Abstract
ObjectiveThis article aimed to study the quality of life and anxiety of sexagenarian patients who underwent aortic biological vs mechanical valve replacement in a single center in China.MethodsThe clinical data of 78 patients aged 60 to 70 years who underwent aortic prosthetic valve replacement were retrospectively analyzed in our hospital from June 2017 to February 2018. Patients were divided into two groups depending on the type of prosthetic valve they received (biological valve group vs mechanical valve group). The SF-36 was completed by all patients at discharge and at one-year follow-up, and the cardiac anxiety questionnaire (CAQ) was also completed at one-year follow-up.ResultsThere was no statistically significant difference between the two groups in general clinical data or SF-36 score at discharge. However, at one-year follow-up, the SF-36 scores were significantly higher in the biological valve group than in the mechanical valve group, and the CAQ scores in fear and anxiety, avoidance and attention in the mechanical valve group were significantly higher than those in the biological valve group.ConclusionsBased on the postoperative quality of life and anxiety scores of sexagenarian patients who underwent biological vs mechanical valve replacement in this study, a biological valve has more value than a mechanical valve for sexagenarians undergoing aortic valve replacement.
Highlights
Aortic valvular disease is one of the most common acquired heart diseases, and prosthetic valve replacement is the main treatment
All the patients were divided into two groups according to the prosthetic valve type that the patient chose: the mechanical valve group (40 patients) and the biological valve group (38 patients)
When comparing the Short Form 36 (SF-36) scores at one-year followup, the results showed that the scores of physical functioning, role physical, general health, vitality, social functioning, role emotional and mental health in the biological valve group were significantly higher than those in the mechanical valve group, which indicated that the quality of life in the sexagenarians in the biological valve group was higher than that in the mechanical valve group (Table 3)
Summary
Aortic valvular disease is one of the most common acquired heart diseases, and prosthetic valve replacement is the main treatment. The types of prosthetic valves available clinically are divided into prosthetic mechanical and biological valves [1, 2]. The advantages of biological valves are that they do not require anticoagulation therapy over the lifetime of the patient after surgery, and patients are not affected by the noise of the valves. Wang et al Journal of Cardiothoracic Surgery (2020) 15:88 mechanical valve replacement, providing a reference for the selection of valve types in this specific age group
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