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Quality of life assessment after successful percutaneous transmitral commissurotomy and ascertain its relationship with gender / Evaluación de la calidad de vida tras comisurotomía mitral percutánea exitosa y determinación de su relación con el sexo
Shah, Hammad; Salahuddin, Momin; Ullah Jan, Muneeb; Altaf, Afrasyab.
  • Shah, Hammad; Rehman Medical Institute. Cardiology Department. Peshawar. PK
  • Salahuddin, Momin; Rehman Medical Institute. Cardiology Department. Peshawar. PK
  • Ullah Jan, Muneeb; Khyber Teaching Hospital. Department of Medicine. Peshawar. PK
  • Altaf, Afrasyab; Rehman Medical Institute. Cardiology Department. Peshawar. PK
Rev. colomb. cardiol ; 27(2): 84-89, mar.-abr. 2020. tab, graf
Article in English | LILACS, COLNAL | ID: biblio-1138760
ABSTRACT
Abstract

Background:

percutaneous transmitral commissurotomy has become an ideal treatment option for mitral stenosis due to its less adverse events and more favorable outcomes. Patients improve symptomatically after percutaneous transmitral commissurotomy but we have minimal available data about the quality of life after percutaneous transmitral commissurotomy.

Objective:

to assess the quality of life after percutaneous transmitral commissurotomy through WHOQol scoring covering different aspects of life, to determine its correlation with a net gain in mitral valve area (MVA) and to ascertain its association with gender.

Methods:

it was a prospective cohort study carried out for a period of 15 months. A total of 100 patients with mitral stenosis who had successful percutaneous transmitral commissurotomy done were enrolled in the study. Among the total included, 4 patients were lost to follow up and data were collected from 96 patients. Quality of life was assessed before the procedure, at 1 month and 3 months follow up after percutaneous transmitral commissurotomy using WHOQol scoring questionnaire.

Results:

among 96 patients, 64 (67%) were females and 32 (33%) were males. WHOQol scoring improved significantly after percutaneous transmitral commissurotomy from 32.8±8.9 to 54.6±11.2 and 62.8± 9.7, after one month and 3 months respectively. There was a significant association between net gain of MVA and WHOQol scoring with an R value of 0.46 and p value of 0.03. There was no difference in group comparison of all the six domains between male and female patients.

Conclusion:

successful percutaneous transmitral commissurotomy improves the quality of life in mitral stenosis patients regardless of their gender and has a positive correlation with a net gain in mitral valve area.
RESUMEN
Resumen Antecedentes La comisurotomía mitral percutánea se ha convertido en una opción terapéutica ideal para la estenosis mitral, debido a efectos menos adversos y a resultados más favorables. Los pacientes mejoran sintomáticamente tras la realización de esta técnica, aunque se dispone de escasos datos acerca de la calidad de vida tras su puesta en práctica.

Objetivo:

Evaluar la calidad de vida tras la comisurotomía mitral percutánea mediante la puntuación WHOQol, que cubre diferentes aspectos de la vida, para determinar su correlación con la ganancia neta del área valvular mitral (AVM), y determinar su asociación con el sexo.

Métodos:

Estudio prospectivo de cohorte durante un periodo de 15 meses, en el que se incluyeron 100 pacientes con estenosis mitral a quienes se les practicó con éxito comisurotomía mitral percutánea. De entre el total incluido, se perdieron 4 pacientes durante el estudio, por lo que se recolectaron datos de los 96 pacientes restantes. La calidad de vida se evaluó antes del procedimiento, y transcurridos un mes y tres meses de seguimiento, utilizando el cuestionario de puntuación WHOQol.

Resultados:

De los 96 pacientes, 64 (67%) eran mujeres y 32 (33%) varones. La puntuación WHOQol mejoró considerablemente tras la realización de la comisurotomía mitral percutánea, con valores de 32,8±8,9 a 54,6±11,2 y 62,8± 9,7, transcurridos uno y 3 meses, respectivamente. Se produjo una asociación significativa entre la ganancia neta de AVM y la puntuación WHOQol, con un valor R de 0,46 y un valor p de 0,03. No se produjo diferencia alguna en cuanto a la comparación grupal de los seis dominios entre varones y mujeres.

Conclusión:

La comisurotomía mitral percutánea exitosa mejora la calidad de vida de los pacientes de estenosis mitral, independientemente del sexo, y tiene una correlación positiva con la ganancia neta del área valvular mitral.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Quality of Life / Mitral Valve Stenosis Type of study: Observational study / Risk factors Limits: Female / Humans / Male Language: English Journal: Rev. colomb. cardiol Journal subject: Cardiology Year: 2020 Type: Article Affiliation country: Pakistan Institution/Affiliation country: Khyber Teaching Hospital/PK / Rehman Medical Institute/PK

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Full text: Available Index: LILACS (Americas) Main subject: Quality of Life / Mitral Valve Stenosis Type of study: Observational study / Risk factors Limits: Female / Humans / Male Language: English Journal: Rev. colomb. cardiol Journal subject: Cardiology Year: 2020 Type: Article Affiliation country: Pakistan Institution/Affiliation country: Khyber Teaching Hospital/PK / Rehman Medical Institute/PK