Matches in SemOpenAlex for { <https://semopenalex.org/work/W2002118370> ?p ?o ?g. }
Showing items 1 to 90 of
90
with 100 items per page.
- W2002118370 endingPage "80" @default.
- W2002118370 startingPage "76" @default.
- W2002118370 abstract "The objectives of this study are to describe: (1) The incidence of change in pre-operative rhythm (cardioversion) with mitral valve repair early and at 1 year's review after surgery (late). (2) The characteristics of those patients who remain in atrial fibrillation (AF) or sinus rhythm (SR) at late follow up. (3) The characteristics of those patients whose rhythm is seen to change (cardiovert) from SR to AF, or AF to SR and to remain so at 1 year. In this way it is hoped to more clearly define those patients who would benefit from the combination of mitral valve repair and surgical cardioversion (Cox-maze procedure).Retrospective study was made of the case notes of all patients undergoing mitral repair at our hospital during the 3 years between January 1st, 1991 and December 31st, 1993. Early (hospital discharge) and late (1 year) post operative e.c.g. rhythm was compared to pre-operative e.c.g. rhythm. The study explored the association of cardioversion with pre-operative rhythm, patient age, aetiology of mitral valve lesion (mitral regurgitation or stenosis) and echo cardiographic estimations of left atrial size and left ventricular dimensions.Patients (89) underwent repair with a 30 day mortality of 2.2% (2 of 89). Of these, 55 were male with an average age of 65 +/- 12 years. Regurgitation was the valvular lesion in 93% and 18% were associated with coronary artery disease, 48 (55%) were in SR before surgery. Both deaths occurred in patients with AF as a pre-operative rhythm. Of the 39 survivors originally in AF, only one was of recent onset ( < 6 months). The frequency of an enlarged left atrium (> or = 5.0 cm) was significantly greater in those with AF compared to SR (P < 0.001). Atrial fibrillation was also associated with increasing age (P = 0.006) and increasing left ventricular end systolic diameter (LVESD; P = 0.018). Spontaneous cardioversion of pre-operative rhythm was common at the time of hospital discharge (AF to SR: 46% and SR to AF: 25%). At the 1 year review after mitral repair only 8 (21%) of those originally in AF were then in sinus rhythm. Eight (17%) of those originally in SR were in AF. A lower left ventricular end systolic diameter (LVESD) was associated with spontaneous cardioversion of AF to SR by one year (P = 0.005). Similarly, patients originally in SR with a lower LVESD continued in SR. Those with a higher value were seen to cardiovert to AF (P < 0.05).Immediately prior to surgery the presence of AF was associated with a tendency to larger left atrial size, older age and a greater LVESD. Cardioversion was common for both patients in AF (46%) and SR (25%) early following conservative mitral surgery. The prevalence of late cardioversion was of a similar order in both those originally in AF (21%) and SR (17%). The maintenance of, or cardioversion to SR seemed to be characterised only by the LVESD. This analysis captures many of the problems of retrospective review. A multi-centre, prospective study is proposed to achieve the aim of an accurate formula predicting long standing cardioversion with mitral valve surgery." @default.
- W2002118370 created "2016-06-24" @default.
- W2002118370 creator A5041144593 @default.
- W2002118370 creator A5043063962 @default.
- W2002118370 creator A5053806008 @default.
- W2002118370 creator A5071805622 @default.
- W2002118370 date "1997-01-01" @default.
- W2002118370 modified "2023-10-11" @default.
- W2002118370 title "Spontaneous cardioversion and mitral valve repair: A role for surgical cardioversion (Cox-maze)?1,2" @default.
- W2002118370 cites W110444242 @default.
- W2002118370 cites W179893571 @default.
- W2002118370 cites W1971318135 @default.
- W2002118370 cites W1975038832 @default.
- W2002118370 cites W2021065671 @default.
- W2002118370 cites W2023158095 @default.
- W2002118370 cites W2032227708 @default.
- W2002118370 cites W2033652094 @default.
- W2002118370 cites W2072220638 @default.
- W2002118370 cites W2099144648 @default.
