ISSN: 1859 - 2872
Study on right ventricular - pulmonary artery coupling ratio by echocardiography pre - and post - valvular surgery in structural mitral regurgitation patients
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Abstract
Objectives: To evaluate the change of the right ventricular - pulmonary artery coupling (RVPAc) assessed by echocardiography pre - and post - valvular surgery in patient with structural mitral valve regurgitation. Subject and method: A retrospective study combined with prospective cross-sectional descriptive study on 33 patients with mitral valve regurgitation who underwent valvular surgery (valve repair or valve replacement) at 108 Military Central Hospital from January 2022 to December 2023. Result: 33 patients included in the study had an average of age 59.15 ± 11.67 years, the majority was male (75.8%), the right ventricular - pulmonary artery coupling ratio before and after surgery was
0.47 ± 0.15 and 0.58 ± 0.14 (p<0.05). RVPAc with cutoff value 0.059 can predict use of inotrope after surgery but not the other cardiac events. Conclusion: The RVPAc ratio decreased significantly after mitral valve surgery (valve replacement or valve repairment) and has predictive value (cutoff point <0.59) of inotropes support after surgery.
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Đặc điểm siêu âm tim 2D/3D và cơ chế hở van hai lá ở các bệnh nhân có chỉ định phẫu thuật tại Bệnh viện Bạch Mai. Tạp chí Y học Việt Nam tập 526 tháng 5/2023.
2. Vũ Quỳnh Nga, Nguyên Mai Hương (2023) Nghiên cứu chỉ số sức căng dọc thất trái trên siêu âm đánh dấu mô cơ tim ở bệnh nhân phẫu thuật van hai lá tại Bệnh viện Tim Hà Nội, Tạp chí phẫu thuật tim mạch lồng ngực số 43 tháng 8/2023.
3. Izquierdo-Gómez MM, Marí-López B, Lacalzada-Almeida J (2018) Ischaemic mitral valve regurgitation. E-journal of Cardiology Practice 16(12).
4. Sultan I, Cardounel A, Abdelkarim I, Kilic A, Althouse AD, Sharbaugh MS, Gupta A, Xu J, Fukui M, Simon MA, Schindler JT, Lee JS, Gleason TG, Cavalcante JL (2020) Right ventricle to pulmonary artery coupling in patients undergoing transcatheter aortic valve implantation. Heart 105(2): 117-121. doi: 10.1136/heartjnl-2018-313385.
5. McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Böhm M, Burri H, Butler J, Čelutkienė J, Chioncel O, Cleland JGF, Coats AJS, Crespo-Leiro MG, Farmakis D, Gilard M, Heymans S, Hoes AW, Jaarsma T, Jankowska EA, Lainscak M, Lam CSP, Lyon AR, McMurray JJV, Mebazaa A, Mindham R, Muneretto C, Francesco Piepoli M, Price S, Rosano GMC, Ruschitzka F, Kathrine Skibelund A; ESC Scientific Document Group (2021) ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J 42(36): 3599-3726. doi: 10.1093/eurheartj/ehab368.
6. Shahim B and Hahn RT (2021) Right Ventricular-Pulmonary Arterial Coupling and Outcomes in Heart Failure and Valvular Heart Disease. Structural Heart 5(2): 128 -139.
7. Osteresch R, Diehl K, Kuhl M et al (2018) Impact of right heart function on outcome in patients with functional mitral regurgitation and chronic heart failure undergoing percutaneous edge-to-edge-repair. J Interv Cardiol 31: 916-924. doi:10.1111/joic.12566.
8. Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP 3rd, Gentile F, Jneid H, Krieger EV, Mack M, McLeod C, O'Gara PT, Rigolin VH, Sundt TM 3rd, Thompson A, Toly C (2021) 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation 143: 72-227.
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