Outcome after surgery for mitral regurgitation. Determinants of postoperative morbidity and mortality.

@article{Dujardin1997OutcomeAS,
  title={Outcome after surgery for mitral regurgitation. Determinants of postoperative morbidity and mortality.},
  author={Karl Dujardin and James B. Seward and Thomas A. Orszulak and Hartzell Vernon Schaff and Kent R. Bailey and A Jamil Tajik and Maurice E. Enriquez-Sarano},
  journal={The Journal of heart valve disease},
  year={1997},
  volume={6 1},
  pages={17-21}
}
BACKGROUND AND AIMS OF THE STUDY The incidence and impact of congestive heart failure and coronary artery disease on late survival after surgical correction of mitral regurgitation are poorly defined. In addition to the uncertainty about the frequency of this complication, the mechanisms of heart failure have not been fully analyzed. METHODS To determine survival and the incidence and mechanisms of congestive heart failure after mitral valve surgery for mitral regurgitation, we analyzed the… CONTINUE READING

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For the prevention of postoperative congestive heart failure , early surgical correction of mitral regurgitation should be considered before left ventricular dysfunction occurs .
For the prevention of postoperative congestive heart failure , early surgical correction of mitral regurgitation should be considered before left ventricular dysfunction occurs .
For the prevention of postoperative congestive heart failure , early surgical correction of mitral regurgitation should be considered before left ventricular dysfunction occurs .
For the prevention of postoperative congestive heart failure , early surgical correction of mitral regurgitation should be considered before left ventricular dysfunction occurs .
For the prevention of postoperative congestive heart failure , early surgical correction of mitral regurgitation should be considered before left ventricular dysfunction occurs .
For the prevention of postoperative congestive heart failure , early surgical correction of mitral regurgitation should be considered before left ventricular dysfunction occurs .
The analysis demonstrated that preserved preoperative left ventricular function ( ejection fraction > or = 60% ) was associated with improved survival ( adjusted risk ratio 0.49 ; 95% C.I. 0.36 - 0.661 ) and reduced incidence of congestive heart failure ( adjusted risk ratio 0.30 ; 95% C.I. 0.20 - 0.441 ) , while concomitant coronary artery disease was associated with an excess mortality ( adjusted risk ratio 1.80 ; 95% C.I. 1.34 - 2.41 ) and incidence of congestive heart failure ( adjusted risk ratio 2.12 ; 95% C.I. 1.48 - 3.031 ) .
The analysis demonstrated that preserved preoperative left ventricular function ( ejection fraction > or = 60% ) was associated with improved survival ( adjusted risk ratio 0.49 ; 95% C.I. 0.36 - 0.661 ) and reduced incidence of congestive heart failure ( adjusted risk ratio 0.30 ; 95% C.I. 0.20 - 0.441 ) , while concomitant coronary artery disease was associated with an excess mortality ( adjusted risk ratio 1.80 ; 95% C.I. 1.34 - 2.41 ) and incidence of congestive heart failure ( adjusted risk ratio 2.12 ; 95% C.I. 1.48 - 3.031 ) .
The analysis demonstrated that preserved preoperative left ventricular function ( ejection fraction > or = 60% ) was associated with improved survival ( adjusted risk ratio 0.49 ; 95% C.I. 0.36 - 0.661 ) and reduced incidence of congestive heart failure ( adjusted risk ratio 0.30 ; 95% C.I. 0.20 - 0.441 ) , while concomitant coronary artery disease was associated with an excess mortality ( adjusted risk ratio 1.80 ; 95% C.I. 1.34 - 2.41 ) and incidence of congestive heart failure ( adjusted risk ratio 2.12 ; 95% C.I. 1.48 - 3.031 ) .
The analysis demonstrated that preserved preoperative left ventricular function ( ejection fraction > or = 60% ) was associated with improved survival ( adjusted risk ratio 0.49 ; 95% C.I. 0.36 - 0.661 ) and reduced incidence of congestive heart failure ( adjusted risk ratio 0.30 ; 95% C.I. 0.20 - 0.441 ) , while concomitant coronary artery disease was associated with an excess mortality ( adjusted risk ratio 1.80 ; 95% C.I. 1.34 - 2.41 ) and incidence of congestive heart failure ( adjusted risk ratio 2.12 ; 95% C.I. 1.48 - 3.031 ) .
The incidence and impact of congestive heart failure and coronary artery disease on late survival after surgical correction of mitral regurgitation are poorly defined .
The incidence and impact of congestive heart failure and coronary artery disease on late survival after surgical correction of mitral regurgitation are poorly defined .
The analysis demonstrated that preserved preoperative left ventricular function ( ejection fraction > or = 60% ) was associated with improved survival ( adjusted risk ratio 0.49 ; 95% C.I. 0.36 - 0.661 ) and reduced incidence of congestive heart failure ( adjusted risk ratio 0.30 ; 95% C.I. 0.20 - 0.441 ) , while concomitant coronary artery disease was associated with an excess mortality ( adjusted risk ratio 1.80 ; 95% C.I. 1.34 - 2.41 ) and incidence of congestive heart failure ( adjusted risk ratio 2.12 ; 95% C.I. 1.48 - 3.031 ) .
The analysis demonstrated that preserved preoperative left ventricular function ( ejection fraction > or = 60% ) was associated with improved survival ( adjusted risk ratio 0.49 ; 95% C.I. 0.36 - 0.661 ) and reduced incidence of congestive heart failure ( adjusted risk ratio 0.30 ; 95% C.I. 0.20 - 0.441 ) , while concomitant coronary artery disease was associated with an excess mortality ( adjusted risk ratio 1.80 ; 95% C.I. 1.34 - 2.41 ) and incidence of congestive heart failure ( adjusted risk ratio 2.12 ; 95% C.I. 1.48 - 3.031 ) .
The analysis demonstrated that preserved preoperative left ventricular function ( ejection fraction > or = 60% ) was associated with improved survival ( adjusted risk ratio 0.49 ; 95% C.I. 0.36 - 0.661 ) and reduced incidence of congestive heart failure ( adjusted risk ratio 0.30 ; 95% C.I. 0.20 - 0.441 ) , while concomitant coronary artery disease was associated with an excess mortality ( adjusted risk ratio 1.80 ; 95% C.I. 1.34 - 2.41 ) and incidence of congestive heart failure ( adjusted risk ratio 2.12 ; 95% C.I. 1.48 - 3.031 ) .
The analysis demonstrated that preserved preoperative left ventricular function ( ejection fraction > or = 60% ) was associated with improved survival ( adjusted risk ratio 0.49 ; 95% C.I. 0.36 - 0.661 ) and reduced incidence of congestive heart failure ( adjusted risk ratio 0.30 ; 95% C.I. 0.20 - 0.441 ) , while concomitant coronary artery disease was associated with an excess mortality ( adjusted risk ratio 1.80 ; 95% C.I. 1.34 - 2.41 ) and incidence of congestive heart failure ( adjusted risk ratio 2.12 ; 95% C.I. 1.48 - 3.031 ) .
The incidence and impact of congestive heart failure and coronary artery disease on late survival after surgical correction of mitral regurgitation are poorly defined .
The incidence and impact of congestive heart failure and coronary artery disease on late survival after surgical correction of mitral regurgitation are poorly defined .
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