- W2002118370 cites W2120962541 @default.
- W2002118370 cites W2149533973 @default.
- W2002118370 cites W2161283927 @default.
- W2002118370 cites W2161542651 @default.
- W2002118370 cites W2175936500 @default.
- W2002118370 cites W2324628668 @default.
- W2002118370 cites W833995986 @default.
- W2002118370 doi "https://doi.org/10.1016/s1010-7940(96)01012-3" @default.
- W2002118370 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/9030793" @default.
- W2002118370 hasPublicationYear "1997" @default.
- W2002118370 type Work @default.
- W2002118370 sameAs 2002118370 @default.
- W2002118370 citedByCount "21" @default.
- W2002118370 countsByYear W20021183702013 @default.
- W2002118370 countsByYear W20021183702014 @default.
- W2002118370 countsByYear W20021183702016 @default.
- W2002118370 countsByYear W20021183702017 @default.
- W2002118370 countsByYear W20021183702020 @default.
- W2002118370 countsByYear W20021183702021 @default.
- W2002118370 countsByYear W20021183702022 @default.
- W2002118370 countsByYear W20021183702023 @default.
- W2002118370 crossrefType "journal-article" @default.
- W2002118370 hasAuthorship W2002118370A5041144593 @default.
- W2002118370 hasAuthorship W2002118370A5043063962 @default.
- W2002118370 hasAuthorship W2002118370A5053806008 @default.
- W2002118370 hasAuthorship W2002118370A5071805622 @default.
- W2002118370 hasBestOaLocation W20021183701 @default.
- W2002118370 hasConcept C126322002 @default.
- W2002118370 hasConcept C141071460 @default.
- W2002118370 hasConcept C164705383 @default.
- W2002118370 hasConcept C2775914520 @default.
- W2002118370 hasConcept C2777289489 @default.
- W2002118370 hasConcept C2777543888 @default.
- W2002118370 hasConcept C2779161974 @default.
- W2002118370 hasConcept C2780007028 @default.
- W2002118370 hasConcept C2780679668 @default.
- W2002118370 hasConcept C2993373945 @default.
- W2002118370 hasConcept C71924100 @default.
- W2002118370 hasConceptScore W2002118370C126322002 @default.
- W2002118370 hasConceptScore W2002118370C141071460 @default.
- W2002118370 hasConceptScore W2002118370C164705383 @default.
- W2002118370 hasConceptScore W2002118370C2775914520 @default.
- W2002118370 hasConceptScore W2002118370C2777289489 @default.
- W2002118370 hasConceptScore W2002118370C2777543888 @default.
- W2002118370 hasConceptScore W2002118370C2779161974 @default.
- W2002118370 hasConceptScore W2002118370C2780007028 @default.
- W2002118370 hasConceptScore W2002118370C2780679668 @default.
- W2002118370 hasConceptScore W2002118370C2993373945 @default.
- W2002118370 hasConceptScore W2002118370C71924100 @default.
- W2002118370 hasIssue "1" @default.
- W2002118370 hasLocation W20021183701 @default.
- W2002118370 hasLocation W20021183702 @default.
- W2002118370 hasOpenAccess W2002118370 @default.
- W2002118370 hasPrimaryLocation W20021183701 @default.
- W2002118370 hasRelatedWork W1990763588 @default.
- W2002118370 hasRelatedWork W2037466583 @default.
- W2002118370 hasRelatedWork W2124066078 @default.
- W2002118370 hasRelatedWork W2409706576 @default.
- W2002118370 hasRelatedWork W2588088583 @default.
- W2002118370 hasRelatedWork W2883878040 @default.
- W2002118370 hasRelatedWork W2893276887 @default.
- W2002118370 hasRelatedWork W2939605300 @default.
- W2002118370 hasRelatedWork W762865 @default.
- W2002118370 hasRelatedWork W833995986 @default.
- W2002118370 hasVolume "11" @default.
- W2002118370 isParatext "false" @default.
- W2002118370 isRetracted "false" @default.
- W2002118370 magId "2002118370" @default.
- W2002118370 workType "article" @default.