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June 4, 2009Heart

Predicting outcome after valve replacement

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Why the study?

Does first time cardiac valve replacement improve 6-minute walk performance and health-related quality of life in patients requiring valve surgery?

Population

225 patients having first time cardiac valve replacement, mean age 67.1 years, at a tertiary cardiothoracic…

Design

Cohort

Follow-up

1 year

Authors

HRHelen RimingtonGreat Western HospitalJWJohn WeinmanKing's College LondonJCJohn B. ChambersCardiac Imaging

Discussion

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Implication

Valve replacement was associated with gains in 6MWT and QOL; hypothesis-generating for targeting preoperative beliefs, pending RCTs.

Structured PICO

Does first time cardiac valve replacement improve 6-minute walk performance and health-related quality of life in patients requiring valve surgery?

P
Population
225 patients having first time cardiac valve replacement, mean age 67.1 years, at a tertiary cardiothoracic centre in the UK.
I
Intervention
First time cardiac valve replacement
O
Outcome
Mortality, morbidity, NYHA, performance on a 6-minute walk and health-related QOL one year after surgerypatient reported

Patients experience significant improvements in exercise tolerance and QOL one year after valve replacement, and outcomes may be further optimized by addressing preoperative depression and negative illness beliefs.

Cite This Study

Rimington et al. (2009) studied this question.

synapsesocial.com/papers/6a72536cf44fa9f079dfd890https://doi.org/10.1136/hrt.2008.160010

Topics

Valvular heart diseaseEchocardiography
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Also Consider

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  1. 1ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease2006 · 8,514 citations
  2. 2Guidelines for the Management of Patients With Valvular Heart Disease1998 · 1,041 citations
  3. 3Doppler Tissue Imaging: A Noninvasive Technique for Evaluation of Left Ventricular Relaxation and Estimation of Filling Pressures1997 · 3,038 citations
  4. 4ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease2006 · 1,703 citations