A carregar...
Publicação
Profiles of hospitalized patients with valvular heart disease : experience of a tertiary center
Orientador(es)
Resumo(s)
Introduction: Valvular heart disease (VHD) is increasing worldwide, mostly because of aging.
Percutaneous valve intervention is the preferred therapeutic option in high-risk patients.
Objective: To characterize the profiles of patients with VHD admitted to the cardiology ward
at a tertiary referral center.
Methods: On the basis of ICD-9 codes for VHD, the discharge notes of 287 patients hospitalized over a 22-month period were reviewed and analyzed. One hundred characteristics were
considered.
Results: Median age was 74 (23-93) years, and 145 (51%) were male. The admissions were elective (for valve intervention) in 36%. Heart failure (HF) was the reason for urgent admissions in
29.3%. Multiple comorbidities were observed in 53% of patients. Etiology of VHD was degenerative in 68%, functional in 15.3% and rheumatic (predominantly in women and younger patients)
in 8.7%. Aortic valve disease was present in 63% (aortic stenosis in 56%), and was associated
with HF (p=0.004), atrial fibrillation (AF) (p=0.01), and left ventricular (LV) dilatation (p=0.003)
or hypertrophy (p<0.001). Mitral valve disease (51%), mostly mitral regurgitation (degenerative
or functional), predominated in women, and was associated with HF, AF, LV dilatation (p<0.001)
and reduced LV ejection fraction (p=0.003). Significant tricuspid regurgitation (34.8%) associated with the presence of previously implanted cardiac devices (p<0.001). Valve intervention
(mostly transcatheter aortic valve implantation) was performed in 41% of patients. Mean length
of hospital stay was 12±14.3 days and overall in-hospital mortality was 9.8%.
Descrição
© 2018 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. This is an open access article under the CC-BY-NC-ND license.
Palavras-chave
Valvular heart disease Epidemiology Hospitalization Aortic stenosis Mitral regurgitation
Contexto Educativo
Citação
Rev Port Cardiol. 2018;37(12):991-998
Editora
Elsevier