Comparison of long-term outcomes after trans-catheter aortic valve implantation between patients primarily diagnosed by cardiac murmur and those diagnosed by other reasons
| Autor: | Kenichi Sakakura, Tatsuro Ibe, Takunori Tsukui, Hiroshi Wada, Hiroyuki Jinnouchi, Kei Yamamoto, Yusuke Tamanaha, Kaho Shibata, Taku Kasahara, Atsushi Yamaguchi, Yohei Nomura, Masashi Hatori, Yousuke Taniguchi, Hideo Fujita |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Aortic valve
Male Acute decompensated heart failure Medical Implants Anticoagulant Therapy Antiplatelet Therapy Vascular Medicine Diagnostic Radiology Medical Conditions Atrial Fibrillation Ultrasound Imaging Clinical endpoint Medicine and Health Sciences Medicine Stroke Aged 80 and over Multidisciplinary medicine.diagnostic_test Pharmaceutics Radiology and Imaging Heart Catheter Cardiovascular Therapy medicine.anatomical_structure Treatment Outcome Neurology Echocardiography Aortic Valve Cardiology Heart murmur Engineering and Technology Female medicine.symptom Anatomy Arrhythmia Research Article Biotechnology medicine.medical_specialty Imaging Techniques Science Cerebrovascular Diseases Bioengineering Research and Analysis Methods Risk Assessment Transcatheter Aortic Valve Replacement Drug Therapy Diagnostic Medicine Internal medicine Humans Aged Heart Murmurs business.industry Biology and Life Sciences Auscultation Aortic Valve Stenosis medicine.disease Stenosis Cardiovascular Anatomy Medical Devices and Equipment business |
| Zdroj: | PLoS ONE PLoS ONE, Vol 16, Iss 2, p e0247588 (2021) |
| ISSN: | 1932-6203 |
| Popis: | Careful auscultation is the first step to diagnose aortic stenosis (AS). The aim of this study was to compare clinical outcomes following transcatheter aortic valve implantation (TAVI) between the patients primarily diagnosed by heart murmur and those diagnosed by other reasons. We retrospectively included 258 patients who underwent TAVI in our medical center, and divided those into the murmur group (n = 81) and the other-reason group (n = 177) according to the primary reason for AS diagnosis. The primary endpoint was the major adverse cardiovascular and cerebrovascular events (MACCE), which was defined as the composite of cardiovascular death, hospitalization due to acute decompensated heart failure, and disabling stroke. The murmur group included younger patients than the other-reason group (82.8 year-old vs. 84.0 year-old, P = 0.02). History of AF was more frequently observed in the other-reason group than in the murmur group (21.5% vs. 7.4%, P |
| Databáze: | OpenAIRE |
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