Aortic valve replacement due to aortic valve stenosis at the Department of Cardiothoracic Surgery in University Hospital Centre Osijek from 2007 to 2016

    Authors

    Abstract

    **BACKGROUND:** Calcific aortic valve stenosis is the most common cause of aortic valve replacement (AVR) in the Western world, and increases in prevalence with ageing, overtaking 2-3% of the population by the age of 65. So far, there is no official register of aortic valve stenosis patients in Croatia. It is very important to recognize the need to have proper follow up of these patients, considering difficulties and challenges that arise in the daily work with these patients and follow up. (1, 2) **PATIENTS AND METHODS:** This study enrolled the patients undergoing aortic valve replacement due to symptomatic severe calcified aortic valve stenosis in University Hospital Centre Osijek, in the period from 2007 to 2016. **RESULTS:** The data showed the overall number of patients underwent aortic valve replacement, distribution by gender, age (**Figure 1**), number of specific type of aortic valve prothesis (mechanical or biological; **Figure 2**), risk factors and atrial fibrillation. Hypertension was shown to be significantly more frequent risk factor in these patients than other risk factors, where significantly higher prevalence of hypertension is in female group in the time of AVR any type (p<0.001). Average age of male patients with mechanical AVR is 57±8 and female 56±9 years old, where number of male patients with mechanical AVR is significantly higher (p<0.005). Average age of male patient with biological AVR is 71±6 and female 71±4 years old, where number of female patients in this group is higher (p<0.005). Figure 1. Distribution and correlation between age and type of implanted aortic valve. Figure 2. Distribution and correlation between sex and type of implanted valve. **CONCLUSION:** This data could present valuable basis for the future register of aortic valve stenosis patients.

    Keywords

    aortic stenosis, epidemiology, gender differences, register

    DOI

    https://doi.org/10.15836/ccar2016.623

    Literature

    1. Bonow RO, Mann DL, Zipes DP, Libby P, editors. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 9th edition. Elsevier Saunders; 2011. pp. 1468-1478.
    2. Goldbarg SH, Elmariah S, Miller MA, Fuster V. Insights into degenerative aortic valve disease. J Am Coll Cardiol. 2007;50(13):1205–13. https://doi.org/10.1016/j.jacc.2007.06.024
    Cardiologia Croatica
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    Aortic valve replacement due to aortic valve stenosis at the Department of Cardiothoracic Surgery in University Hospital Centre Osijek from 2007 to 2016

    Extended Abstract
    Issue12
    Published
    Pages623-624
    PDF via DOIhttps://doi.org/10.15836/ccar2016.623
    aortic stenosis
    epidemiology
    gender differences
    register

    Authors

    Iva JurićORCIDUniversity Hospital Centre Osijek, Osijek, Croatia
    Hrvoje RoguljićORCIDUniversity Hospital Centre Osijek, Osijek, Croatia
    Marko StupinORCIDUniversity Hospital Centre Osijek, Osijek, Croatia
    Ana SrnovićORCIDJosip Juraj Strossmayer University of Osijek, Faculty of Medicine in Osijek, Osijek, Croatia
    Grgur DulićORCIDUniversity Hospital Centre Osijek, Osijek, Croatia
    Kristina Selthofer-Relatić*ORCIDUniversity Hospital Centre Osijek, Osijek, Croatia
    Sandra MakarovićUniversity Hospital Centre Osijek, Osijek, Croatia

    *Correspondence email: selthofer.relatic@gmail.com

    Abstract

    **BACKGROUND:** Calcific aortic valve stenosis is the most common cause of aortic valve replacement (AVR) in the Western world, and increases in prevalence with ageing, overtaking 2-3% of the population by the age of 65. So far, there is no official register of aortic valve stenosis patients in Croatia. It is very important to recognize the need to have proper follow up of these patients, considering difficulties and challenges that arise in the daily work with these patients and follow up. (1, 2) **PATIENTS AND METHODS:** This study enrolled the patients undergoing aortic valve replacement due to symptomatic severe calcified aortic valve stenosis in University Hospital Centre Osijek, in the period from 2007 to 2016. **RESULTS:** The data showed the overall number of patients underwent aortic valve replacement, distribution by gender, age (**Figure 1**), number of specific type of aortic valve prothesis (mechanical or biological; **Figure 2**), risk factors and atrial fibrillation. Hypertension was shown to be significantly more frequent risk factor in these patients than other risk factors, where significantly higher prevalence of hypertension is in female group in the time of AVR any type (p<0.001). Average age of male patients with mechanical AVR is 57±8 and female 56±9 years old, where number of male patients with mechanical AVR is significantly higher (p<0.005). Average age of male patient with biological AVR is 71±6 and female 71±4 years old, where number of female patients in this group is higher (p<0.005). Figure 1. Distribution and correlation between age and type of implanted aortic valve. Figure 2. Distribution and correlation between sex and type of implanted valve. **CONCLUSION:** This data could present valuable basis for the future register of aortic valve stenosis patients.

    Literature

    1. 1.
      Bonow RO, Mann DL, Zipes DP, Libby P, editors. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 9th edition. Elsevier Saunders; 2011. pp. 1468-1478.
    2. 2.
      Goldbarg SH, Elmariah S, Miller MA, Fuster V. Insights into degenerative aortic valve disease. J Am Coll Cardiol. 2007;50(13):1205–13.DOI