Evaluation of hemodynamic changes in patients with mitral valve replacement using dobutamine stress echocardiography
The aim of this study was to investigate the response of heart to stress according to the size of the prosthetic valve in patients who had undergone mitral valve replacement by using dobutamine stress echocardiography (DSE) and to evaluate the relationship between the size of the prosthetic valve an...
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| Veröffentlicht in: | Anadolu kardiyoloji dergisi : AKD 2007-12, Vol.7 (4), p.397-403 |
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| creator | Ulus, A Tulga Tütün, Ufuk Budak, Baran Erbaş, Sakine Arat, Nurcan Bozboğa, Seher Köse, Kenan Seren, Mustafa Parlar, Ali Ihsan Aksöyek, Ayşen Katircioğlu, Salih Fehmi |
| description | The aim of this study was to investigate the response of heart to stress according to the size of the prosthetic valve in patients who had undergone mitral valve replacement by using dobutamine stress echocardiography (DSE) and to evaluate the relationship between the size of the prosthetic valve and cardiac recovery-remodeling process.
Thirty-nine patients, who had undergone mitral valve replacement were compared in terms of left ventricular diameters, systolic functions and cardiac mass indexes in order to investigate the effect of the mechanical valve size on postoperative cardiac remodeling in this longitudinal study. They were divided into three groups according to their valve size: Group 1 (valve size29 mm, n=17). Statistical analysis was performed using Chi-square and one-way ANOVA tests to determine the statistical differences between the groups. The repeated measurements of two-way ANOVA test was used to analyze effects during long-term follow-up.
Only Group 1 patients achieved a significant decrease in terms of left ventricular mass index and end-diastolic diameter (138.3+/-29.7 g/m2 vs 86.6+/-15.6 g/m2 and 5.1+/-0.5 cm vs. 4.4+/-0.4 cm, p |
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| fullrecord | <record><control><sourceid>proquest_ulakb</sourceid><recordid>TN_cdi_ulakbim_primary_79478</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69048459</sourcerecordid><originalsourceid>FETCH-LOGICAL-p230t-9bd1022f7c0056079c1ac1c5d9e130102f4456b537143bbb0a2e86dff3eeab893</originalsourceid><addsrcrecordid>eNo9kE1PwzAMhisEYmPwDxDKiVultGmb9oim8SEhcYFz5aTuGmiSkqRD-_cENjjZ0vP6ke2TZJkxWqeUsvz0t8_TmudskVx4_05pyStenCeLrKZVyVi1TMJmB-MMQVlDbE8G1LbbG9BKEjmA2aInypApBtAET75UGIhWwcFI4uAOicNpBIk6YjJ7Zbaks2IO0WCQ-ODQe4JysBJcp-zWwTTsL5OzHkaPV8e6St7uN6_rx_T55eFpffecTjmjIW1El9E877mMm1eUNzIDmcmyazBeFlFfFGUlSsazggkhKORYV13fM0QQdcNWyfXBO4_wIZRuJ6c0uH3Lm4LXEd8e8OTs54w-tFp5ieMIBu3s26qhRV2UP56bY3AWGrt_zd8b2Tf3mnHA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69048459</pqid></control><display><type>article</type><title>Evaluation of hemodynamic changes in patients with mitral valve replacement using dobutamine stress echocardiography</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Ulus, A Tulga ; Tütün, Ufuk ; Budak, Baran ; Erbaş, Sakine ; Arat, Nurcan ; Bozboğa, Seher ; Köse, Kenan ; Seren, Mustafa ; Parlar, Ali Ihsan ; Aksöyek, Ayşen ; Katircioğlu, Salih Fehmi</creator><creatorcontrib>Ulus, A Tulga ; Tütün, Ufuk ; Budak, Baran ; Erbaş, Sakine ; Arat, Nurcan ; Bozboğa, Seher ; Köse, Kenan ; Seren, Mustafa ; Parlar, Ali Ihsan ; Aksöyek, Ayşen ; Katircioğlu, Salih Fehmi</creatorcontrib><description><![CDATA[The aim of this study was to investigate the response of heart to stress according to the size of the prosthetic valve in patients who had undergone mitral valve replacement by using dobutamine stress echocardiography (DSE) and to evaluate the relationship between the size of the prosthetic valve and cardiac recovery-remodeling process.
