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Usefulness of M‐Mode, 2‐Dimensional, and Doppler Echocardiography in the Diagnosis, Prognosis, and Management of Valvular Aortic Stenosis, Aortic Regurgitation, and Mitral Annular Calcium in Older Patients*
Author(s) -
Aronow Wilbert S.
Publication year - 1995
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1995.tb07342.x
Subject(s) - medicine , cardiology , regurgitation (circulation) , stenosis , mitral regurgitation , doppler echocardiography , aortic valve , aortic valve stenosis , radiology , blood pressure , diastole
OBJECTIVE : To review the diagnosis, prognosis, and management of valvular aortic stenosis, aortic regurgitation, and mitral annular calcium (MAC) with emphasis on older persons. DATA SOURCES : A computer‐assisted search of the English‐language literature (MEDLINE database) followed by a manual search of the bibliographies of pertinent articles. STUDY SELECTION : Studies on the diagnosis, prognosis, and management of valvular aortic stenosis, aortic regurgitation, and MAC were screened for review. Studies in older persons and recent studies were emphasized. DATA EXTRACTION : Pertinent data were extracted from the reviewed articles. Emphasis was on studies involving older persons. Relevant articles were reviewed in depth. DATA SYNTHESIS : Available data about the diagnosis, prognosis, and management of valvular aortic stenosis, aortic regurgitation, and MAC with emphasis on studies involving older persons were summarized. CONCLUSIONS : Valvular aortic stenosis, aortic regurgitation, and MAC are degenerative cardiac disorders which are common in older people. The presence and severity of these cardiac disorders are diagnosed by M‐mode, 2‐dimensional, and Doppler echocardiography. M‐mode, 2‐dimensional, and Doppler echocardiographic techniques are also very useful in the prognosis and management of these cardiac disorders in older persons. J Am Geriatr Soc 43: 295–300, 1995 .