Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease
Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplas...
Ausführliche Beschreibung
Autor*in: |
Renata Cristina Castro Cruz [verfasserIn] Bruna Silva Cordeiro [verfasserIn] Felipe de Souza Santos [verfasserIn] Caroline Rodrigues Fernandes [verfasserIn] Julia Maria Alves Gama [verfasserIn] Ana Marice Teixeira Ladeia [verfasserIn] |
---|
Format: |
E-Artikel |
---|---|
Sprache: |
Englisch ; Portugiesisch |
Schlagwörter: |
Insuficiência da Valva Mitral/cirurgia |
---|
Übergeordnetes Werk: |
In: Arquivos Brasileiros de Cardiologia - Sociedade Brasileira de Cardiologia (SBC), 2004 |
---|
Links: |
---|
DOI / URN: |
10.5935/abc.20190184 |
---|
Katalog-ID: |
DOAJ072318457 |
---|
LEADER | 01000caa a22002652 4500 | ||
---|---|---|---|
001 | DOAJ072318457 | ||
003 | DE-627 | ||
005 | 20230309105814.0 | ||
007 | cr uuu---uuuuu | ||
008 | 230228nuuuuuuuuxx |||||o 00| ||eng c | ||
024 | 7 | |a 10.5935/abc.20190184 |2 doi | |
035 | |a (DE-627)DOAJ072318457 | ||
035 | |a (DE-599)DOAJ081c38894c4b4436bd0b0b297948d074 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng |a por | ||
050 | 0 | |a RC666-701 | |
100 | 0 | |a Renata Cristina Castro Cruz |e verfasserin |4 aut | |
245 | 1 | 0 | |a Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a Computermedien |b c |2 rdamedia | ||
338 | |a Online-Ressource |b cr |2 rdacarrier | ||
520 | |a Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to rheumatic heart disease. Methods: Retrospective study of 54 patients under the age of 16 operated at a tertiary paediatric hospital between March 2011 and January 2017. The predictors of risk for unfavourable outcomes were: age, ejection fraction, degree of mitral insufficiency, degree of pulmonary hypertension, presence of tricuspid insufficiency, left chamber dilation, preoperative functional classification, duration of cardiopulmonary bypass, duration of anoxia, presence of atrial fibrillation, and duration of vasoactive drug use. The outcomes evaluated were: death, congestive heart failure, reoperation, residual mitral regurgitation, residual mitral stenosis, stroke, bleeding and valve replacement. For all analyzes a value of p < 0.05 was established as significant. Results: Of the patients evaluated, 29 (53.7%) were female, with an average of 10.5 ± 3.2 years. The functional classification of 13 patients (25%) was 4. There was no death in the sample studied. The average duration of extracorporeal circulation was 62.7±17.8 min, and anoxia 50 ± 15.7 min. The duration of use of vasoactive drug in the immediate postoperative period has an average of 1 day (interquartile interval 1-2 days). The logistic regression model was used to evaluate the predictive variables for each unfavourable outcome. The duration of use of vasoactive drug was the only independent predictor for the outcomes studied (p = 0.007). Residual mitral insufficiency was associated with reoperation (p = 0.044), whereas tricuspid insufficiency (p = 0.012) and pulmonary hypertension (p = 0.012) were associated with the presence of unfavourable outcomes. Conclusion: The duration of vasoactive drug use is an independent predictor for unfavourable outcomes in the immediate and late postoperative period, while residual mitral regurgitation was associated with reoperation, and both tricuspid regurgitation and pulmonary hypertension were associated with unfavourable outcomes. | ||
650 | 4 | |a Cardiopatias Congênitas | |
650 | 4 | |a Insuficiência da Valva Mitral/cirurgia | |
650 | 4 | |a Hipertensão Pulmonar | |
650 | 4 | |a Reoperação | |
650 | 4 | |a Insuficiência da Valva Tricúspide/cirurgia | |
650 | 4 | |a Cardiopatia Reumática | |
653 | 0 | |a Diseases of the circulatory (Cardiovascular) system | |
700 | 0 | |a Bruna Silva Cordeiro |e verfasserin |4 aut | |
700 | 0 | |a Felipe de Souza Santos |e verfasserin |4 aut | |
700 | 0 | |a Caroline Rodrigues Fernandes |e verfasserin |4 aut | |
700 | 0 | |a Julia Maria Alves Gama |e verfasserin |4 aut | |
700 | 0 | |a Ana Marice Teixeira Ladeia |e verfasserin |4 aut | |
773 | 0 | 8 | |i In |t Arquivos Brasileiros de Cardiologia |d Sociedade Brasileira de Cardiologia (SBC), 2004 |w (DE-627)320623572 |w (DE-600)2023015-1 |x 16784170 |7 nnns |
