کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8657555 | 1574767 | 2016 | 5 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Reparación valvular en la insuficiencia mitral isquémica
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
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چکیده انگلیسی
There is a broad consensus on the negative influence of postinfarction ischemic mitral regurgitation (MR) on patient survival. However, matters such as the need for correction or the moment to perform it remain in scientific discussion. Numerous studies suggest that residual MR after isolated coronary revascularization surgery leads to increased morbimortality, and worsens the prognosis of reoperated patients. On the contrary, concomitant treatment of ischemic cardiopathy and associated MR appears to provide better results, especially in functional terms. However, the current evidences do not allow a clear indication due to the disparity of experimental designs used. The interrelationship between structure and ventricular remodeling with the MR is very important in this context. Thus, mitral valve repair may contribute to reverse left ventricular remodeling, and this, the durability of the procedure, while the progression of remodeling increases recurrence of MR. Mitral valve repair is aimed to restore leaflet coaptation and the elimination of the MR. In order to predict valve reparability, clinical outcome and the likelihood of recurrence different echocardiographic and anthropometric parameters have been defined. Nevertheless, the correct integration of such parameters and their exposure as a clinical guide are still unresolved issues. In this article, we propose some recommendations to establish a consensus on the indications for mitral valve repair.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Cardiocore - Volume 51, Issue 4, OctoberâDecember 2016, Pages 146-150
Journal: Cardiocore - Volume 51, Issue 4, OctoberâDecember 2016, Pages 146-150
نویسندگان
Elisa Berruti Boronat, Pablo Castro-Vera, Francisco Gomera, Fernando Rodriguez-Serrano, Jose Manuel Garrido,