Journals / Anadolu Kardiyoloji Dergisi / 2007 / Cilt: 7 - Sayı: 4

Mitral kapak replasmanı yapılan hastalarda dobutamin stres ekokardiyografi ile hemodinamik değişikliklerin değerlendirilmesi

Evaluation of hemodynamic changes in patients with mitral valve replacement using dobutamine stress echocardiography

Pages
397–403
Publication Date
2022-10-10
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Results: Only Group 1 patients achieved a significant decrease in terms of left ventricular mass index and end-diastolic diameter (138.3±29.7 g/m2 vs 86.6±15.6 g/m2 and 5.1±0.5 cm vs. 4.4±0.4 cm, p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to investigate the response of heart to stress according to the size of the prosthetic valve in patients who had undergone mitral valve replacement by using dobutamine stress echocardiography (DSE) and to evaluate the relationship between the size of the prosthetic valve and cardiac recovery-remodeling process.
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Key Findings & Data:They were divided into three groups according to their valve size: Group 1 (valve size29 mm, n=17).
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Conclusion & Impact:Results: Only Group 1 patients achieved a significant decrease in terms of left ventricular mass index and end-diastolic diameter (138.3±29.7 g/m2 vs 86.6±15.6 g/m2 and 5.1±0.5 cm vs. 4.4±0.4 cm, p
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to investigate the response of heart to stress according to the size of the prosthetic valve in patients who had undergone mitral valve replacement by using dobutamine stress echocardiography (DSE) and to evaluate the relationship between the size of the prosthetic valve and cardiac recovery-remodeling process. Methods: Thirty-nine patients, who had undergone mitral valve replacement were compared in terms of left ventricular diameters, systolic functions and cardiac mass indexes in order to investigate the effect of the mechanical valve size on postoperative cardiac remodeling in this longitudinal study. They were divided into three groups according to their valve size: Group 1 (valve size29 mm, n=17). Statistical analysis was performed using Chi-square and one-way ANOVA tests to determine the statistical differences between the groups. The repeated measurements of two-way ANOVA test was used to analyze effects during long-term follow-up. Results: Only Group 1 patients achieved a significant decrease in terms of left ventricular mass index and end-diastolic diameter (138.3±29.7 g/m2 vs 86.6±15.6 g/m2 and 5.1±0.5 cm vs. 4.4±0.4 cm, p

Özet

Amaç: Bu longitüdinal çalışmada, mitral kapak replasmanı yapılan hastalarda prostetik kapak çaplarının kardiyak strese cevabı ve cerrahiyi takiben kapak çapının iyileşme-yeniden yapılanma üzerine etkilerinin araştırılması planlanmıştır.Yöntemler: Mitral kapak replasmanı yapılan 39 hasta, mekanik kapak çapının postoperatif kardiyak yeniden yapılanma üzerine etkisinin araştırılması amacı ile ventrikül çapları, sistolik fonksiyonları ve kardiyak kitle indeksleri açısından karşılaştırılmıştır. Hastalar protez kapak çapına göre 3 gruba ayrılmıştır. Grup 1- kapak çapı 29 numaranın altı hastaları (n=11), Grup 2- 29 numara olan hastaları (n=11) ve Grup 3- kapak çapı 29 numaranın üstünde olan hastaları içermektedir (n=17). İstatistiksel analiz için Ki-kare ve ANOVA testleri kullanılmıştır.Bulgular: Sadece Grup 1’deki hastalarda sol ventrikül kitle indeksi ve diyastol sonu çapında istatistiksel açıdan anlamlı azalma tespit edilmiştir (138.3±29.7 gm/2 ile 86.6±15.6 g/m2 ve 5.1±0.5 cm ile 4.4±0.4 cm, p

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Cite This Article

KÖSE, K., TÜTÜN, U., AKSÖYEK, A., KATIRCIOĞLU, S., BUDAK, B., BOZBOĞA, S., SEREN, M., PARLAR, A. İ., ERBAŞ, S., ULUS, A., ARAT, N. (2022). Mitral kapak replasmanı yapılan hastalarda dobutamin stres ekokardiyografi ile hemodinamik değişikliklerin değerlendirilmesi. Anadolu Kardiyoloji Dergisi, Cilt: 7 - Sayı: 4, 397–403. https://ajindex.com/articles/437181

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References (11)

  1. Horstkotte D, Niehues R, Schulte HD, Strauer BE. Exercise capacity after heart valve replacement. Z Kardiol 1994; 83: 111-20
  2. Munt BI, Legget ME, Healy NL, Fujioka M, Schwaegler R, Otto C. Effect of aortic valve replacement on exercise duration and functional status in adults with valvular aortic stenosis. Can J Cardiol 1997; 13: 346-50
  3. Fan CM. Hemodynamic evaluation of GK and Medtronic-Hall prosthetic mitral valves by exercise Doppler echocardiography. Zhonghua Xin Xue Guan Bing Za Zhi 1992; 20: 335-7
  4. Izzat MB, Birdi I, Wilde P, Bryan AJ, Angelini GD. Comparison of hemodynamic performances of St. Jude Medical and Carbomedics 21mm aortic prostheses by means of dobutamine stress echocardiography. J Thorac Cardiovasc Surg 1996; 111: 408-15
  5. Hecker SL, Zabalgoitia M, Ashline P, Oneschuk L, O’Rourke RA, Herrera CS. Comparison of exercise and dobutamine stress echocardiography in assessing mitral stenosis. Am J Cardiol 1997; 80: 1374-77
  6. Kadir I, Walsh C, Wilde P, Bryan AJ, Angelini GD. Comparison of exercise and dobutamine echocardiography in the haemodynamic assessment of small size mechanical aortic valve prostheses. Eur J Cardiothorac Surg 2002; 21: 692-7
  7. Sahn DJ, DeMaria A Kisslo J, Weyman A. Recommendation regarding quantitation in M-mode echocardiography. Result of a survey of echocardiographic measurement. Circulation 1978; 58: 1072-83
  8. Erdil N, Cetin L, Nisaoğlu V, Demirkilic U, Sener E, Tatar H. Clinical experience with Sorin Bicarbon valve in patients with tight mitral valve stenosis and elevated pulmonary hypertension (early and mid-term results). J Cardiovasc Surg 2002; 43: 423-7
  9. Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr, Faxon DP, Freed MD, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing Committee to Revise the 1998 guidelines for the management of patients with valvular heart disease) developed in collaboration with the Society of Cardiovascular Anesthesiologists endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. J Am Coll Cardiol 2006; 48: 1-148 10. Rahimtoola SH. Early valve replacement for preservation of ventricular function? Am J Cardiol 1977; 40: 472-5
  10. Rahimtoola SH. Lessons learned about the determinants of the results of valve surgery. Circulation 1988; 78: 1503-7
  11. Tischler