The combined impact of postoperative heart failure and euroScore on long-term outcome after surgery for aortic stenosis

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Hultkvist, HenrikÖstergötlands Läns Landsting,Linköpings universitet,Thoraxkirurgi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland (författare)

The combined impact of postoperative heart failure and euroScore on long-term outcome after surgery for aortic stenosis

Artikel/kapitelEngelska2011

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2011
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LIBRIS-ID:oai:DiVA.org:liu-73431
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-73431URI

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Språk:engelska
Sammanfattning på:engelska

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BACKGROUND AND AIM OF THE STUDY:Although the EuroSCORE was developed for predicting operative mortality after cardiac surgery, it has also been shown to predict long-term mortality. It has been reported that postoperative heart failure (PHF) in association with surgery, albeit comparatively benign in the short term, has a profound impact on five-year survival after surgery for aortic stenosis (AS). The study aim was to determine the combined impact of EuroSCORE and PHF on long-term survival after isolated aortic valve replacement (AVR) for AS.METHODS:A total of 397 patients (48% females; average age 70 +/- 10 years) who underwent AVR for AS at the authors' institution between 1995 and 2000 was studied. The cohort was subdivided according to the additive EuroSCORE into a high-risk group (EuroSCORE >7) and a low-risk group (EuroSCORE < or = 7), and further analyzed in relation to PHF.RESULTS:The average follow up was 8.1 years (range: 5.2-11.2 years). Forty-five patients (11%) were treated for procedure-associated PHF. Patients with or without PHF and a high-risk EuroSCORE had crude five-year survivals of 57% and 64%, respectively (p = 0.6), whereas those with or without PHF but with a low-risk EuroSCORE had crude five-year survivals of 58% and 89%, respectively (p = 0.0003).CONCLUSION:Both PHF and a high EuroSCORE were associated with poor long-term survival. The role of PHF per se for the long-term prognosis was illustrated by the fact that the negative impact on long-term survival was almost as profound in patients of the low-risk group as of the high-risk group.

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Vánky, FarkasÖstergötlands Läns Landsting,Linköpings universitet,Thoraxkirurgi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland(Swepub:liu)farva32 (författare)
Svedjeholm, RolfÖstergötlands Läns Landsting,Linköpings universitet,Thoraxkirurgi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland(Swepub:liu)rolsv84 (författare)
Linköpings universitetThoraxkirurgi (creator_code:org_t)

Sammanhörande titlar

Ingår i:Journal of Heart Valve Disease20:6, s. 633-6380966-85192053-2644

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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-73431

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Journal of Heart Valve Disease (Sök värdpublikationen i LIBRIS)

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Av författaren/redakt...: Hultkvist, Henri ...; Vánky, Farkas; Svedjeholm, Rolf

Artiklar i publikationen: Journal of Heart ...

Av lärosätet: Linköpings universitet

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