Evaluation of Ventricular Remodeling and Prognosis in Patients with Aortic Stenosis Who Underwent Surgical or Percutaneous Transcatheter Aortic Valve Replacement
| Autor: | Rodrigo de Moura, Joaquim, Tiago Ghislandi, Nuernberg, Tammuz, Fattah, Roberto Leo da, Silva |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Male
Ventricular Remodeling Infant Newborn Heart Valve Diseases General Medicine Aortic Valve Stenosis Prognosis Surgical Instruments Transcatheter Aortic Valve Replacement Echocardiography Aortic Valve cardiovascular system Usage Remodeling Humans Female Surgery Prospective Studies Cardiology and Cardiovascular Medicine |
| Zdroj: | Brazilian Journal of Cardiovascular Surgery v.37 n.2 2022 Brazilian Journal of Cardiovascular Surgery Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV Brazilian Journal of Cardiovascular Surgery, Volume: 37, Issue: 2, Pages: 153-160, Published: 14 MAR 2022 |
| Popis: | Introduction: Aortic stenosis is the most common heart valve disease in the world, and patients that present with symptoms have a high mortality rate. Aortic valve replacement has the objective of promote left ventricular remodeling, reduce symptoms, and increase overall survival. The objective of this study is to evaluate reverse remodeling of the left ventricle in patients with severe and symptomatic aortic stenosis who underwent surgical or percutaneous transcatheter aortic valve replacement. Methods: This is a longitudinal, prospective, non-concurrent, non-randomized unicentric study with patients who underwent aortic valve replacement. Echocardiogram was performed before and after replacement procedure to evaluate several remodeling indexes. Results: Of 91 patients, 77 (84.6%) underwent surgical aortic valve replacement, and 14 (15.4%) underwent percutaneous transcatheter aortic valve replacement. Mean age was 68,96±11,98 years, and most patients were male. Remodeling evaluation revealed that patients who decreased left ventricular index mass (53% vs. 38.9%; P=0,019) and those who reduced the mass/volume ratio (30.4% vs. 68.9%; P |
| Databáze: | OpenAIRE |
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