Saturday, 27 December 2014

The Challenge of Treatment of Patients with Aortic Stenosis in the NHS


This paper from the United States is extraordinary because it deals with mortality on waiting lights in patients with aortic stenosis.

Waiting time is not usually associated with practice in the USA and the median times in this paper was an extraordinarily low three weeks. Deaths on waiting lists for the treatMent of aortic stenosis has always been a significant issue in the UK.
The conclusion of the paper was that treatment for aortic stenosis whether the surgical aortic valve replacement or the trans catheter TAVI should always be classed as emergency rather than elective.
The incidence of aortic stenosis is increasing rapidly with the ageing population. In a recent echocardiographic study, 10 percent of the over 80s had significant aortic stenosis. Treatment is also very expensive. Managing these patients in a timely fashion will continue to be a challenge to all health care services including in this time of austerity and funding gaps, the English NHS.