An echocardiographic evaluation to determine the immediate and short-term changes in biventricular systolic and diastolic functions after PDA device closure-an observational analytical prospective study (echo- PDA study)
| Autor: | Umeshwar Pandey, Abhishek Agarwal, Ramesh Thakur, M.M. Razi, R.K. Bansal, Awadhesh Kumar Sharma, Vinay Krishna, C.M. Verma, Praveen Shukla, Santosh Kumar Sinha |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous RD1-811 Systole Patent ductus arteriosus Diastole LVFS Left ventricle fractional shortening Asymptomatic LVEF Left ventricle ejection fraction Device closure Ductus arteriosus Internal medicine medicine Humans Diseases of the circulatory (Cardiovascular) system Prospective Studies LVEDV Left ventricle end-diastolic volume Child Prospective cohort study Ductus Arteriosus Patent Congenital heart disease Ejection fraction business.industry Left ventricular systolic dysfunction LVEDD Left ventricle end-diastolic dimension medicine.anatomical_structure Echocardiography Ventricle Child Preschool RC666-701 Cardiology Diastolic dysfunction Female Original Article Surgery medicine.symptom Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Indian Heart Journal, Vol 73, Iss 5, Pp 617-621 (2021) Indian Heart Journal |
| ISSN: | 0019-4832 |
| DOI: | 10.1016/j.ihj.2021.06.017 |
| Popis: | Objectives: –This prospective study with a sizable cohort was undertaken to assess changes in left and right ventricle systolic and diastolic functions after percutaneous patent ductus arteriosus device closure with appropriate follow up evaluation. Methods: – It is an observational analytical prospective study. Ninety-eight patients were recruited out of which sixty-eight patients underwent percutaneous PDA device closure and were taken for final analysis. The primary objective was to study the left and right ventricular systolic and diastolic functions pre- and post-procedure at 48 h with follow up analysis at six months. Results: – The mean age of the patients was 7.88 ± 5.05 years with the female to male ratio was 3.85:1. Thirty-three (48.52%) of the patients had immediate post PDA device closure LV systolic dysfunction. It was more common in those having pre-procedure mean low LVEF and those having a significant reduction in mitral A velocity. It became normal at six months follow up. The study reported immediate decrease in mea/n LVEF from 63.55 ± 8.11% to 48.19 ± 7.9%. The changes in LVEDD, LVEF, LVFS and LVEDV were statistically significant (p |
| Databáze: | OpenAIRE |
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