Thirty-nine patients, who had undergone mitral valve replacement were compared in terms of left ventricular diameters, systolic functions and cardiac mass indexes in order to investigate the effect of the mechanical valve size on postoperative cardiac remodeling in this longitudinal study. They were divided into three groups according to their valve size: Group 1 (valve size<29 mm, n=11), Group 2 (valve size=29 mm, n=11) and Group 3 (valve size>29 mm, n=17). Statistical analysis was performed using Chi-square and one-way ANOVA tests to determine the statistical differences between the groups. The repeated measurements of two-way ANOVA test was used to analyze effects during long-term follow-up.
Only Group 1 patients achieved a significant decrease in terms of left ventricular mass index and end-diastolic diameter (138.3+/-29.7 g/m2 vs 86.6+/-15.6 g/m2 and 5.1+/-0.5 cm vs. 4.4+/-0.4 cm, p<0.05). Group 3 patients' left ventricular ejection fraction become worse after the operation (64.0+/-5.6% vs. 55.9+/-6.5%, p<0.05). Maximum and mean pressure gradients across the mitral prosthesis as well as pulmonary artery pressure were significantly increased in all groups during DSE. Maximum gradients increased from 14.2+/-4.6 to 20.7+/-7.5 mmHg in Group 1 (p<0.05), 11.6+/-4.7 to 16.2+/-6.8 mmHg in Group 2 (p<0.05), and 10.6+/-3.1 to 20.8+/-12.7 mmHg in Group 3 (p<0.05). Isovolumic relaxation time decreased in all groups following the dobutamine infusion, as expected, but this decline was not significant in Group 3.
A worsening in left ventricular systolic function was observed in large- sized valve prosthesis group. Only the patients who had undergone MVR with small-sized valve prosthesis achieved a decrease in cardiac mass index and preservation of the systolic function. The echocardiographically determined differences and mass index that appeared after the operation may point out that, the effect of the operation on cardiac remodeling can be related with the ventricular size.]]></description><identifier>ISSN: 1302-8723</identifier><identifier>EISSN: 1308-0032</identifier><identifier>PMID: 18065336</identifier><language>eng</language><publisher>Turkey: Aves Yayıncılık</publisher><subject>Adult ; Cardiotonic Agents ; Cardiovascular diseases ; Diagnosis ; Dobutamin ; Dobutamine ; Echocardiography, Stress ; Echocardiography, Stress - methods ; Ekokardiyografi, stres ; Female ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation ; Humans ; Kalp kapağı protezi implantasyonu ; Kalp kapağı protezleri ; Kardiyotonik ajanlar ; Kardiyovasküler hastalıklar ; Longitudinal Studies ; Male ; Middle Aged ; Mitral kapak ; Mitral kapak yetmezliği ; Mitral Valve ; Mitral Valve Insufficiency ; Mitral Valve Insufficiency - surgery ; Strok volümü ; Stroke Volume ; Tanı ; Ventricular Function, Left ; Ventricular Remodeling ; Ventriküler fonksiyon, sol ; Ventriküler yeniden yapılandırma</subject><ispartof>Anadolu kardiyoloji dergisi : AKD, 2007-12, Vol.7 (4), p.397-403</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,778,782,883</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18065336$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ulus, A Tulga</creatorcontrib><creatorcontrib>Tütün, Ufuk</creatorcontrib><creatorcontrib>Budak, Baran</creatorcontrib><creatorcontrib>Erbaş, Sakine</creatorcontrib><creatorcontrib>Arat, Nurcan</creatorcontrib><creatorcontrib>Bozboğa, Seher</creatorcontrib><creatorcontrib>Köse, Kenan</creatorcontrib><creatorcontrib>Seren, Mustafa</creatorcontrib><creatorcontrib>Parlar, Ali Ihsan</creatorcontrib><creatorcontrib>Aksöyek, Ayşen</creatorcontrib><creatorcontrib>Katircioğlu, Salih Fehmi</creatorcontrib><title>Evaluation of hemodynamic changes in patients with mitral valve replacement using dobutamine stress echocardiography</title><title>Anadolu kardiyoloji dergisi : AKD</title><addtitle>Anadolu Kardiyol Derg</addtitle><description><![CDATA[The aim of this study was to investigate the response of heart to stress according to the size of the prosthetic valve in patients who had undergone mitral valve replacement by using dobutamine stress echocardiography (DSE) and to evaluate the relationship between the size of the prosthetic valve and cardiac recovery-remodeling process.
