Fatores de risco hospitalar para implante de bioprótese valvar de pericárdio bovino

Abstract

SummaryBackground: Identification of preoperative heart valve surgery risk factors aim to improve surgical outcomes with the possibility to offset conditions related to increased morbidity and mortality.

Aplicabilidade do escore de risco de Ambler para pacientes com substituição valvar por bioprótese de pericárdio bovino

“…Their 10 statistically significant characteristics connected increased mortality in the case of mitral valve surgery were: female, elderly, diabetes mellitus, CABG, prior stroke, high creatinine levels, IV NYHA functional class, emergency surgery and congestive heart failure. Some of these factors were also related to increased mortality in the series described herein, and have already been reported [22].…”

Fatores de risco para mortalidade hospitalar no implante de prótese valvar mecânica

“…Possibly, this population -which has younger patientsperforms implant of mechanical prostheses, and the inclusion of patients with severe cardiac or systemic involvement is reduced, resulting in hospital mortality supposedly lower than that observed in the population for the implantation of bioprosthesis [22 ].…”

Proposta de escore de risco pré-operatório para pacientes candidatos à cirurgia cardíaca valvar

“…In Brazil, at the analysis of more than 115,000 heart surgeries carried out between 2000 and 2003, the reported mortality was 8%. The main risk factors for death during valve replacement surgeries are: advanced age 4 , female sex [5][6][7] , chronic obstructive pulmonary disease (COPD) 8,9 , New York Heart Association functional class (NYHA-FC), ventricular dysfunction, surgical priority (urgency/emergency), pulmonary arterial hypertension (PAH) 10 , renal dysfunction 11 , valvular disease associated with ischemic cardiopathy 12 , reoperation [13][14][15][16] and infectious endocarditis [17][18][19][20] .…”