[Experience in the management of patients with artificial heart valves (analysis of the material of the Békés County Cardiology Clinic)].
Authors report of 152 patients, 146 of whom underwent single mitral (n = 70), single aortic (n = 64), double aortimitral (n = 17) and aortic-mitral-tricuspid (n = 1) valve replacement with mechanical prostheses. 6 patients received bioprostheses. The mean age was 55 years. Follow-up ranged from 1 to 23 years (mean 5.1 years). The methodology of follow-up consisted patients examination in our office (at least twice a year) and questionnaire. Valve related complications were defined as paravalvular leak (6 cases), valve thrombosis (3 cases), thromboembolism (13 cases), anticoagulant-related hemorrhage (21 cases), infectious endocarditis (6 cases). During care 14 patients died. The most common causes of death were left-ventricle insufficiency (n = 6), infectious endocarditis (n = 3), prosthetic valve thrombosis (n = 1), cerebral hemorrhage (n = 2) and sudden death (n = 2). 138 patients (56 percent) are retired or invalid. Authors emphasize the importance of regular control and the significance of anticoagulant policy (in the target international normalized ratio to 2.5-3.5 and the provision of the antibiotic prophylaxis to avoid the late complications.
Orosz
I
I
Békés Megyei Képviselötestület Pándy Kálmán Kórháza, Gyula, II, sz. Belgyógyászat-Kardiológia.
Márk
L
L
Nagy
E
E
Nagy
E
E
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000925:Anticoagulants / Q000008:administration & dosage; D001705:Bioprosthesis; D006348:Cardiac Surgical Procedures; D004697:Endocarditis, Bacterial / Q000209:etiology / Q000401:mortality; D005260:Female; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis / Q000009:adverse effects; D006801:Humans; D006814:Hungary; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000401:mortality
D000900:Anti-Bacterial Agents; D000925:Anticoagulants
A mülbillentyüs betegek gondozásával szerzett tapasztalatok (A Békés megyei Kardiológiai Szakrendelés anyagának elemzése).