THE CLINICAL OUTCOMES AND SURVIVAL POTENTIAL OF PATIENTS WITH CHRONIC HEART FAILURE AND EXPRESSED DYSFUNCTION OF THE LEFT VENTRICLE AFTER SURGERY OF ATRIOVENTRICULAR INSUFFICIENCY
https://doi.org/10.51523/2708-6011.2018-15-3-8
Abstract
Objective: to assess the clinical, hemodynamic, laboratory efficiency and survival potential of patients having undergone plastic repair of atrioventricular valves. Material and methods . Patients with functional class (FC) III and IV chronic heart failure (CHF) according to NYHA (New York Heart Association - Functional Classification), who had undergone plastic repair of atrioventricular valves, were included in the study. Results. The study has found that the return of mitral regurgitation after mitral valve repair in patients is associated with their age, 4 degree and volume of mitral regurgitation of more than 42 ml before the surgery. Conclusion . The results obtained during the study allow to draw a conclusion that surgical reconstruction of atrioventricular valves contributes to a longer life expectancy and enhances quality of life of patients. Furthermore, it makes it possible to postpone heart transplantation and thus may be regarded as «a surgical bridge» to othotopic heart transplantation.
About the Authors
O. G. Shatova
Republican Scientific and Practical Centre «Cardiology»
Belarus
Belarus
A. K. Kurlianskaya
Republican Scientific and Practical Centre «Cardiology»
Belarus
Belarus
T. L. Denisevich
Republican Scientific and Practical Centre «Cardiology»
Belarus
Belarus
J. P. Ostrovskiy
Republican Scientific and Practical Centre «Cardiology»
Belarus
Belarus
References
1. Ho KK, Pinsky JL, Kannel WB, Levy D. The epidemiology of heart failure. The Framingham Study. J. Am. Coll. Cardiol. 1993; Oct;22(4 Suppl A):6A-13A.
2. Зотова ОВ, Курлянская ЕК, Ревтович ОП, Денисевич ТЛ. Эпидемиология хронической сердечной недостаточности в городе Минске. Евразийский Кардиологический Журнал. 2015;(3):С182-86.
3. Курлянская ЕК. Распространенность, заболеваемость и прогрессирование хронической сердечной недостаточности по результатам выборочного комбинированного аналитического эпидемиологического исследования взрослой популяции г. Минска. Кардиология в Беларуси. 2017; 9(6):1108-15.
4. Laks H, Marelli D, Fonarow GC, Hamilton MA, Ardehali A, Moriguchi JD, Bresson J, Gjertson D, Kobashigawa JA. Use of two recipient lists for adults requiring heart transplantation. J Thorac Cardiovasc Surg. 2003; 125: P. 49-59.
5. Курлянская ЕК, Островский ЮП, Рачок ЛВ, Шумовец ВВ, Денисевич ТЛ, Троянова-Щуцкая ТА, Крачак ДИ, Шатова ОГ. Отдаленные результаты после ортотопической трансплантации сердца Кардиология в Беларуси. 2017;9(3):492-97.
6. Островский ЮП. Сердечная недостаточность. Минск, РБ: Беларуская навука; 2016. 503 с.
7. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP, Fleisher LA, Jneid H, Mack MJ, McLeod CJ, O'Gara PT, Rigolin VH, Sundt TM. 3rd Thompson A. 2017 AHA/ACC focused update of the 2014 AHA/ACC Guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines. J Am CollCardiol. 2017;70(2): 252-289.
8. Горемыкина ТК Общая теория статистики: учеб. пособие. 2-е изд., стереотип. Москва, РФ: МГИУ; 2007. 144 с.
9. Бурдяк АЯ. Применение анализа «Анализ наступления события (Eventhistoryanalysis)» с помощью пакета SPSS» SPERO. Социальная политика: экспертиза, рекомендации, обзоры. 2007;(6):189-202.
10. Дземешкевич СЛ, Стивенсон ЛУ. Болезни митрального клапана. Функция, диагностика, лечение. Москва, РФ: ГЭОТАР-Медиа; 2000. 156с
11. Starling MR. Effects of valve surgery on left ventricular function in patients with long-term mitral regurgitation. Circulation. 1995.92: 811-18.
Review
For citations:
Shatova O.G., Kurlianskaya A.K., Denisevich T.L., Ostrovskiy J.P. THE CLINICAL OUTCOMES AND SURVIVAL POTENTIAL OF PATIENTS WITH CHRONIC HEART FAILURE AND EXPRESSED DYSFUNCTION OF THE LEFT VENTRICLE AFTER SURGERY OF ATRIOVENTRICULAR INSUFFICIENCY. Health and Ecology Issues. 2018;(3):34-42. (In Russ.) https://doi.org/10.51523/2708-6011.2018-15-3-8
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