Document Detail


Clinical profile and natural history of Ebstein's anomaly of tricuspid valve.
MedLine Citation:
PMID:  7814159     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There were 63 patients of Ebstein's anomaly of tricuspid valve encountered from 1976 to 1991; 28 (44.4%) were male and 35 (55.6%) female. Their age at presentation ranged from 3 months to 51 years. Five (7.9%) patients were asymptomatic, 48 (76.2%) had class II-III exertional dyspnoea, palpitation or both. Thirty patients (47.6%) had cyanosis. Electrocardiogram showed paroxysmal atrial fibrillation in two, chronic atrial fibrillation in four (6.3%), paroxysmal supraventricular tachycardia in seven, atrial or ventricular ectopic beats in five (7.9%), 2:1 atrioventricular block in one (1.6%), complete atrioventricular block in two (3.2%) and type B WPW syndrome in nine patients (14.3%). Chest X-ray showed diminished vascularity in 22 (34.9%). Diagnosis was established by cardiac catheterization and or echocardiography. Atrialized right ventricular chamber was demonstrated in 51 (80.9%) by angiography and in 40 (63.5%) by electrophysiology. Patients were followed up for 1-172 months. Seventeen patients (26.9%) required surgery. Three patients (4.8%) died during medical follow-up, and five (7.9%) died following surgery. Survival probability for 46 medical patients was 88.9% at 172 months. Factors affecting survival were pulmonary blood flow, cyanosis, clubbing and systemic arterial oxygen saturation.
Authors:
P K Jaiswal; K G Balakrishnan; A Saha; C G Venkitachalam; J Tharakan; T Titus
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  International journal of cardiology     Volume:  46     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1995-02-03     Completed Date:  1995-02-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  113-9     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Cyanosis / complications
Ebstein Anomaly / complications,  diagnosis*,  mortality,  physiopathology,  therapy*
Echocardiography*
Electrocardiography*
Female
Follow-Up Studies
Heart Catheterization*
Heart Function Tests*
Heart Sounds
Hemodynamics
Humans
Infant
Life Tables
Male
Middle Aged
Oxygen Consumption
Prognosis
Retrospective Studies
Survival Rate
Tricuspid Valve / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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