Aortic stenosis and the case of the missing handbag

British Journal of General Practice

Peter Perkins¹ 

[1] Southbourne Surgery, Bournemouth

关键词: aortic valve stenosis;    automobile driving;    confidentiality;    crime;   

DOI  :  10.3399/bjgp09X420347

学科分类：卫生学

来源: Royal College of General Practitioners

【 摘 要 】

Aortic stenosis is now the most common type of valvular heart disease in Europe and North America. Calcific aortic stenosis affects 2–7% of people aged over 65 years. Dyspnoea, chest pain, and syncope require investigation and surgery is the preferred option for suitable individuals. Operative mortality is 3–5% for those aged under 70 years and 5–15% in older adults. The case reported here illustrates the issues raised when a GP's patient unexpectedly collapses in a public place and other professional agencies become involved. Relevant UK medico-legal requirements of the vehicle licensing agency and the new guidance related to antibiotic prophylaxis and heart valve disease are also discussed.

【 授权许可】

Unknown