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[4BF[Fށv(_wSNOpp>C9f hvp A%PһaoMxM҆ o[\J/-W 9`sR mf%!]jaZBuw疗2m)rbEuT{$dk뛓բYMŕ0K6=#rF?'7|\f}Sq5hq6>zyPBLR=!\'͍phB#PDA×vkxYoH&7l$l8$=eD^ad +Ja#!Yv]$s5?p-(×|7{tܙJ =i0LLgo.qZ/Ka-OeZ|`Z endstream endobj 16 0 obj <>stream 2019-11-04T20:39:27-03:00 2019-11-04T20:35:36-03:00 2019-11-04T20:39:27-03:00 Adobe InDesign CS5 (7.0.4) application/pdf uuid:c897693c-6f2b-4af6-81b7-5b9b09e5ea52 uuid:c9348604-6e6b-49af-ae3b-9386e45500ef Adobe PDF Library 9.9 endstream endobj 17 0 obj <>stream h22U0Pw/+Q0L)6 )Ic0i &Ad~HeA~@bzj@@ endstream endobj 18 0 obj <>stream h22S0Pw.JM,sI,Ip220444012065650V70Pׄ/pLOJUsI-LSp6U033O4nL@Q~Jir*̜7̤ĢJK=KM;;+( endstream endobj 19 0 obj <>/Filter/FlateDecode/ID[]/Info 26 0 R/Length 98/Root 28 0 R/Size 27/Type/XRef/W[1 3 1]>>stream hbb&Fg% R $Al=`z0D. !X(̹ R } DH`6_ha`N2 K endstream endobj startxref 116 %%EOF Factores de riesgo de evolución desfavorable en niños con Plástica Mitral - Archivo PPCT

Factores de riesgo de evolución desfavorable en niños con Plástica Mitral

Creators:Sepulveda Almanza, Sandra Elena; Hospital de Pediatría Prof Juan P. Garrahan
Cardiologa infantil, Medina, María J., Martín, Analía, Salgado, Gladys, Moreno, Guillermo, Cornelis, Javier, García Delucis, Pablo, Barretta, Jorge, Capelli, Horacio

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Descripción

Objetivo: Analizar los factores de riesgo de evolución desfavorable (ED) en niños con insuficiencia mitral (IM) sometidos a plástica mitral (PM). Métodos: Se analizaron pacientes con IM sometidos a PM entre el 2004 al 2014. Se definió ED como reoperación o IM significativa (moderada a severa (3+) o severa (4+)) durante el seguimiento. Las variables se expresaron como mediana. Se realizó análisis multivariado de regresión logística de los factores predictores de ED. Resultados. Sesenta y cinco pacientes con IM3+ y IM4+ se sometieron a PM. La etiología fue: displasia 44,6%, endocarditis infecciosa 13,8%, fiebre reumática 18,4%, anomalía coronaria 7,7%, otros 13,8%. La mediana del seguimiento  fue  26,5 meses. 44,6% presentaron disfunción ventricular y el 46,1% hipertensión pulmonar.  52 pacientes se encuentran en seguimiento. Quince presentaron ED: 9 fueron reoperados (7 reemplazos valvulares y 2 re-plástica). El análisis univariado demostró asociación significativa entre ED y: fiebre reumática (p0.005), anillo mitral preoperatorio ≥+5DS (p0.002), diámetro sistólico del ventrículo izquierdo (DSVI)  ≥+4DS (p0.022), hipertensión pulmonar (p0. 024) y la IM residual postoperatoria inmediata ≥ moderada (p0.021). El análisis multivariado demostró como variables independientes de ED: diámetro del anillo mitral (p0.012), fiebre reumática (p0.026) y la IM residual temprana (p0.042). No se produjo mortalidad. Conclusiones. La plástica mitral en niños con IM severa demostró resultados favorables a mediano plazo. La fiebre reumática, el diámetro del anillo mitral ≥+5DS y la IM residual ≥2 + fueron factores predictores de ED. Ni la edad, ni la disfunción ventricular mostraron diferencias estadísticamente significativas durante el seguimiento.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 87, No 5 (2019); 346-350, Argentine Journal of Cardiology; Vol 87, No 5 (2019); 346-350

Citación

Sepulveda Almanza, Sandra Elena; Hospital de Pediatría Prof Juan P. Garrahan Cardiologa infantil et al., “Factores de riesgo de evolución desfavorable en niños con Plástica Mitral,” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/9379.

Dublin Core

Autor

Sepulveda Almanza, Sandra Elena; Hospital de Pediatría Prof Juan P. Garrahan
Cardiologa infantil
Medina, María J.
Martín, Analía
Salgado, Gladys
Moreno, Guillermo
Cornelis, Javier
García Delucis, Pablo
Barretta, Jorge
Capelli, Horacio

Fuente

Revista Argentina de Cardiología; Vol 87, No 5 (2019); 346-350
Argentine Journal of Cardiology; Vol 87, No 5 (2019); 346-350

Editor

Sociedad Argentina de Cardiología

Fecha

2019-11-15

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.

Idioma

eng
spa

Tipo

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