| Summary: | Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Acutely hospitalised elderly patients, from February 1993 to February 1994, excluding those with known valvular heart diseases, were examined by a resident. Those who had a systolic murmur were also auscultated by a cardiologist and a geriatrician and studied with 2D- and Doppler echocardiography. Of 213 potential study participants the resident auscultated 153 patients, 79-101 years old, with the mean age of 85±4 years, 61% of whom were women. Systolic murmurs were diagnosed in 80 of 153 patients or 53% of over the age of 80, 61% of women and 40% of men adjusted for sex (p<0,025). Fifty seven patients with systolic murmurs were evaluated with 2D- and Doppler echocardiography. Maximal Doppler gradients 3=30 mmHg, representing significant aortic stenosis were found in 8/57 subjects (14%), aortic sclerosis in 44 (77%), and mitral regurgitation in 25/57 (44%); 1° on the scale of 1-4 in 19 of 25. The sensitivity and specificity of clinical examination for the detection of aortic stenosis was 62-100% and 71-77%, aortic sclerosis 54-56% and 85-92% and mitral regurgitation 24-52% and 69-97%, respectively. Systolic murmurs are prevalent in the aged and more so in women than men. 2D- and Doppler echocardiography is of value since the clinical diagnosis of aortic stenosis is difficult in light of the high prevalence of systolic murmurs most of which are due to aortic sclerosis or clinically nonsignificant mitral regurgitation. The results are comparable with other reported studies. Tilgangur rannsóknarinnar var að meta faraldsfræði, orsakir, næmi og sértæki klínísks mats slagbilsóhljóða aldraðra. Rannsóknin tók til 101 sólarhrings frá febrúar 1993 til febrúar 1994. Efniviðurinn var 213 sjúklingar eldri en 80 ára innlagðir bráðainnlögn á lyflækningadeild Borgarspítalans. Sextán voru útilokaðir vegna þekktra hjartalokusjúkdóma en ekki náðist að skoða aðra 44 af ýmsum óviðráðanlegum orsökum. Deildarlæknir skoðaði 153 ...
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