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Is it safe for an 80 year old to get open heart surgery?

Is it safe for an 80 year old to get open heart surgery?

Conclusions: Cardiac surgery can be performed in patients 85 years and older with good results. There is an associated prolonged hospital stay for elderly patients. Consistent successful outcomes can be expected in this patient population with selective criteria identifying risk factors.

What is the criteria for heart valve replacement?

Inclusion Criteria

  • Patient has severe aortic valve stenosis per echo: mean gradient >40 mmHg or jet velocity greater than 4.0m/s and an aortic valve area of <0.8 cm2 or indexed EOA <0.5 cm2/m2.
  • NYHA >2.
  • Probability of death or serious, irreversible morbidity >50\%

What is the average age for heart valve replacement?

Fact: Valve Replacement and Heart Bypass surgery (or a combination of the two) are the most common procedures in the “elderly.” Fact: More than 30\% of the patients having heart valve surgery are over 70. Fact: More than 20\% of heart valve surgical patients are over 75 years of age.

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Can 80 year old have bypass surgery?

Duke University Medical Center cardiologist Karen Alexander, MD, an assistant professor of medicine, analyzed data from 67,764 patients, including 4,743 octogenarians, and found that carefully selected patients over 80 can weather bypass surgery nearly as well as younger folks.

How long can an elderly person live with heart failure?

Although there have been recent improvements in congestive heart failure treatment, researchers say the prognosis for people with the disease is still bleak, with about 50\% having an average life expectancy of less than five years. For those with advanced forms of heart failure, nearly 90\% die within one year.

What are the chances of dying from open heart surgery?

Open-heart surgery has an early risk of death, with nearly 5\% of patients who underwent bypass surgery in the study dying within 30 days of surgery.

When should you have aortic valve replacement?

The aortic valve may need to be replaced for 2 reasons:

  1. the valve has become narrowed (aortic stenosis) – the opening of the valve becomes smaller, obstructing the flow of blood out of the heart.
  2. the valve is leaky (aortic regurgitation) – the valve allows blood to flow back through into the heart.

How long can you live after aortic valve replacement?

Pooled data from 85 studies estimated that 89.7\% of people survived for two years after surgery, 78.4\% at five years, 57.0\% at 10 years, 39.7\% at 15 years, and 24.7\% at 20 years. Subgroup analysis showed that five-year survival declined with increasing patient age (from 83.7\% in under-65s to 52.5\% for those over 85).

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How long can a person live with a leaky heart valve?

In developing countries, it progresses much more rapidly and may lead to symptoms in children less than 5 years of age. Around 80\% of patients with mild symptoms live for at least 10 years after diagnosis.

How long can you live with an artificial heart valve?

Mechanical valves don’t usually wear out. They usually last 20 years or more. Other problems might happen with the valve, such as an infection. As long as you have the valve, you and your doctor will need to watch for signs of problems.

Does open heart surgery shorten your life?

In fact, the survival rate for bypass patients who make it through the first month after the operation is close to that of the population in general. But 8-10 years after a heart bypass operation, mortality increases by 60-80 per cent. This is new and important knowledge for the doctors who monitor these patients.

How long can an 80 year old live with congestive heart failure?

For female patients of mean age 80 years, the life expectancy was 4.5 years (95\% CI 3.6-5.7), compared with 8.5 years for the general population of women of the same age. Conclusion: The presence of chronic heart failure in older patients results in an approximately 50\% reduction in life expectancy.

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Should the elderly consider valve replacement?

To answer the question, posed initially – Valve replacement can restore a useful, independent life for elderly patients, who otherwise may become a burden on their family and society. If you or a relative over 65 years of age is experiencing heart valve problems, talk with a cardiothoracic surgeon about your condition and options.

What is the best age to have heart valve surgery?

From a physical, pain, social, emotional and general health perspective valve surgery patients over age 65 seem to compare favorably (or in some cases better) to those their age, who have not had valve surgery.

Should I be worried about my father having a mitral valve operation?

A. Your father is justified in worrying about having a major operation like this at his age. Complications and surgery-related death are much more common among older people. At the same time, not having the operation could also be life-threatening. A leaky mitral valve makes the heart work harder than it should.

What is the maximum heart rate for an 80 year old?

In your 20s, the maximum heart rate is between 180 and 200 beats per minute, but drops as you get older. The average maximum heart rate for 80-year-olds is 145.