Publicação
Profiles of hospitalized patients with valvular heart disease : experience of a tertiary center
| dc.contributor.author | Esteves, Ana Fátima | |
| dc.contributor.author | Brito, Dulce | |
| dc.contributor.author | Rigueira, Joana | |
| dc.contributor.author | Ricardo, Inês | |
| dc.contributor.author | Pires, Raquel | |
| dc.contributor.author | Pedro, Mónica Mendes | |
| dc.contributor.author | Veiga, Fátima | |
| dc.contributor.author | Pinto, Fausto J. | |
| dc.date.accessioned | 2018-12-20T13:38:43Z | |
| dc.date.available | 2018-12-20T13:38:43Z | |
| dc.date.issued | 2018 | |
| dc.description | © 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. | pt_PT |
| dc.description.abstract | 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%. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Rev Port Cardiol. 2018;37(12):991-998 | pt_PT |
| dc.identifier.doi | 10.1016/j.repc.2018.02.012 | pt_PT |
| dc.identifier.issn | 0870-2551 | |
| dc.identifier.uri | http://hdl.handle.net/10451/36105 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Elsevier | pt_PT |
| dc.relation.publisherversion | https://www.sciencedirect.com/journal/revista-portuguesa-de-cardiologia | pt_PT |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | pt_PT |
| dc.subject | Valvular heart disease | pt_PT |
| dc.subject | Epidemiology | pt_PT |
| dc.subject | Hospitalization | pt_PT |
| dc.subject | Aortic stenosis | pt_PT |
| dc.subject | Mitral regurgitation | pt_PT |
| dc.title | Profiles of hospitalized patients with valvular heart disease : experience of a tertiary center | pt_PT |
| dc.title.alternative | Perfis de doentes hospitalizados com doença cardíaca valvular : experiência de um centro terciário | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 998 | pt_PT |
| oaire.citation.issue | 12 | pt_PT |
| oaire.citation.startPage | 991 | pt_PT |
| oaire.citation.title | Revista Portuguesa de Cardiología | pt_PT |
| oaire.citation.volume | 37 | pt_PT |
| person.familyName | Pinto | |
| person.givenName | Fausto J. | |
| person.identifier | 1308889 | |
| person.identifier.ciencia-id | C311-AEDD-6DBB | |
| person.identifier.orcid | 0000-0002-8034-4529 | |
| person.identifier.rid | G-9363-2015 | |
| person.identifier.scopus-author-id | 7102740158 | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
| relation.isAuthorOfPublication | 5f44176f-69f5-482c-83cd-ab94425a6ec3 | |
| relation.isAuthorOfPublication.latestForDiscovery | 5f44176f-69f5-482c-83cd-ab94425a6ec3 |