Profiles of hospitalized patients with valvular heart disease : experience of a tertiary center

Detalhes bibliográficos
Autor(a) principal: Esteves, Ana Fátima
Data de Publicação: 2018
Outros Autores: Brito, Dulce, Rigueira, Joana, Ricardo, Inês, Pires, Raquel, Pedro, Mónica Mendes, Veiga, Fátima, Pinto, Fausto J.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/36105
Resumo: © 2018 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. This is an open access article under the CC-BY-NC-ND license.
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spelling Profiles of hospitalized patients with valvular heart disease : experience of a tertiary centerPerfis de doentes hospitalizados com doença cardíaca valvular : experiência de um centro terciárioValvular heart diseaseEpidemiologyHospitalizationAortic stenosisMitral regurgitation© 2018 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. This is an open access article under the CC-BY-NC-ND license.Introduction: Valvular heart disease (VHD) is increasing worldwide, mostly because of aging. Percutaneous valve intervention is the preferred therapeutic option in high-risk patients. Objective: To characterize the profiles of patients with VHD admitted to the cardiology ward at a tertiary referral center. Methods: On the basis of ICD-9 codes for VHD, the discharge notes of 287 patients hospitalized over a 22-month period were reviewed and analyzed. One hundred characteristics were considered. Results: Median age was 74 (23-93) years, and 145 (51%) were male. The admissions were elective (for valve intervention) in 36%. Heart failure (HF) was the reason for urgent admissions in 29.3%. Multiple comorbidities were observed in 53% of patients. Etiology of VHD was degenerative in 68%, functional in 15.3% and rheumatic (predominantly in women and younger patients) in 8.7%. Aortic valve disease was present in 63% (aortic stenosis in 56%), and was associated with HF (p=0.004), atrial fibrillation (AF) (p=0.01), and left ventricular (LV) dilatation (p=0.003) or hypertrophy (p<0.001). Mitral valve disease (51%), mostly mitral regurgitation (degenerative or functional), predominated in women, and was associated with HF, AF, LV dilatation (p<0.001) and reduced LV ejection fraction (p=0.003). Significant tricuspid regurgitation (34.8%) associated with the presence of previously implanted cardiac devices (p<0.001). Valve intervention (mostly transcatheter aortic valve implantation) was performed in 41% of patients. Mean length of hospital stay was 12±14.3 days and overall in-hospital mortality was 9.8%.ElsevierRepositório da Universidade de LisboaEsteves, Ana FátimaBrito, DulceRigueira, JoanaRicardo, InêsPires, RaquelPedro, Mónica MendesVeiga, FátimaPinto, Fausto J.2018-12-20T13:38:43Z20182018-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/36105engRev Port Cardiol. 2018;37(12):991-9980870-255110.1016/j.repc.2018.02.012info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:32:29Zoai:repositorio.ul.pt:10451/36105Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:50:25.357943Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Profiles of hospitalized patients with valvular heart disease : experience of a tertiary center
Perfis de doentes hospitalizados com doença cardíaca valvular : experiência de um centro terciário
title Profiles of hospitalized patients with valvular heart disease : experience of a tertiary center
spellingShingle Profiles of hospitalized patients with valvular heart disease : experience of a tertiary center
Esteves, Ana Fátima
Valvular heart disease
Epidemiology
Hospitalization
Aortic stenosis
Mitral regurgitation
title_short Profiles of hospitalized patients with valvular heart disease : experience of a tertiary center
title_full Profiles of hospitalized patients with valvular heart disease : experience of a tertiary center
title_fullStr Profiles of hospitalized patients with valvular heart disease : experience of a tertiary center
title_full_unstemmed Profiles of hospitalized patients with valvular heart disease : experience of a tertiary center
title_sort Profiles of hospitalized patients with valvular heart disease : experience of a tertiary center
author Esteves, Ana Fátima
author_facet Esteves, Ana Fátima
Brito, Dulce
Rigueira, Joana
Ricardo, Inês
Pires, Raquel
Pedro, Mónica Mendes
Veiga, Fátima
Pinto, Fausto J.
author_role author
author2 Brito, Dulce
Rigueira, Joana
Ricardo, Inês
Pires, Raquel
Pedro, Mónica Mendes
Veiga, Fátima
Pinto, Fausto J.
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Esteves, Ana Fátima
Brito, Dulce
Rigueira, Joana
Ricardo, Inês
Pires, Raquel
Pedro, Mónica Mendes
Veiga, Fátima
Pinto, Fausto J.
dc.subject.por.fl_str_mv Valvular heart disease
Epidemiology
Hospitalization
Aortic stenosis
Mitral regurgitation
topic Valvular heart disease
Epidemiology
Hospitalization
Aortic stenosis
Mitral regurgitation
description © 2018 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. This is an open access article under the CC-BY-NC-ND license.
publishDate 2018
dc.date.none.fl_str_mv 2018-12-20T13:38:43Z
2018
2018-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/36105
url http://hdl.handle.net/10451/36105
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Rev Port Cardiol. 2018;37(12):991-998
0870-2551
10.1016/j.repc.2018.02.012
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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