Mitral Valve Replacement Versus Repair: Propensity-Adjusted Survival and Quality-of-Life Analysis

2007 ◽  
Vol 84 (2) ◽  
pp. 451-458 ◽  
Author(s):  
Janne J. Jokinen ◽  
Mikko J. Hippeläinen ◽  
Otto A. Pitkänen ◽  
Juha E.K. Hartikainen
2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Jiang-Shan Huang ◽  
Ning Xu ◽  
Kai-Peng Sun ◽  
Zhi-Nuan Hong ◽  
Liang-Wan Chen ◽  
...  

Abstract Background We want to compare the impact on health-related quality of life (HRQoL) between the Star GK and the SJM valve in the Chinese population. Methods We retrospectively enrolled a total of 172 patients who had undergone mechanical mitral valve replacement (MVR) (SJM valve in 87 patients and Star GK valve in 85 patients) at our institution from January 2013 to December 2015. We measured the sound pressure level, and used 2 self-administered questionnaires and the Chinese version of SF-36 to measure the HRQoL and valve-specific questions to evaluate patient anxiety. Results The Star GK group and the SJM group were similar in age, gender, body surface area, diameter of the implanted valve, underlying disease and current median NYHA class. Regarding the valve sound pressure perceived 1 year after operation, the SJM valve was slightly quieter than the Star GK valve, but the sound pressures of the two valves showed no significant differences. No significant differences in any of the eight subscales of the SF-36 were found between the two groups. Conclusions The present study suggests that the Star GK valve is similar to the SJM valve in its impact on HRQoL and audibility of mechanical sound in the Chinese population.


Author(s):  
Grisha Ratnani ◽  
Rashmi Walke ◽  
Moli Jai Jain ◽  
Vishnu Vardhan ◽  
Vaishnavi Yadav ◽  
...  

Rheumatic heart disease is one of the principal contributors that has a negative influence on a patient's quality of life and makes it challenging for them to perform their daily activities. The disorder predominantly impairs the function of heart valves, specifically the mitral valve, resulting in stenosis that can be managed by repair or replacement of the valve. The purpose of treatment is to improve the patient's quality of life. As an adjunct to that, cardiac rehabilitation and exercise therapy are used. This case study discusses a patient with mitral stenosis and mitral regurgitation, who underwent mitral valve replacement. She was given with physiotherapy for a week of phase I cardiac rehabilitation and was prescribed home exercise.


Author(s):  
Leksha Atul Patel ◽  
Vaishnavi Dilip Yadav ◽  
Moli Jai Jain ◽  
Om C. Wadhokar

Heart disease due to valvular anomaly has increased prevalence along with increasing age. Rheumatic heart disease is a condition in which the heart valves have been permanently damaged post rheumatic fever. The operative management including reparation or substitution with prosthetic valve is the main therapy. Still becoming question mark either rehabilitation program is beneficence for the patient undergoing valvular surgery. We report a patient with severe mitral valve regurgitation, moderate mitral stenosis, moderate tricuspid regurgitation, and severe pulmonary artery hypertension secondary to Rheumatic Heart Disease. He underwent Mitral valve replacement surgery and advised post-operative physiotherapy which comprises 2 weeks of phase I cardiac rehabilitation, a home exercise program after discharge, and follow-up after 2 weeks. During follow up patient has a high level of independence, improvement in quality of life, and early return to work.


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