Is the European System for Cardiac Operative Risk Evaluation ( EuroSCORE ) appropriate for withholding surgery in high-risk patients with aortic stenosis : a retrospective cohort study?
Actual operative mortality in patients undergoing AVR is significantly lower than that predicted by the logistic EuroSCORE. Additionally, medium-term survival following AVR is acceptable in high-risk patients with EuroSCORE > 20. More accurate risk prediction models are needed for risk-stratifying patients with severe aortic stenosis.
In children, higher BMI z-score is an independent determinant of increased LA size, suggesting that obesity exerts an effect on LA size at an early age and thus potentially predisposes to later cardiovascular morbidity.