지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 273 - 278 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: We determined factors associated with long-term outcomes of patients who underwent successful percutaneous mitral balloon valvuloplasty (PMV). Materials and Methods: Between August 1980 and May 2013, 1187 patients underwent PMV at Severance Hospital, Seoul, Korea. A total of 742 patients who underwent regular clinic visits for more than 10 years were retrospectively analyzed. The endpoints consisted of repeated PMV, mitral valve (MV) surgery, and cardiovascular-related death. Results: The optimal result, defined as a post-PMV mitral valve area (MVA) >1.5 cm2 and mitral regurgitation ≤Grade II, was obtainedin 631 (85%) patients. Over a mean follow up duration of 214±50 months, 54 (7.3%) patients underwent repeat PMV, 4 (0.5%) underwent trido-PMV, and 248 (33.4%) underwent MV surgery. A total of 33 patients (4.4%) had stroke, and 35 (4.7%) patients died from cardiovascular-related reasons. In a multivariate analysis, echocardiographic score [p=0.003, hazard ratio=1.56, 95% confidence interval (CI): 1.01−2.41] and post-MVA cut-off (p<0.001, relative risk=0.39, 95% CI: 0.37−0.69) were the only significant predictors of long-term clinical outcomes after adjusting for confounding variables. A post-MVA cut-off value of 1.76 cm2 showed satisfactory predictive power for poor long-term clinical outcomes. Conclusion: In this long-term follow up study (up to 20 years), an echocardiographic score >8 and post-MVA ≤1.76 cm2 were independentpredictors of poor long-term clinical outcomes after PMV, including MV reintervention, stroke, and cardiovascular-related death.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Iung B / 2000 / Immediate and mid-term results of repeat percutaneous mitral commissurotomy for restenosis following earlier percutaneous mitral commissurotomy / Eur Heart J 21:1683~1689
Hernandez R / 1999 / Long-term clinical and echocardiographic follow-up after percutaneous mitral valvuloplasty with the Inoue balloon / Circulation 99:1580~1586
Iung B / 1999 / Late results of percutaneous mitral commissurotomy in a series of 1024 patients. Analysis of late clinical deterioration: frequency, anatomic findings, and predictive factors / Circulation 99:3272~3278
Nishimura RA / 2014 / 2014 AHA/ACC guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines / J Am Coll Cardiol 63:2438~2488
Bouleti C / 2012 / Late results of percutaneous mitral commissurotomy up to 20 years: development and validation of a risk score predicting late functional results from a series of 912 patients / Circulation 125:2119~2127
Hernandez R / 1999 / Long-term clinical and echocardiographic follow-up after percutaneous mitral valvuloplasty with the Inoue balloon / Circulation 99:1580~1586
Iung B / 1999 / Late results of percutaneous mitral commissurotomy in a series of 1024 patients. Analysis of late clinical deterioration: frequency, anatomic findings, and predictive factors / Circulation 99:3272~3278
Nishimura RA / 2014 / 2014 AHA/ACC guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines / J Am Coll Cardiol 63:2438~2488
Bouleti C / 2012 / Late results of percutaneous mitral commissurotomy up to 20 years: development and validation of a risk score predicting late functional results from a series of 912 patients / Circulation 125:2119~2127
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Shifts in Clinical Characteristics, Treatment, and Outcome for Rheumatic Mitral Stenosis: Insights From a 20-Year Multicentre Registry Study in Korea
Journal of Korean Medical Science
2024 .05
-
Heart rate recovery and blood pressure response during exercise testing in patients with microvascular angina
Clinical Hypertension
2019 .01
-
Importance of Echocardiographic Features in Long-term Clinical Outcomes of Cardiac Myxomas
Journal of Cardiovascular Imaging
2019 .01
-
A Modified Echocardiographic Classification of Mitral Valve Regurgitation Mechanism: The Role of Three-dimensional Echocardiography
Journal of Cardiovascular Imaging
2019 .01
-
Outcome Prediction in Cerebral Venous Thrombosis: The IN-REvASC Score
대한뇌졸중학회지
2022 .09
-
Predictive Factors for Good Outcome and Mortality After Stent-Retriever Thrombectomy in Patients With Acute Anterior Circulation Stroke
대한뇌졸중학회지
2017 .01
-
Predictive Value of Echocardiographic Parameters for Clinical Events in Patients Starting Hemodialysis
Journal of Korean Medical Science
2015 .01
-
근래의 신장이식 임상성적과 관련인자들: 단일기관 연구
Clinical Transplantation and Research
2017 .01
-
급성 일산화탄소 중독환자에서 병원 전 고산소혈증이 장기 신경학적 예후에 미치는 영향
대한임상독성학회지
2020 .01
-
수술 고위험군 승모판 폐쇄부전증 치료를 위한 MitraClip: 안전성 유효성에 대한 문헌고찰
보건의료기술평가
2016 .06
-
Percutaneous Edge-to-Edge Mitral Valve Repair
Korean Circulation Journal
2020 .01
-
Contrast-Induced Acute Kidney Injury after Coil Embolization for Aneurysmal Subarachnoid Hemorrhage
Yonsei Medical Journal
2018 .01
-
Risk Factors for poor Outcomes in Patients with Multi-Drug Resistant Tuberculosis in south korea
Hanyang Medical Reviews
2016 .01
-
Massive Hemoptysis due to Acute Mitral Regurgitation with Sporadic Primary Mitral Valve Prolapse
Acute and Critical Care
2015 .01
-
승모판 협착증 환자에 대한 한방치험 1례
대한한방내과학회지
2020 .01
-
Rare Case of Unileaflet Mitral Valve
Journal of Cardiovascular Imaging
2016 .01
-
Clinical Characteristics and Treatment Outcomes of De Novo Nonconvulsive Status Epilepticus: A Retrospective Study
Journal of Clinical Neurology
2021 .01
-
The Association between Post-Stroke Depression and the Activities of Daily Living/Gait Balance in Patients with First-Onset Stroke Patients
PSYCHIATRY INVESTIGATION
2016 .01
-
Sex disparity in acute ischemic stroke outcomes in Korea
Journal of Neurocritical Care
2019 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0