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Weight gain potential-a neglected entity during valve replacement
- Source :
- Indian J Thorac Cardiovasc Surg
- Publication Year :
- 2019
-
Abstract
- INTRODUCTION: During valve replacement, appropriate valve size will be chosen based on many factors, neglecting the potential of the patient for gaining weight. We aimed at evaluating the weight gain potential and its effect on hemodynamics in post mitral valve replacement (MVR) patients. MATERIAL AND METHODS: In 118 post-MVR patients, demographic and echocardiographic data at the time of discharge and follow-up were obtained and analyzed. Primary aim of study is to analyze the hemodynamics of patients based on weight gain/loss. Secondary aim is to evaluate the same in patient-prosthesis mismatch (PPM) subgroup and to evaluate the study population for the potential to gain/loss weight. RESULTS: Among 118 patients, 87 patients (73.7%) gained weight. In 87 weight gained patients, left atrial (LA) size (p = 0.011) and pulmonary artery systolic (PA) pressure (p = 0.028) at follow-up were significantly elevated than the discharge values. Among 53 PPM patients (incidence, 44.9%), 34 patients gained weight and their PA pressure was found to be elevated at follow-up (p = 0.021) whereas weight lost group does not show any significant difference (p = 0.972). Frequency of weight gain was more among patients who weighed
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
medicine.medical_treatment
Hemodynamics
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Valve replacement
Internal medicine
medicine.artery
medicine
business.industry
Mitral valve replacement
Surgery
Cardiac surgery
Blood pressure
030228 respiratory system
Cardiothoracic surgery
Pulmonary artery
Cardiology
Original Article
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Weight gain
Subjects
Details
- ISSN :
- 09737723
- Volume :
- 36
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Indian journal of thoracic and cardiovascular surgery
- Accession number :
- edsair.doi.dedup.....4a3b7a1e08413a30acd0baeb79f6c32e