Document Detail


Effects of pulmonary valve replacement on QRS duration and right ventricular cavity size late after repair of right ventricular outflow tract obstruction.
MedLine Citation:
PMID:  15950586     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study evaluated the effects of pulmonary valve replacement (PVR) on QRS duration and right ventricular (RV) cavity size in patients who had severe pulmonary regurgitation late after previous repair of RV outflow tract obstruction. A significant decrease in maximal QRS duration and RV end-diastolic volume was found after PVR. The change in QRS duration was most significant in patients with a baseline QRS > or =155 ms (176 +/- 15 to 160 +/- 18 ms, p <0.001). RV end-diastolic volume was significantly correlated with maximal QRS duration before (r = 0.93, p <0.0001) as well as after (r = 0.82, p <0.001) PVR. In patients with pulmonary regurgitation late after repair of RV outflow tract obstruction, PVR reduces maximal QRS duration with a concomitant decrease in RV volumes.
Authors:
Abdul R Doughan; Michael E McConnell; Teresa A Lyle; Wendy M Book
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  95     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-06-13     Completed Date:  2005-08-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1511-4     Citation Subset:  AIM; IM    
Affiliation:
Adult Congenital Cardiac Program, Emory University Hospital School of Medicine, Atlanta, Georgia 30303, USA. adougha@emory.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Echocardiography, Doppler
Electrocardiography*
Female
Follow-Up Studies
Heart Rate / physiology
Heart Valve Prosthesis Implantation* / methods
Heart Ventricles / physiopathology,  ultrasonography*
Humans
Male
Middle Aged
Postoperative Period
Pulmonary Valve / surgery*
Pulmonary Valve Insufficiency / etiology,  physiopathology,  ultrasonography
Retrospective Studies
Severity of Illness Index
Treatment Outcome
Ventricular Outflow Obstruction / complications,  physiopathology*,  surgery

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


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