Sökning: WFRF:(Vanky Farkas) > The combined impact...
Fältnamn | Indikatorer | Metadata |
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000 | 02964naa a2200253 4500 | |
001 | oai:DiVA.org:liu-73431 | |
003 | SwePub | |
008 | 120103s2011 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-734312 URI |
040 | a (SwePub)liu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Hultkvist, Henriku Östergötlands Läns Landsting,Linköpings universitet,Thoraxkirurgi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland4 aut0 (Swepub:liu)henhu71 |
245 | 1 0 | a The combined impact of postoperative heart failure and euroScore on long-term outcome after surgery for aortic stenosis |
264 | 1 | c 2011 |
338 | a print2 rdacarrier | |
520 | a 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. | |
700 | 1 | a Vánky, Farkasu Östergötlands Läns Landsting,Linköpings universitet,Thoraxkirurgi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland4 aut0 (Swepub:liu)farva32 |
700 | 1 | a Svedjeholm, Rolfu Östergötlands Läns Landsting,Linköpings universitet,Thoraxkirurgi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland4 aut0 (Swepub:liu)rolsv84 |
710 | 2 | a Linköpings universitetb Thoraxkirurgi4 org |
773 | 0 | t Journal of Heart Valve Diseaseg 20:6, s. 633-638q 20:6<633-638x 0966-8519x 2053-2644 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-73431 |
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