Pulmonic regurgitation prognosis: Difference between revisions
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==Prognosis== | ==Prognosis== | ||
The prognosis of [[pulmonic regurgitation]] depends on the severity of the condition and associated complications. | *The prognosis of [[pulmonic regurgitation]] depends on the etiology, severity of the condition, and associated complications.<ref name="pmid31985929">{{cite journal |vauthors=Pendela VS, Ayyad R |title= |journal= |volume= |issue= |pages= |date= |pmid=31985929 |doi= |url=}}</ref> | ||
*Mild to moderate [[PR]] is not associated with shortened survival.<ref name="pmid31985929">{{cite journal |vauthors=Pendela VS, Ayyad R |title= |journal= |volume= |issue= |pages= |date= |pmid=31985929 |doi= |url=}}</ref> | |||
*The [[prognosis]] of [[symptomatic]] patients of [[PR]] is good after pulmonary [[valve replacement]].<ref name="pmid22921969">{{cite journal| author=Lee C, Kim YM, Lee CH, Kwak JG, Park CS, Song JY et al.| title=Outcomes of pulmonary valve replacement in 170 patients with chronic pulmonary regurgitation after relief of right ventricular outflow tract obstruction: implications for optimal timing of pulmonary valve replacement. | journal=J Am Coll Cardiol | year= 2012 | volume= 60 | issue= 11 | pages= 1005-14 | pmid=22921969 | doi=10.1016/j.jacc.2012.03.077 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22921969 }} </ref> Surgical Pulmonic Valve Repair (PVR) improves [[right ventricle|right ventricular]] filling and increases [[left ventricle|left ventricular]] [[stroke volume]].<ref name="FrigiolaGiardini2012">{{cite journal|last1=Frigiola|first1=A.|last2=Giardini|first2=A.|last3=Taylor|first3=A.|last4=Tsang|first4=V.|last5=Derrick|first5=G.|last6=Khambadkone|first6=S.|last7=Walker|first7=F.|last8=Cullen|first8=S.|last9=Bonhoeffer|first9=P.|last10=Marek|first10=J.|title=Echocardiographic assessment of diastolic biventricular properties in patients operated for severe pulmonary regurgitation and association with exercise capacity|journal=European Heart Journal - Cardiovascular Imaging|volume=13|issue=8|year=2012|pages=697–702|issn=2047-2404|doi=10.1093/ehjci/jes002}}</ref> Ten year overall and event-free survival after PVR is 98% and 70%, respectively.<ref name="LeeKim2012">{{cite journal|last1=Lee|first1=Cheul|last2=Kim|first2=Yang Min|last3=Lee|first3=Chang-Ha|last4=Kwak|first4=Jae Gun|last5=Park|first5=Chun Soo|last6=Song|first6=Jin Young|last7=Shim|first7=Woo-Sup|last8=Choi|first8=Eun Young|last9=Lee|first9=Sang Yun|last10=Baek|first10=Jae Suk|title=Outcomes of Pulmonary Valve Replacement in 170 Patients With Chronic Pulmonary Regurgitation After Relief of Right Ventricular Outflow Tract Obstruction|journal=Journal of the American College of Cardiology|volume=60|issue=11|year=2012|pages=1005–1014|issn=07351097|doi=10.1016/j.jacc.2012.03.077}}</ref> | |||
* Among patients with [[pulmonary hypertension]] (PAH), the severity and duration of [[pulmonary hypertension|PAH]] determines the ultimate [[prognosis]]. | |||
*The [[prognosis]] of [[PR]] due to [[Absent pulmonary valve|congenital absence of pulmonic valve]] is poor and may limit [[patient]]'s life expectancy in the absence of [[valve replacement]]. [[Absent pulmonary valve]] (APVS) is associated with severe [[regurgitation]] and complications secondary to [[respiratory distress]].<ref name="pmid24843213">{{cite journal |vauthors=Grewal DS, Chamoli SC, Saxena S |title=Absent pulmonary valve syndrome - Antenatal diagnosis |journal=Med J Armed Forces India |volume=70 |issue=2 |pages=198–200 |date=April 2014 |pmid=24843213 |pmc=4017172 |doi=10.1016/j.mjafi.2013.07.002 |url=}}</ref> | |||
==References== | ==References== | ||
Latest revision as of 20:23, 2 August 2020
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Prognosis
- The prognosis of pulmonic regurgitation depends on the etiology, severity of the condition, and associated complications.[1]
- Mild to moderate PR is not associated with shortened survival.[1]
- The prognosis of symptomatic patients of PR is good after pulmonary valve replacement.[2] Surgical Pulmonic Valve Repair (PVR) improves right ventricular filling and increases left ventricular stroke volume.[3] Ten year overall and event-free survival after PVR is 98% and 70%, respectively.[4]
- Among patients with pulmonary hypertension (PAH), the severity and duration of PAH determines the ultimate prognosis.
- The prognosis of PR due to congenital absence of pulmonic valve is poor and may limit patient's life expectancy in the absence of valve replacement. Absent pulmonary valve (APVS) is associated with severe regurgitation and complications secondary to respiratory distress.[5]
References
- ↑ 1.0 1.1 Pendela VS, Ayyad R. PMID 31985929. Missing or empty
|title=(help) - ↑ Lee C, Kim YM, Lee CH, Kwak JG, Park CS, Song JY; et al. (2012). "Outcomes of pulmonary valve replacement in 170 patients with chronic pulmonary regurgitation after relief of right ventricular outflow tract obstruction: implications for optimal timing of pulmonary valve replacement". J Am Coll Cardiol. 60 (11): 1005–14. doi:10.1016/j.jacc.2012.03.077. PMID 22921969.
- ↑ Frigiola, A.; Giardini, A.; Taylor, A.; Tsang, V.; Derrick, G.; Khambadkone, S.; Walker, F.; Cullen, S.; Bonhoeffer, P.; Marek, J. (2012). "Echocardiographic assessment of diastolic biventricular properties in patients operated for severe pulmonary regurgitation and association with exercise capacity". European Heart Journal - Cardiovascular Imaging. 13 (8): 697–702. doi:10.1093/ehjci/jes002. ISSN 2047-2404.
- ↑ Lee, Cheul; Kim, Yang Min; Lee, Chang-Ha; Kwak, Jae Gun; Park, Chun Soo; Song, Jin Young; Shim, Woo-Sup; Choi, Eun Young; Lee, Sang Yun; Baek, Jae Suk (2012). "Outcomes of Pulmonary Valve Replacement in 170 Patients With Chronic Pulmonary Regurgitation After Relief of Right Ventricular Outflow Tract Obstruction". Journal of the American College of Cardiology. 60 (11): 1005–1014. doi:10.1016/j.jacc.2012.03.077. ISSN 0735-1097.
- ↑ Grewal DS, Chamoli SC, Saxena S (April 2014). "Absent pulmonary valve syndrome - Antenatal diagnosis". Med J Armed Forces India. 70 (2): 198–200. doi:10.1016/j.mjafi.2013.07.002. PMC 4017172. PMID 24843213.