Thirty-nine patients, who had undergone mitral valve replacement were compared in terms of left ventricular diameters, systolic functions and cardiac mass indexes in order to investigate the effect of the mechanical valve size on postoperative cardiac remodeling in this longitudinal study. They were divided into three groups according to their valve size: Group 1 (valve size<29 mm, n=11), Group 2 (valve size=29 mm, n=11) and Group 3 (valve size>29 mm, n=17). Statistical analysis was performed using Chi-square and one-way ANOVA tests to determine the statistical differences between the groups. The repeated measurements of two-way ANOVA test was used to analyze effects during long-term follow-up.
Only Group 1 patients achieved a significant decrease in terms of left ventricular mass index and end-diastolic diameter (138.3+/-29.7 g/m2 vs 86.6+/-15.6 g/m2 and 5.1+/-0.5 cm vs. 4.4+/-0.4 cm, p<0.05). Group 3 patients' left ventricular ejection fraction become worse after the operation (64.0+/-5.6% vs. 55.9+/-6.5%, p<0.05). Maximum and mean pressure gradients across the mitral prosthesis as well as pulmonary artery pressure were significantly increased in all groups during DSE. Maximum gradients increased from 14.2+/-4.6 to 20.7+/-7.5 mmHg in Group 1 (p<0.05), 11.6+/-4.7 to 16.2+/-6.8 mmHg in Group 2 (p<0.05), and 10.6+/-3.1 to 20.8+/-12.7 mmHg in Group 3 (p<0.05). Isovolumic relaxation time decreased in all groups following the dobutamine infusion, as expected, but this decline was not significant in Group 3.
A worsening in left ventricular systolic function was observed in large- sized valve prosthesis group. Only the patients who had undergone MVR with small-sized valve prosthesis achieved a decrease in cardiac mass index and preservation of the systolic function. The echocardiographically determined differences and mass index that appeared after the operation may point out that, the effect of the operation on cardiac remodeling can be related with the ventricular size.]]></description><subject>Adult</subject><subject>Cardiotonic Agents</subject><subject>Cardiovascular diseases</subject><subject>Diagnosis</subject><subject>Dobutamin</subject><subject>Dobutamine</subject><subject>Echocardiography, Stress</subject><subject>Echocardiography, Stress - methods</subject><subject>Ekokardiyografi, stres</subject><subject>Female</subject><subject>Heart Valve Prosthesis</subject><subject>Heart Valve Prosthesis Implantation</subject><subject>Humans</subject><subject>Kalp kapağı protezi implantasyonu</subject><subject>Kalp kapağı protezleri</subject><subject>Kardiyotonik ajanlar</subject><subject>Kardiyovasküler hastalıklar</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mitral kapak</subject><subject>Mitral kapak yetmezliği</subject><subject>Mitral Valve</subject><subject>Mitral Valve Insufficiency</subject><subject>Mitral Valve Insufficiency - surgery</subject><subject>Strok volümü</subject><subject>Stroke Volume</subject><subject>Tanı</subject><subject>Ventricular Function, Left</subject><subject>Ventricular Remodeling</subject><subject>Ventriküler fonksiyon, sol</subject><subject>Ventriküler yeniden yapılandırma</subject><issn>1302-8723</issn><issn>1308-0032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1PwzAMhisEYmPwDxDKiVultGmb9oim8SEhcYFz5aTuGmiSkqRD-_cENjjZ0vP6ke2TZJkxWqeUsvz0t8_TmudskVx4_05pyStenCeLrKZVyVi1TMJmB-MMQVlDbE8G1LbbG9BKEjmA2aInypApBtAET75UGIhWwcFI4uAOicNpBIk6YjJ7Zbaks2IO0WCQ-ODQe4JysBJcp-zWwTTsL5OzHkaPV8e6St7uN6_rx_T55eFpffecTjmjIW1El9E877mMm1eUNzIDmcmyazBeFlFfFGUlSsazggkhKORYV13fM0QQdcNWyfXBO4_wIZRuJ6c0uH3Lm4LXEd8e8OTs54w-tFp5ieMIBu3s26qhRV2UP56bY3AWGrt_zd8b2Tf3mnHA</recordid><startdate>20071201</startdate><enddate>20071201</enddate><creator>Ulus, A Tulga</creator><creator>Tütün, Ufuk</creator><creator>Budak, Baran</creator><creator>Erbaş, Sakine</creator><creator>Arat, Nurcan</creator><creator>Bozboğa, Seher</creator><creator>Köse, Kenan</creator><creator>Seren, Mustafa</creator><creator>Parlar, Ali