Mid-term outcome of severe tricuspid regurgitation: are there any differences according to mechanism and severity?
| Autor: | José Luis Moya, Covadonga Fernández-Golfín, Alvaro Marco Del Castillo, José Julio Jiménez-Nacher, Ciro Santoro, Ana García Martín, A Gonzalez-Gomez, Vivencio Barrios, Jose Maria Vieitez, J M Monteagudo, Soledad Ruiz, Eduardo Casas Rojo, Rocio Hinojar, José Luis Zamorano Gómez, Alvaro Lorente, María Abellás |
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| Přispěvatelé: | Santoro, C., Marco Del Castillo, A., Gonzalez-Gomez, A., Monteagudo, J. M., Hinojar, R., Lorente, A., Abellas, M., Vieitez, J. M., Garcia Martin, A., Casas Rojo, E., Ruiz, S., Barrios, V., Luis Moya, J., Jimenez-Nacher, J. J., Zamorano Gomez, J. L., Fernandez-Golfin, C. |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty heart failure Regurgitation (circulation) 030204 cardiovascular system & hematology Severity of Illness Index 03 medical and health sciences mid-term outcome 0302 clinical medicine Tricuspid Valve Insufficiency cardiovascular mortality Internal medicine Medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine tricuspid regurgitation Retrospective Studies Aged 80 and over Tricuspid valve business.industry Hazard ratio General Medicine medicine.disease Prognosis Comorbidity Confidence interval medicine.anatomical_structure Echocardiography Heart failure Etiology Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | European heart journal. Cardiovascular Imaging. 20(9) |
| ISSN: | 2047-2412 |
| Popis: | Aims Patients with significant tricuspid regurgitation (TR) addressed according the new classification in torrential TR may have different prognosis compared with just severe TR patients. We sought to determine distribution and mechanism of consecutive severe TR patients, in accordance with aetiology and severity by applying the new proposed classification scheme and their long-term outcomes. Methods and results Between January and December 2013, 249 patients with significant TR referred to the cardiac imaging unit (mean age 79.9 ± 10.2 years; 29.8% female) were included. Patients were divided according to aetiology in six groups, and TR severity was reclassified into severe, massive, and torrential TR. The follow-up period was of 313 ± 103 days. When considering cardiovascular mortality, patients in the massive/torrential group showed the highest number of events (P Conclusion Patients with massive/torrential TR and patients with comorbidities, especially pulmonary disease, were identified as populations at higher risk of death and readmission for HF. New classification scheme and clinical assessment may establish who may benefit the most of intensive therapeutic treatments and intervention on the tricuspid valve. |
| Databáze: | OpenAIRE |
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