Uso de la valvuloplastia mitral percutánea con balón en un hospital provincial / Use of the mitral percutaneous balloon valvuloplasty in a provincial hospital
Medisan
; 22(2)feb. 2018. tab
Article
in Spanish
| CUMED
| ID: cum-70202
Responsible library:
CU418.1
RESUMEN
Se realizó un estudio observacional y descriptivo, que incluyó a 46 pacientes tratados con valvuloplastia mitral percutánea con balón, en el Hospital Provincial Saturnino Lora Torres de Santiago de Cuba, desde julio de 2008 hasta diciembre de 2015, a fin de evaluar el resultado inmediato del proceder empleado. Se analizaron variables clinicoepidemiológicas, ecocardiográficas y hemodinámicas. Predominaron los pacientes jóvenes de 15-44 años (63,0 por ciento), las mujeres con antecedentes de fiebre reumática (87,0 ciento), la clase III, según la clasificación funcional de la insuficiencia cardiaca (76,1 ciento) y el ritmo sinusal (84,8 ciento). Se logró un aumento del área valvular superior a 100,0 ciento y una reducción de la presión auricular de aproximadamente 50,0 ciento. El tratamiento fue satisfactorio en 93,5 ciento de los afectados. Hubo asociación significativa entre los pacientes con una escala de Wilkins de 8 o menos y el sexo femenino, con un resultado favorable de dicho proceder(AU)
ABSTRACT
An observational and descriptive study that included 46 patients treated with mitral percutaneous balloon valvuloplasty, was carried out in Saturnino Lora Torres Provincial Hospital in Santiago de Cuba, from July, 2008 to December, 2015, in order to evaluate the immediate result of the procedure that was used. Clinical epidemiological, echocardiographic and hemodynamic variables were analyzed. There was a prevalence of the young patients aged 15-44 (63.0 percent), women with history of rheumatic fever (87.0 percent), the class III, according to the functional classification of heart failure (76.1 percent) and the sinus rhythm (84.8 percent). A 100.0% increase from the upper valvular area and an approximately 50.0 percent reduction of the atrial pressure were achieved. The treatment was satisfactory in 93.5 percent of the affected patients. There was a significant association between the patients with an 8 or less Wilkins scale and the female sex, with a favorable result of the procedure(AU)
Full text:
Available
Collection:
National databases
/
Cuba
Database:
CUMED
Main subject:
Secondary Care
/
Echocardiography
/
Balloon Valvuloplasty
/
Hemodynamics
/
Mitral Valve Stenosis
Type of study:
Observational study
/
Risk factors
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Medisan
Year:
2018
Document type:
Article
Institution/Affiliation country:
Hospital Provincial Docente Clinicoquirúrgico Saturnino Lora Torres/Cuba