Ihsan</creator><creator>Aksöyek, Ayşen</creator><creator>Katircioğlu, Salih Fehmi</creator><general>Aves Yayıncılık</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>GIY</scope><scope>GIZ</scope><scope>GJA</scope><scope>GJB</scope></search><sort><creationdate>20071201</creationdate><title>Evaluation of hemodynamic changes in patients with mitral valve replacement using dobutamine stress echocardiography</title><author>Ulus, A Tulga ; Tütün, Ufuk ; Budak, Baran ; Erbaş, Sakine ; Arat, Nurcan ; Bozboğa, Seher ; Köse, Kenan ; Seren, Mustafa ; Parlar, Ali Ihsan ; Aksöyek, Ayşen ; Katircioğlu, Salih Fehmi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p230t-9bd1022f7c0056079c1ac1c5d9e130102f4456b537143bbb0a2e86dff3eeab893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Cardiotonic Agents</topic><topic>Cardiovascular diseases</topic><topic>Diagnosis</topic><topic>Dobutamin</topic><topic>Dobutamine</topic><topic>Echocardiography, Stress</topic><topic>Echocardiography, Stress - methods</topic><topic>Ekokardiyografi, stres</topic><topic>Female</topic><topic>Heart Valve Prosthesis</topic><topic>Heart Valve Prosthesis Implantation</topic><topic>Humans</topic><topic>Kalp kapağı protezi implantasyonu</topic><topic>Kalp kapağı protezleri</topic><topic>Kardiyotonik ajanlar</topic><topic>Kardiyovasküler hastalıklar</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mitral kapak</topic><topic>Mitral kapak yetmezliği</topic><topic>Mitral Valve</topic><topic>Mitral Valve Insufficiency</topic><topic>Mitral Valve Insufficiency - surgery</topic><topic>Strok volümü</topic><topic>Stroke Volume</topic><topic>Tanı</topic><topic>Ventricular Function, Left</topic><topic>Ventricular Remodeling</topic><topic>Ventriküler fonksiyon, sol</topic><topic>Ventriküler yeniden yapılandırma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ulus, A Tulga</creatorcontrib><creatorcontrib>Tütün, Ufuk</creatorcontrib><creatorcontrib>Budak, Baran</creatorcontrib><creatorcontrib>Erbaş, Sakine</creatorcontrib><creatorcontrib>Arat, Nurcan</creatorcontrib><creatorcontrib>Bozboğa, Seher</creatorcontrib><creatorcontrib>Köse, Kenan</creatorcontrib><creatorcontrib>Seren, Mustafa</creatorcontrib><creatorcontrib>Parlar, Ali Ihsan</creatorcontrib><creatorcontrib>Aksöyek, Ayşen</creatorcontrib><creatorcontrib>Katircioğlu, Salih Fehmi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>ULAKBIM - Mühendislik ve Temel Bilimler Veri Tabani</collection><collection>ULAKBIM - Yaşam Bilimleri Veri Tabani</collection><collection>ULAKBIM - Turk Sosyal Bilimler Veri Tabani</collection><collection>ULAKBIM - Türk Tıp Veri Tabani</collection><jtitle>Anadolu kardiyoloji dergisi : AKD</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ulus, A Tulga</au><au>Tütün, Ufuk</au><au>Budak, Baran</au><au>Erbaş, Sakine</au><au>Arat, Nurcan</au><au>Bozboğa, Seher</au><au>Köse, Kenan</au><au>Seren, Mustafa</au><au>Parlar, Ali Ihsan</au><au>Aksöyek, Ayşen</au><au>Katircioğlu, Salih Fehmi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of hemodynamic changes in patients with mitral valve replacement using dobutamine stress echocardiography</atitle><jtitle>Anadolu kardiyoloji dergisi : AKD</jtitle><addtitle>Anadolu Kardiyol Derg</addtitle><date>2007-12-01</date><risdate>2007</risdate><volume>7</volume><issue>4</issue><spage>397</spage><epage>403</epage><pages>397-403</pages><issn>1302-8723</issn><eissn>1308-0032</eissn><abstract><![CDATA[The aim of this study was to investigate the response of heart to stress according to the size of the prosthetic valve in patients who had undergone mitral valve replacement by using dobutamine stress echocardiography (DSE) and to evaluate the relationship between the size of the prosthetic valve and cardiac recovery-remodeling process.
