What is the life expectancy of an 87-YO woman with severe aortic stenosis of many years duration who elects not to have surgery and how quickly does the condition progress Her aortic valve is at .5 cm?
You can consult Death Tables for a general look at the life expectancy of a woman of 87- based on the "cohort" she was born in. A woman of that age probably has about a 5 year expectancy- however, many patients with grave coronary disease may not be likely to make that period. In many cases, the day before a patient like this dies they would be said to have a 50/50 chance of living 6 months- meaning that prediction is very difficult. Because medications can greatly improve heart function and patient comfort, and because surgery on elderly patients is a questionable practice- it is not unreasonable for this person to decline surgery.
There is no medical treatment that reverses the progress of aortic valve stenosis. Aortic valve replacement is the only solution to this problem. However, surgery is not always necessary. Aortic valve stenosis can be monitored with echocardiography if surgery is not initially indicated. In addition, for patients who are not candidates for surgical valve replacement, there are percutaneous and catheter-based valve replacement procedures available.
As I understand it Congenital Spinal Stenosis is a form of Spinal Stenosis that one is born with rather than an age induced degenerative condition. Spinal Stenosis refers to the constriction of the canal and other structures of the spine that our nervous system runs thru. If the condition is severe it could put pressure on the neural structures of the spine causing pain. Please understand I am not in the medical field but have…
as an alternative to surgery. Conservative treatments for the condition include: stretching and exercise, pain and anti-inflammatory medications, or steroid injections. However, patients who suffer severe symptoms from the condition may elect for spinal stenosis surgery in an attempt to alleviate debilitating pain and regain mobility.
My wife has been diagmosed with exit foraminal stenosis involving C5/6 bilaterally due to oncovertebral arthrosis.Subtle disc space narrowing at C5/6 is present.No instability is noted.Good range of movement is demonstrated with stress views without instability. Conclusion C5/6 spondylosis with bilateral exit foraminal stenosis 1. Is her condition very serious 2.She suffers from severe headaches - can this be caused by her condition. 3.How can we assist her to manage or correct her condition. please…
Frequent vomiting may be an indication of pyloric stenosis and of other gastic complaints. In PS the vomiting will be violent (arch-like), not bile stained, and develop to become so persistent that the baby loses weight and condition. When this happens it is high time to see a doctor and if necessary insist on tests for PS.