PMID- 28105540
OWN - NLM
STAT- MEDLINE
DCOM- 20170424
LR  - 20170424
IS  - 1879-5447 (Electronic)
IS  - 0158-9938 (Linking)
VI  - 40
IP  - 1
DP  - 2017 Mar
TI  - Echocardiographic assessment of long-term hemodynamic characteristics of 
      mechanical mitral valve prostheses with different mitral valvular diseases.
PG  - 259-266
LID - 10.1007/s13246-016-0521-3 [doi]
AB  - Mitral stenosis (MS) and mitral insufficiency (MI) have different pre-operative 
      hemodynamic characteristics. However, it is unclear if there are differences in 
      long-term echocardiographic characteristics of MS and MI patients after 
      mechanical mitral valve replacement. This study is to compare long-term 
      echocardiographic results of mechanical mitral valve prostheses between MS and MI 
      patients. From January 2003 to January 2009, a total of 199 consecutive patients 
      were recruited in this study. Patients were classified as group MS (n = 123) and 
      MI (n = 76) according to the manifestation of mitral valvular disease. The mean 
      age for patients was 50.1 +/- 10.5 years and follow-up time was 7.2 +/- 2.0 years. 
      The MS after operation were more likely to experience atrial fibrillation 
      (p = 0.002). The New York Heart Association (NYHA) class in MI showed a greater 
      improvement (p = 0.006) than in MS. The left ventricular end-diastolic dimension 
      (LVEDD) (p = 0.010) and stroke volume (SV) (p = 0.000) in MI were still larger 
      than that in MS patients. These differences did not disappear with time after 
      operation. The long-term echocardiographic results of mechanical mitral valve 
      prostheses between MS and MI patients are significantly different. Over a 
      long-term follow up, MI patients still have a larger LVEDD and SV than MS, and 
      associated with a greater improvement of NYHA class.
FAU - Zhu, Xiliang
AU  - Zhu X
AD  - Department of Cardiovascular Surgery, Henan Province People's Hospital, 
      Zhengzhou, Henan Province, People's Republic of China.
AD  - Department of Cardiovascular Surgery, West China Hospital, Sichuan University, 
      Chengdu, Sichuan Province, 610000, People's Republic of China.
FAU - Li, Qian
AU  - Li Q
AD  - West China School of Medicine, Sichuan University, Chengdu, Sichuan Province, 
      People's Republic of China.
FAU - Tang, Hong
AU  - Tang H
AD  - Department of Cardiology, West China Hospital, Sichuan University, Chengdu, 
      Sichuan Province, People's Republic of China.
FAU - Xiao, Xijun
AU  - Xiao X
AD  - Department of Cardiovascular Surgery, West China Hospital, Sichuan University, 
      Chengdu, Sichuan Province, 610000, People's Republic of China. 
      xiaoxijun91@163.com.
LA  - eng
PT  - Journal Article
DEP - 20170119
PL  - Netherlands
TA  - Australas Phys Eng Sci Med
JT  - Australasian physical & engineering sciences in medicine
JID - 8208130
SB  - IM
MH  - Atrial Fibrillation/complications/physiopathology
MH  - *Blood Vessel Prosthesis
MH  - *Echocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - *Hemodynamics
MH  - Humans
MH  - Kaplan-Meier Estimate
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/*pathology/*physiopathology
MH  - Mitral Valve Insufficiency/complications/physiopathology/*therapy
MH  - Mitral Valve Stenosis/complications/physiopathology/*therapy
MH  - Postoperative Care
MH  - Preoperative Care
OTO - NOTNLM
OT  - Echocardiography
OT  - Hemodynamic characteristics
OT  - Mitral valve replacement
OT  - Mitral valvular disease
EDAT- 2017/01/21 06:00
MHDA- 2017/04/25 06:00
CRDT- 2017/01/21 06:00
PHST- 2016/09/10 00:00 [received]
PHST- 2016/12/28 00:00 [accepted]
PHST- 2017/01/21 06:00 [pubmed]
PHST- 2017/04/25 06:00 [medline]
PHST- 2017/01/21 06:00 [entrez]
AID - 10.1007/s13246-016-0521-3 [pii]
AID - 10.1007/s13246-016-0521-3 [doi]
PST - ppublish
SO  - Australas Phys Eng Sci Med. 2017 Mar;40(1):259-266. doi: 
      10.1007/s13246-016-0521-3. Epub 2017 Jan 19.