Thirty-nine patients, who had undergone mitral valve replacement were compared in terms of left ventricular diameters, systolic functions and cardiac mass indexes in order to investigate the effect of the mechanical valve size on postoperative cardiac remodeling in this longitudinal study. They were divided into three groups according to their valve size: Group 1 (valve size<29 mm, n=11), Group 2 (valve size=29 mm, n=11) and Group 3 (valve size>29 mm, n=17). Statistical analysis was performed using Chi-square and one-way ANOVA tests to determine the statistical differences between the groups. The repeated measurements of two-way ANOVA test was used to analyze effects during long-term follow-up.
Only Group 1 patients achieved a significant decrease in terms of left ventricular mass index and end-diastolic diameter (138.3+/-29.7 g/m2 vs 86.6+/-15.6 g/m2 and 5.1+/-0.5 cm vs. 4.4+/-0.4 cm, p<0.05). Group 3 patients' left ventricular ejection fraction become worse after the operation (64.0+/-5.6% vs. 55.9+/-6.5%, p<0.05). Maximum and mean pressure gradients across the mitral prosthesis as well as pulmonary artery pressure were significantly increased in all groups during DSE. Maximum gradients increased from 14.2+/-4.6 to 20.7+/-7.5 mmHg in Group 1 (p<0.05), 11.6+/-4.7 to 16.2+/-6.8 mmHg in Group 2 (p<0.05), and 10.6+/-3.1 to 20.8+/-12.7 mmHg in Group 3 (p<0.05). Isovolumic relaxation time decreased in all groups following the dobutamine infusion, as expected, but this decline was not significant in Group 3.
A worsening in left ventricular systolic function was observed in large- sized valve prosthesis group. Only the patients who had undergone MVR with small-sized valve prosthesis achieved a decrease in cardiac mass index and preservation of the systolic function. The echocardiographically determined differences and mass index that appeared after the operation may point out that, the effect of the operation on cardiac remodeling can be related with the ventricular size.]]></abstract><cop>Turkey</cop><pub>Aves Yayıncılık</pub><pmid>18065336</pmid><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Cardiotonic Agents Cardiovascular diseases Diagnosis Dobutamin Dobutamine Echocardiography, Stress Echocardiography, Stress - methods Ekokardiyografi, stres Female Heart Valve Prosthesis Heart Valve Prosthesis Implantation Humans Kalp kapağı protezi implantasyonu Kalp kapağı protezleri Kardiyotonik ajanlar Kardiyovasküler hastalıklar Longitudinal Studies Male Middle Aged Mitral kapak Mitral kapak yetmezliği Mitral Valve Mitral Valve Insufficiency Mitral Valve Insufficiency - surgery Strok volümü Stroke Volume Tanı Ventricular Function, Left Ventricular Remodeling Ventriküler fonksiyon, sol Ventriküler yeniden yapılandırma |
| title | Evaluation of hemodynamic changes in patients with mitral valve replacement using dobutamine stress echocardiography |
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