Document Detail


Postmyocardial infarction left ventricular dysfunction - assessment and follow up of patients undergoing surgical ventricular restoration by the endoventricular patchplasty.
MedLine Citation:
PMID:  23438608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Surgical ventricular restoration with endoventricular patchplasty improves left ventricular function and restores left ventricular shape.
METHOD: The study included patients who presented with transmural anterior myocardial infarctions between June 2007 and May 2008. Briefly the technique included - coronary revascularization, resection of the endocardial scar, left ventricular reconstruction using an endoventricular synthetic patch. Left ventricular geometric parameters were studied preoperatively, early postoperatively, at 3 and 6 months and statistically analyzed by SPSS 14 software package.
RESULTS: The ejection fraction increased from 33.5 ± 5.02 to 37.77 ± 7.17 immediate postoperatively. The preoperative left ventricular ejection fraction - a mean of 33.25% (±5.02%), increased by 10.3%-11% at the third and fourth follow up respectively after surgical ventricular restoration (p ≤ 0.001). The left ventricular end systolic volume index improved from a mean of 48.84 ± 11.37 preoperatively to 24.66 ± 5.92 postoperatively (p ≤ 0.001).
CONCLUSIONS: Surgical ventricular restoration in our study has clearly demonstrated a positive effect on LV geometry.
Authors:
Margaret D'Mello; Abraham A Kurudamannil; Degapudi J Reddy; Penumatsa S Raju
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Publication Detail:
Type:  Journal Article     Date:  2012-12-25
Journal Detail:
Title:  Indian heart journal     Volume:  65     ISSN:  0019-4832     ISO Abbreviation:  Indian Heart J     Publication Date:    2013 Jan-Feb
Date Detail:
Created Date:  2013-02-26     Completed Date:  2013-12-17     Revised Date:  2014-04-17    
Medline Journal Info:
Nlm Unique ID:  0374675     Medline TA:  Indian Heart J     Country:  India    
Other Details:
Languages:  eng     Pagination:  17-23     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Analysis of Variance
Cardiac Surgical Procedures*
Echocardiography
Endocardium / surgery
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Infarction / complications*
Treatment Outcome
Ventricular Dysfunction, Left / etiology*,  surgery*
Ventricular Remodeling
Comments/Corrections
Comment In:
Indian Heart J. 2013 May-Jun;65(3):357-8   [PMID:  23809397 ]

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


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