0325: Prognosis of cardiac valve interventions among indigenous populations: a retrospective cohort study in New Caledonia - 12/02/16
, Muriel Tafflet ((2)), Corinne Braunstein ((3)), Baptiste Noël ((3)), Olivier Axler ((3)), Eloi Marijon ((3)), Mariana Mirabel ((3)), Xavier Jouven ((3))Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 2 |
| Iconographies | 0 |
| Vidéos | 0 |
| Autres | 0 |
Résumé |
Introduction |
Data on the management of valvular heart disease is scarce in the Pacific, a region where rheumatic heart disease remains endemic.
Methods |
Were included patients presenting to the single tertiary centre in New Caledonia and who underwent heart valve surgery for the first time (2005-2010). Clinical, echocardiographic, surgical data and outcomes were collected in 2013. We explored potential factors associated with major cardiovascular events as a composite endpoint.
Results |
Among the 180 patients included, 95 (52.8%) were male; mean age was 48.2 years (±19.3). 124 (78.9%) were Pacific islanders, 122 (70.9%) presented in heart failure (70.9%) and 125 (69.4%) had rheumatic heart disease. 84 patients (46.7%) received a mechanical prosthetic valve. Median follow-up was 4.7 years (IQR 3.5-6.7). Early postoperative mortality rate was of 2.8%. The incidence of annual mortality was 31.75‰ (95% CI 19.77-43.72) (including 25.78‰ cardiovascular death; 95 CI 15.01-36.55). The annual incidences of stroke and severe bleeding were 38.23‰ (95% CI 24.07-52.39) and 36.54‰ (95% CI 22.49-50.58), respectively. We did not identify factors associated with outcomes according to the aetiology (rheumatic heart disease versus other) or the procedure (mechanical prosthetic valve versus other).
Conclusion |
In the Pacific heart valve interventions are mainly performed in young patients with underlying rheumatic heart disease. Post-operative mortality is low but morbidity remains high
Le texte complet de cet article est disponible en PDF.Plan
Vol 8 - N° 1
P. 58-59 - janvier 2016 Retour au numéro
Article précédent
- 0032: Additional value of exercise-stress echocardiography in asymptomatic patients with aortic valve stenosis
- Coppelia Goublaire, Maria Melissopoulou, Virginia Nguyen, Eric Brochet, Claire Cimadevilla, Isabelle Codogno, Alec Vahanian, David Messika-Zeitoun
- 0516: Assessment of left ventricular filling pressure in severe aortic stenosis: a comparison of echocardiographic and catheterization data
- Safaa Raboukhi, Julien Magne, Cyrille Boulogne, Bénédicte Tanguy, Nicole Darodes, Najmeddine Echahidi, Patrice Virot, Victor Aboyans, Dania Mohty
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?