Does the noise of mechanical heart valve prostheses affect quality of life as measured by the SF-36® questionnaire?

Koertke, Heinrich; Hoffmann-Koch, Annette; Boethig, Dietmar; Minami, Kazutomo; Breymann, Thomas; El-Arousy, Mahmoud; Seifert, Dirk; Köerfer, Reiner

doi:10.1016/s1010-7940(03)00172-6

Cited by 25 publications

(45 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In cardiac surgery, an assessment of HRQOL by means of the SF-36 questionnaire has been used in patients undergoing myocardial revascularization [16], after surgery on heart valves [17,18] or the thoracic aorta [19], and after interventions for cardiac arrhythmias [20]. It also has proven effective in patients after valve replacement with a mechanical heart valve prosthesis which when closing produces a clicking sound [21]. …”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life after cardiac surgery – the effects of age, preoperative conditions and postoperative complications

Kurfirst

Mokráček

Krupauerová

et al. 2014

J Cardiothorac Surg

View full text Add to dashboard Cite

BackgroundFactors influencing the postoperative health-related quality of life (HRQOL) after cardiac surgery have not been well described yet, mainly in the older people. The study’s aim was to explore differences in clinical conditions and HRQOL of patients before and after cardiac surgery taking into account the influence of age and to describe factors influencing changes of HRQOL in the postoperative period.MethodsThis was a prospective consecutive observational study with two measurements using the SF-36 questionnaire before surgery and 1 year after surgery. It considered main clinical characteristics of participants prior to surgery as well as postoperative complications.ResultsAt baseline assessment the study considered 310 patients, predominantly male (69%). Mean age was 65 (SD 10.4) years and 101 patients (33%), who were older than 70, constituted the older group. This older group showed greater comorbidity, higher cardiac operative risk and lower HRQOL in the preoperative period as well as a higher prevalence of postoperative complications than the younger group. Thirty-day mortality was 1.4% in the younger group and 6.9% in the older group (p < 0.001). One year mortality was 3.3% in the younger group and 10.9% in the older group (p < 0.001). There was a significant improvement in all 8 health domains of the SF-36 questionnaire (p < 0.001) in the overall sample. There was no significant difference in change in a majority of HRQOL domains between the younger and the older group (p > 0.05). Logistic multivariate analysis identified a higher values of preoperative PCS (Physical component summary) scores (OR 1.03, CI 1.00 – 1.05, p = 0.0187) and MCS (Mental component summary) scores (OR 1.02, CI 0.997 – 1.00, p = 0.0846) as the only risk factors for potential non-improvement of HRQOL after cardiac surgery after correction for age, gender and type of surgery.ConclusionsOlder patients with higher operative risk have lower preoperative HRQOL but show a similar improvement in a majority of HRQOL domains after cardiac surgery as compared with younger patients. The multivariate analysis has shown the higher preoperative HRQOL status as a only significant factor of potential non-improvement of postoperative HRQOL.

show abstract

Section: Introductionmentioning

confidence: 99%

Health-related quality of life after cardiac surgery – the effects of age, preoperative conditions and postoperative complications

Kurfirst

Mokráček

Krupauerová

et al. 2014

J Cardiothorac Surg

View full text Add to dashboard Cite

show abstract

“…Retrospective analysis of the Veterans AffaiRs Study to Improve Anticoagulation Registry demonstrated that patients with mental health conditions had a lower time in therapeutic ratio after adjusting for other covariates [7] . Mechanical heart valves also have an audible click which has been shown to affect a patient's health-related quality of life raising the likelihood of nonadherence [8] .…”

Section: Discussionmentioning

confidence: 99%

The first INSPIRIS RESILIA Aortic ValveTM replacement (Edwards Lifesciences) in endocarditis

Singh¹,

Beattie²,

Reid³

et al. 2018

View full text Add to dashboard Cite

There is an increasing number of patients who have surgery during the active phase of infective endocarditis. Despite the decreasing in-hospital mortality and increasing early intervention rate, optimal timing for surgery remains a difficult decision. For patients with mental illnesses, the choice of valve is another factor to consider as non-adherence may lead to serious adverse events Antipsychotic medications may also alter the metabolism of vitamin K antagonists increasing the risk of stroke or major haemorrhage. We report a case of a 19-year-old man with a history of Ehlers-Danlos syndrome and aortic regurgitation, who required management of aortic valve bacterial endocarditis. This is the first report describing the use of the new RESILIA INSPIRIS valve which has increased durability and does not require anticoagulation.

show abstract

“…This is in accordance with the findings of a previous study (Koertke et al . ), which described that self‐reported quality of life was reversely correlated with the valve noise perception grade. Younger patients were more disturbed by the noise than older ones and women were more disturbed by the valve noise than men.…”

Section: Discussionmentioning

confidence: 99%

“…Since the early 1960s, heart valve surgery has evolved into a routine clinical application with a good patient outcome (Koertke et al 2003). AVR is the most common surgical valve procedure.…”

Section: Introductionmentioning

confidence: 99%

Adapting to living with a mechanical aortic heart valve: a phenomenographic study

Oterhals

Fridlund

Nordrehaug

et al. 2013

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

Does the noise of mechanical heart valve prostheses affect quality of life as measured by the SF-36® questionnaire?

Cited by 25 publications

References 11 publications

Health-related quality of life after cardiac surgery – the effects of age, preoperative conditions and postoperative complications

Health-related quality of life after cardiac surgery – the effects of age, preoperative conditions and postoperative complications

The first INSPIRIS RESILIA Aortic ValveTM replacement (Edwards Lifesciences) in endocarditis

Adapting to living with a mechanical aortic heart valve: a phenomenographic study

Contact Info

Product

Resources

About