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The Predictor Variabels of Early Succsessful on Balloon Mitral Vulvoloplasty (Variabel-variabel Prediktor Keberhasilan Dini Balonmitral Valvuloplasti)

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Balloon Mitral Valvuloplasty (BMV) has become established as a non surgical alternative for the treatment of mitral stenosis. Although most patients benefit immediately from this procedure, results in individual patients are variable. Therefore, the purpose of this study was to detect the prediator factors of succesessful outcome in 228 mitral stenosis patients who underwent BMV at Cardiac Center Harapan Kita Hospital Jakarta from 1 January 1993 to 31 December 1994. Data were analyzed retrospectively. There were 74.6 percent women and 25,4 percent men and their mean age was 36.8 years. There were 54.8 percent cases in sinus rhythm and 45.2 percent cases in atrial fibrillation. New York Heart Association (NYHA) functional class II, III and IV in 58.3 percent, 32.9 percent and 2.2 percent cases. Echocardiographic score 8 or less than 8 in 67.8 percent cases and greater than 8 in 32.2 percent cases. There were statistically significant in the hemodynamic results, in which it occurred immediately after BMV (p less than 0.001). Using the criteria for outcome, we noted that there were 52.6 percent cases with an 'optimal' and 46 percent with a 'suboptimal' outcome, Multiple logistic analysis selected 4 variables: EKG, valvular chickening, mean left atrial pressure before BMV and mitral regurgitation (MR) before BMV, as the predictor of BMV. Complication was minimal such as: MR grade more than 2 (Sellers) in 1.7 percent of 24.5 percent cases with MR after BMV. Pulmonary edema in 1.7 percent cases and tamponade in 1.3 percent cases. In conclusion: there were 4 variables that may identify patients who are likely to benefit most from BMV this study show that BMV is effective and safety as alternative treatment for certain mitral stenosis patients.

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Ketersediaan

Informasi Detail

Judul Seri

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No. Panggil

Jurnal Kardiologi Indonesia,21(4)1996:203-212

Penerbit

: ., 1996

Deskripsi Fisik

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Bahasa

ISBN/ISSN

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Klasifikasi

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Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

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Subjek

balloon dilatation

Info Detail Spesifik

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Pernyataan Tanggungjawab

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Versi lain/terkait

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