April 26, 2011Circulation
Preoperative Factors Associated With Adverse Outcome After Tricuspid Valve Replacement
Why the study?
What preoperative factors are associated with adverse outcomes after tricuspid valve replacement in patients with severe tricuspid regurgitation?
Population
189 patients who underwent tricuspid valve replacement for severe tricuspid regurgitation
Design
Cohort
Follow-up
29.3±27.1 months
Authors
Discussion
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Member takes
Implication
NYHA class IV and comorbidities may guide risk stratification before tricuspid replacement; leaves open prospective validation of right ventricular indices.
Structured PICO
What preoperative factors are associated with adverse outcomes after tricuspid valve replacement in patients with severe tricuspid regurgitation?
P
Population
189 patients (37% men; age, 67.5±11.3 years) who underwent tricuspid valve replacement for severe tricuspid regurgitation
I
Intervention
Tricuspid valve replacement
O
Outcome
Operative mortality and late adverse outcomes (all-cause mortality, tricuspid reoperation, or heart failure admissions)hard clinical
Tricuspid valve replacement for severe tricuspid regurgitation has acceptable operative mortality if performed before the onset of advanced heart failure symptoms, with late mortality driven by high Charlson index, short right index of myocardial performance ratio, and NYHA class IV.
Cite This Study
Topilsky et al. (2011) studied this question.