PMID- 19443421
OWN - NLM
STAT- MEDLINE
DCOM- 20091103
LR  - 20191210
IS  - 1522-9645 (Electronic)
IS  - 0195-668X (Linking)
VI  - 30
IP  - 14
DP  - 2009 Jul
TI  - Quality of life assessment after percutaneous aortic valve implantation.
PG  - 1790-6
LID - 10.1093/eurheartj/ehp171 [doi]
AB  - AIMS: To assess the NYHA class and the quality of life (QoL) scores after 
      percutaneous aortic valve implantation (PAVI) with the 18-Fr CoreValve 
      prosthesis. METHODS AND RESULTS: From April 2007 until August 2008, 57 
      consecutive patients with aortic stenosis were evaluated for PAVI. Of these, 30 
      patients with successfully prosthesis implantation had more than 5-month 
      follow-up. QoL assessment was realized with the SF-12v2 Health-Survey, a simple 
      questionnaire designed for self-administration that provides easily interpretable 
      scales for physical [physical component summary (PCS)] and mental [mental 
      component summary (MCS)] health. The questionnaire was administered before and 5 
      months after PAVI. All 30 patients had a marked upgrading in haemodynamic and 
      echocardiographic parameters (peak-to-peak gradient from 64 +/- 23 to 2 +/- 0.4; 
      P < 0.001; aortic valve area index from 0.3 +/- 0.1 to 0.9 +/- 0.3; P < 0.001), 
      with an improvement in New York Heart Association (NYHA) class at discharge and 
      after 5 months. Mean pre-operative SF-12v2 scores showed a severe impairment of 
      perceived quality of life compared with general Italian population >75 years, 
      both for physical (PCS-baseline 28.5 vs. 37.9, P < 0.001) and mental scores 
      (MCS-baseline 37.8 vs. 45.4, P < 0.001). After 5 months, a striking improvement 
      in both scores (PCS 41.3-MCS 48.3; P < 0.001) was observed. CONCLUSION: Our 
      preliminary results show a marked short-term improvement in functional status and 
      physical and mental health in patients underwent PAVI.
FAU - Ussia, Gian Paolo
AU  - Ussia GP
AD  - Division of Cardiology, Ferrarotto Hospital, University of Catania, Via Citelli 
      6, Catania, Italy. gpussia@hotmail.com
FAU - Mule, Massimiliano
AU  - Mule M
FAU - Barbanti, Marco
AU  - Barbanti M
FAU - Cammalleri, Valeria
AU  - Cammalleri V
FAU - Scarabelli, Marilena
AU  - Scarabelli M
FAU - Imme, Sebastiano
AU  - Imme S
FAU - Capodanno, Davide
AU  - Capodanno D
FAU - Ciriminna, Saverio
AU  - Ciriminna S
FAU - Tamburino, Corrado
AU  - Tamburino C
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20090513
PL  - England
TA  - Eur Heart J
JT  - European heart journal
JID - 8006263
SB  - IM
MH  - Aged, 80 and over
MH  - Aortic Valve/*surgery
MH  - Aortic Valve Stenosis/*surgery
MH  - Female
MH  - Health Surveys
MH  - Heart Valve Prosthesis Implantation/*psychology
MH  - Humans
MH  - Male
MH  - Quality of Life/*psychology
MH  - Surveys and Questionnaires
EDAT- 2009/05/16 09:00
MHDA- 2009/11/05 06:00
CRDT- 2009/05/16 09:00
PHST- 2009/05/16 09:00 [entrez]
PHST- 2009/05/16 09:00 [pubmed]
PHST- 2009/11/05 06:00 [medline]
AID - ehp171 [pii]
AID - 10.1093/eurheartj/ehp171 [doi]
PST - ppublish
SO  - Eur Heart J. 2009 Jul;30(14):1790-6. doi: 10.1093/eurheartj/ehp171. Epub 2009 May 
      13.