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The objectives of this single center cross-sectional cohort study are to compare symptoms and disease perception of male and female patients with severe aortic stenosis.
Background Aortic valve stenosis is a common valvular disease that increases with age and is associated with a poor prognosis when severe (1-3). Treatment options include surgical or interventional replacement of the aortic valve . Awareness of aortic valve stenosis in the general population is low (2% in Europe) (4). Auscultation as a simple screening tool is relatively underused. This leads to a clear underdiagnosis of aortic stenosis especially in patients with only minor or no complaints. In addition, several studies show a marked gender discrepancy: women tend to be diagnosed later, checked less regularly for asymptomatic vitium, and operated on or intervened later (5-7). One possible reason for this could be gender-specific symptom perception. For example, women perceive pain more variably, sensitively, and intensely than men and report more painful conditions. Related to a possible myocardial infarction, women show a greater number of additional, ostensibly nonbreast-related pain symptoms regardless of the presence of chest pain. Both female patients and practitioners are less likely to attribute their prodromal symptoms to heart disease compared with men. Women are generally at higher risk for affective disorders (e.g., depression, anxiety disorders) than men, with greater susceptibility varying with age (8-10).
Literature
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients undergoing TAVR or SAVR |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Questionnaire | Other | Questionnaire on Aortic Valve Disease, HADS-D, SCL-27, MLHFQ |
|
| Measure | Description | Time Frame |
|---|---|---|
| Questionnaires completed | From enrollment to the end of FU at 4 weeks |
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Inclusion Criteria:
• Indication for surgical or interventional aortic valve replacement for aortic stenosis as consented by the local heart team
Exclusion Criteria:
• Additional procedures such as coronary bypass surgery, any surgery on another than the aortic valve, aortic surgery
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About n=800 Patients who are admitted for surgical or interventional replacement of aortic stenosis complete the following questionnaires:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinic for General and Interventional Cardiology/Angiology, Herz- und Diabeteszentrum NRW | Bad Oeynhausen | 32545 | Germany | |||
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| ID | Term |
|---|---|
| D001024 | Aortic Valve Stenosis |
| ID | Term |
|---|---|
| D000082862 | Aortic Valve Disease |
| D006349 | Heart Valve Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D011795 | Surveys and Questionnaires |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
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| Clinic for Thoracic and Cardiovascular Surgery, Herz- und Diabeteszentrum NRW |
| Bad Oeynhausen |
| 32545 |
| Germany |
| D014694 |
| Ventricular Outflow Obstruction |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |