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Resultados inmediatos y seguimiento a largo plazo de la valvuloplastia mitral percutánea;
Immediate Outcomes and Long-Term Follow-Up of Percutaneous Mitral Valvuloplasty

Creators:Sarmiento, Ricardo Aquiles; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires., Gagliardi, Juan; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires., Blanco, Rodrigo; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires., Gigena, Gerardo; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires., Lax, Jorge; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires., Szarfer, Jorge; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires., Garcia Escudero, Alejandro; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires., Blanco, Federico; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires., Neme, Roberto; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires., Riccitelli, Miguel Angel; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires.
2013-04-22

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Descripción

Objetivos: Evaluar la eficacia la evolución clínica y ecocardiográfica inmediata y a largo plazo de la valvuloplastia mitral percutánea (VMP). Métodos: se incluyeron 132 pacientes a los que se realizo VMP, con una mediana de seguimiento de 48 meses. Se consideró éxito primario cuando se obtuvo un área post-VMP ≥1,5 cm2. Se evaluó en el seguimiento: muerte, necesidad reemplazo valvular mitral (RMV) o de nueva VMP y reestenosis valvular. Resultados: La media de edad fue de 44,6 años; sexo femenino: 88,5% (115 pacientes). La mediana del AVM pre-VMP era 0,90 cm² (IIC25-75: 0,81-1,00), la PAPs era de 44 mmHg (IIC25-75: 35-52) y el puntaje ecocardiográfico de 7 (IIC25-75: 6-9). Se obtuvo éxito primario en 104 pacientes (78,8%). En el seguimiento a 4 años se encontraba asintomático el 86,5% de los pacientes (n=109). Se registraron 3 muertes intrahospitalarias (2,2%) y tres en el seguimiento (2,2%). Se realizó una nueva VMP en 10 pacientes y RVM en 4 pacientes. Las variables asociadas a reestenosi en el seguimiento fueron el puntaje ecocardiográfico &gt;8 (p= 0,04) y el AVM post VMP &lt;1,8 cm2 (p=0,02). Luego del análisis multivariado, el AVM post-VMP &lt;1,8 cm2 fue el único predictor de reestenosis (OR: 2,6; IC95%: 1,08-6,25). Conclusiones. La VMP es segura y eficaz, cuya eficacia se mantiene a largo plazo; los mejores resultados inmediatos se obtienen en pacientes con puntaje ecocardiográfico bajo y en ritmo sinusal, mientras que aquellos que obtuvieron una mayor AVM pos-VMP, son los que presentan menor reestenosis en el seguimiento.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 81, No 1 (2013); 31-38, Argentine Journal of Cardiology; Vol 81, No 1 (2013); 31-38

Citación

Sarmiento, Ricardo Aquiles; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires. et al., “Resultados inmediatos y seguimiento a largo plazo de la valvuloplastia mitral percutánea,” Archivo PPCT, consulta 4 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8037.

Dublin Core

Materia

Autor

Sarmiento, Ricardo Aquiles; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires.
Gagliardi, Juan; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires.
Blanco, Rodrigo; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires.
Gigena, Gerardo; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires.
Lax, Jorge; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires.
Szarfer, Jorge; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires.
Garcia Escudero, Alejandro; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires.
Blanco, Federico; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires.
Neme, Roberto; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires.
Riccitelli, Miguel Angel; División Cardiología. Hospital General de Agudos "Dr. Cosme Argerich", Buenos Aires.

Fuente

Revista Argentina de Cardiología; Vol 81, No 1 (2013); 31-38
Argentine Journal of Cardiology; Vol 81, No 1 (2013); 31-38

Editor

Sociedad Argentina de Cardiología

Fecha

2013-04-22

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Formato

Idioma

spa
eng

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion