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Topics:
Internal Medicine • Cardiology • Geriatric Cardiology • Interventional Cardiology • Structural Heart Disease • TAVR
Should we routinely include geriatric functional assessments to determine candidacy for TAVR?
(ie., assessing gait speed, cognition, physical function, fall history, orthostatic vital signs, etc.)
Answer from: at Academic Institution
Studies have shown that 40-50% of older patients with severe AS and high (≥8%) or prohibitive (≥15%) risk for perioperative mortality with surgical aortic valve replacement (based on the STS score) fail to survive with improved quality of life 1 year after undergoing TAVR. This suggests that T...
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