Document Detail

Debate on valvular heart disease. Con: early surgical intervention in valvular heart disease.
MedLine Citation:
PMID:  1274782     Owner:  NLM     Status:  MEDLINE    
Patients with valvular heart disease, particularly aortic and mitral incompetence, may have significant derangement of myocardial function, often in the absence of significant symptoms, which directly affects early and late survival and functional status following valve replacement. With declining hospital mortiality rates and improved valvular prostheses, consideration must be given to valve replacement in patients of this type in order to preserve myocardial function. This should improve long-term survival and the functional results following valve replacement. Attention should be directed to identifying and closely observing patients of this type, perhaps with noninvasive techniques, and proceeding with valve replacement before irreversible myocardial damage has occured.
N T Kouchoukos
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Advances in cardiology     Volume:  17     ISSN:  0065-2326     ISO Abbreviation:  Adv Cardiol     Publication Date:  1976  
Date Detail:
Created Date:  1976-08-02     Completed Date:  1976-08-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0270063     Medline TA:  Adv Cardiol     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  216-32     Citation Subset:  IM    
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MeSH Terms
Aortic Valve Insufficiency / surgery
Follow-Up Studies
Heart Valve Diseases / surgery*
Heart Valve Prosthesis / mortality
Mitral Valve Insufficiency / surgery
Postoperative Complications
Time Factors

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

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