Document Detail


Implications of prosthetic valve implantation: an 8-year follow-up of patients with porcine bioprostheses.
MedLine Citation:
PMID:  2584046     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nurses in cardiovascular critical care settings routinely care for patients with implanted valvular prostheses. The presence of an artificial valve substitutes a new disease state for the preexisting valvular disease. Five hundred nine patients who underwent cardiac valve replacement with porcine bioprostheses and who were followed for a total of 1633 patient-years provide the data base for discussion of long-term survival, functional capacity, and morbidity associated with valvular prostheses. Seventy-two percent of patients survived 5 years after operation. New York Heart Association functional class was improved in 84%. Three major types of morbidity were documented: thromboembolism, endocarditis, and valve failure. Cardiovascular nurses should be familiar with the implications of valvular prostheses to provide appropriate patient education and to facilitate the prompt detection and treatment of valve-related complications.
Authors:
B A Finkelmeier; R S Hartz; E B Fisher; L L Michaelis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Heart & lung : the journal of critical care     Volume:  18     ISSN:  0147-9563     ISO Abbreviation:  Heart Lung     Publication Date:  1989 Nov 
Date Detail:
Created Date:  1989-12-29     Completed Date:  1989-12-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  565-72     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiothoracic Surgery, Northwestern University Medical School, Chicago, IL 60611.
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MeSH Terms
Descriptor/Qualifier:
Actuarial Analysis
Adult
Aged
Aged, 80 and over
Bioprosthesis* / adverse effects,  nursing
Endocarditis, Bacterial / etiology
Female
Follow-Up Studies
Heart Valve Diseases / mortality,  nursing,  surgery
Heart Valve Prosthesis / adverse effects,  mortality*,  nursing
Humans
Male
Middle Aged
Patient Education as Topic
Prosthesis Failure
Survival Rate
Thromboembolism / etiology

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


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