Late functional results after surgical closure of acquired ventricular septal defect
| Autor: | H.H. Gray, R.K. Lamb, N. Conway, V. Lewington, P. D. Skillington, L. Whitaker, R. H. Davies, Keith D. Dawkins, James L. Monro, J K Ross |
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| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Ejection fraction New York Heart Association Class Heart disease business.industry medicine.disease Asymptomatic Surgery Angina Internal medicine medicine Cardiology cardiovascular diseases Myocardial infarction medicine.symptom Cardiology and Cardiovascular Medicine business Survival rate New York Heart Association Class I |
| Zdroj: | Scopus-Elsevier |
| Popis: | To assess the longer term outlook for patients who have undergone surgery for acquired (postinfarction) ventricular septal defect, we interviewed and studied 60 survivors from a single regional cardiac center between 3 and 144 months after the operation. Including the patients who died within 1 month of the operation, the 5-, 10-, and 14-year survivals (with standard errors) were 69% (65% to 74%), 50% (44% to 57%), and 37% (27% to 46%). Eighty-two percent of patients were in New York Heart Association class I or II. Ten patients (17%) had a persisting but not hemodynamically significant ventricular septal defect. Mean left ventricular ejection fraction was reduced at 0.39 (standard deviation 0.15), but this did not correlate with either New York Heart Association class or exercise tolerance. Twenty-eight patients (47%) had asymptomatic arrhythmias (17 with ventricular premature beats). Angina and other medical problems were not prevalent. |
| Databáze: | OpenAIRE |
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