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学科主题临床医学
Analysis of Mild Functional Tricuspid Regurgitation in Patients with Mitral Stenosis and Mitral Regurgitation
Zhu, Xiliang1; Huang, Zhigang2; Hsieh, Ming-Fa3; Li, Qian4; Xiao, Xijun1; Wu, Zhong1
关键词Functional Tricuspid Regurgitation Mitral Valve Replacement Tricuspid Valvuloplasty
刊名JOURNAL OF MEDICAL IMAGING AND HEALTH INFORMATICS
2015-08-01
DOI10.1166/jmihi.2015.1461
5期:4页:807-813
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Mathematical & Computational Biology ; Radiology, Nuclear Medicine & Medical Imaging
资助者National Natural Science Foundation of China ; National Natural Science Foundation of China
研究领域[WOS]Mathematical & Computational Biology ; Radiology, Nuclear Medicine & Medical Imaging
关键词[WOS]VALVE-REPLACEMENT ; PROGNOSTIC IMPLICATIONS ; PULMONARY-HYPERTENSION ; MAZE PROCEDURE ; SURGERY ; ANNULOPLASTY ; MANAGEMENT ; IMPACT ; DISEASE ; REPAIR
英文摘要

Background: Functional tricuspid regurgitation (FTR) is a common type of tricuspid regurgitation. It has always been debated that whether mild functional tricuspid regurgitation should be managed or not. In the present study, we aimed to compare the prognosis of mild functional tricuspid regurgitation between patients with mitral stenosis (MS) and mitral regurgitation (MR) and analyze possible affecting factors. Methods: Data of 67 patients were finally collected in this study, including 44 in group mitral stenosis and 23 in group mitral regurgitation within the period from January 2004 to January 2008 (5 years). We compared the differences of demographic and long-term postoperative echocardiographic data (>= 5 years) between two groups. A multivariate regression model was used to identify the independent risk factors which related with progression of functional tricuspid regurgitation. Results: Mild functional tricuspid regurgitation can progress to moderate or severe in both groups. Group mitral stenosis showed higher grade of functional tricuspid regurgitation than group mitral regurgitation (P = 0.04). Compared with group mitral regurgitation, patients of group mitral stenosis were older (55.1 +/- 8.9 years vs. 50.1 +/- 9.7 years, P = 0.02) and more likely to be female (81.8% vs. 56.5%, P = 0.03), and they also got higher prevalence of rheumatic heart disease (100% vs. 47.8%, P < 0.001) and atrial fibrillation (84.1% vs. 60.9%, P = 0.03). Female gender (P = 0.01) and atria fibrillation (P = 0.01) were identified as independent risk factors for the progression of functional tricuspid regurgitation. Conclusion: This study revealed that compare with MR patients, FTR in MS patients are more likely to progress. Thus, treatment of tricuspid valvuloplasty for mild functional tricuspid regurgitation should be individualized, and restoration of sinus rhythm may help to protect against the progression of functional tricuspid regurgitation after mitral valve replacement.

语种英语
所属项目编号81371638
资助者National Natural Science Foundation of China ; National Natural Science Foundation of China
WOS记录号WOS:000358625600023
引用统计
被引频次:1[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/64303
专题北京大学深圳医院_急诊科
作者单位1.Sichuan Univ, West China Hosp, Dept Cardiovasc Surg, Chengdu 610000, Peoples R China
2.Peking Univ, Shenzhen Hosp, Emergency Dept, Shenzhen 518036, Peoples R China
3.Chung Yuan Christian Univ, Dept Biomed Engn, Taoyuan 32023, Taiwan
4.Sichuan Univ, West China Med Sch, Chengdu 610000, Peoples R China
推荐引用方式
GB/T 7714
Zhu, Xiliang,Huang, Zhigang,Hsieh, Ming-Fa,et al. Analysis of Mild Functional Tricuspid Regurgitation in Patients with Mitral Stenosis and Mitral Regurgitation[J]. JOURNAL OF MEDICAL IMAGING AND HEALTH INFORMATICS,2015,5(4):807-813.
APA Zhu, Xiliang,Huang, Zhigang,Hsieh, Ming-Fa,Li, Qian,Xiao, Xijun,&Wu, Zhong.(2015).Analysis of Mild Functional Tricuspid Regurgitation in Patients with Mitral Stenosis and Mitral Regurgitation.JOURNAL OF MEDICAL IMAGING AND HEALTH INFORMATICS,5(4),807-813.
MLA Zhu, Xiliang,et al."Analysis of Mild Functional Tricuspid Regurgitation in Patients with Mitral Stenosis and Mitral Regurgitation".JOURNAL OF MEDICAL IMAGING AND HEALTH INFORMATICS 5.4(2015):807-813.
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