus and aortic valve was present in 47 patients (51%), mean while mitral valve sclerosis was recorded in 25%. Aortic regurgitation was observed in 26 patient (28.2%) predominating the mild type (88.4%). Mitral regurgitation was found in 52.2% of the patient (48 cases), and mild regurgitation which was 69%, prevailed among this group. Tricuspid regurgitation was recorder in 60% of the patients (55). The regurgitation only one valve was documented in 18 patients (19.5%), the tricuspid regurgitation was the most predominant affection (61%). The regurgitation involving two valves was documented in 21.7% of the patient, the combination of mitral and tricuspid was predominating in the 86% and the regurgitation involving three valves was present in the 23.9% (22). Left ventricle ejection fraction was normal in 96.7% of the patient. Left ventricle dysfunction was present in the 60.8% of the patients. Conclusion: In the elderly patients, changes exist in the heart related with age. Most of the changes are of the degenerative type, which conditions valvular estenosis and with bigger frequency, valvular regurgitation with little or no repercussion in the systolic function of the left ventricle, but it alters the diastolic function.

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