856 | 4 | 0 | |u https://doi.org/10.5935/abc.20190184 |z kostenfrei |
856 | 4 | 0 | |u https://doaj.org/article/081c38894c4b4436bd0b0b297948d074 |z kostenfrei |
856 | 4 | 0 | |u http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019005017102&lng=en&tlng=en |z kostenfrei |
856 | 4 | 2 | |u https://doaj.org/toc/1678-4170 |y Journal toc |z kostenfrei |
912 | |a GBV_USEFLAG_A | ||
912 | |a SYSFLAG_A | ||
912 | |a GBV_DOAJ | ||
951 | |a AR |
author_variant |
r c c c rccc b s c bsc f d s s fdss c r f crf j m a g jmag a m t l amtl |
---|---|
matchkey_str |
article:16784170:uuuuuuuu::rdcosfnaorbeucmsnhlrnnaoecnsumtetsriamtavluolsyeo |
callnumber-subject-code |
RC |
allfields |
10.5935/abc.20190184 doi (DE-627)DOAJ072318457 (DE-599)DOAJ081c38894c4b4436bd0b0b297948d074 DE-627 ger DE-627 rakwb eng por RC666-701 Renata Cristina Castro Cruz verfasserin aut Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to rheumatic heart disease. Methods: Retrospective study of 54 patients under the age of 16 operated at a tertiary paediatric hospital between March 2011 and January 2017. The predictors of risk for unfavourable outcomes were: age, ejection fraction, degree of mitral insufficiency, degree of pulmonary hypertension, presence of tricuspid insufficiency, left chamber dilation, preoperative functional classification, duration of cardiopulmonary bypass, duration of anoxia, presence of atrial fibrillation, and duration of vasoactive drug use. The outcomes evaluated were: death, congestive heart failure, reoperation, residual mitral regurgitation, residual mitral stenosis, stroke, bleeding and valve replacement. For all analyzes a value of p < 0.05 was established as significant. Results: Of the patients evaluated, 29 (53.7%) were female, with an average of 10.5 ± 3.2 years. The functional classification of 13 patients (25%) was 4. There was no death in the sample studied. The average duration of extracorporeal circulation was 62.7±17.8 min, and anoxia 50 ± 15.7 min. The duration of use of vasoactive drug in the immediate postoperative period has an average of 1 day (interquartile interval 1-2 days). The logistic regression model was used to evaluate the predictive variables for each unfavourable outcome. The duration of use of vasoactive drug was the only independent predictor for the outcomes studied (p = 0.007). Residual mitral insufficiency was associated with reoperation (p = 0.044), whereas tricuspid insufficiency (p = 0.012) and pulmonary hypertension (p = 0.012) were associated with the presence of unfavourable outcomes. Conclusion: The duration of vasoactive drug use is an independent predictor for unfavourable outcomes in the immediate and late postoperative period, while residual mitral regurgitation was associated with reoperation, and both tricuspid regurgitation and pulmonary hypertension were associated with unfavourable outcomes. Cardiopatias Congênitas Insuficiência da Valva Mitral/cirurgia Hipertensão Pulmonar Reoperação Insuficiência da Valva Tricúspide/cirurgia Cardiopatia Reumática Diseases of the circulatory (Cardiovascular) system Bruna Silva Cordeiro verfasserin aut Felipe de Souza Santos verfasserin aut Caroline Rodrigues Fernandes verfasserin aut Julia Maria Alves Gama verfasserin aut Ana Marice Teixeira Ladeia verfasserin aut In Arquivos Brasileiros de Cardiologia Sociedade Brasileira de Cardiologia (SBC), 2004 (DE-627)320623572 (DE-600)2023015-1 16784170 nnns https://doi.org/10.5935/abc.20190184 kostenfrei https://doaj.org/article/081c38894c4b4436bd0b0b297948d074 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019005017102&lng=en&tlng=en kostenfrei https://doaj.org/toc/1678-4170 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR |
spelling |
10.5935/abc.20190184 doi (DE-627)DOAJ072318457 (DE-599)DOAJ081c38894c4b4436bd0b0b297948d074 DE-627 ger DE-627 rakwb eng por RC666-701 Renata Cristina Castro Cruz verfasserin aut Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to rheumatic heart disease. Methods: Retrospective study of 54 patients under the age of 16 operated at a tertiary paediatric hospital between March 2011 and January 2017. The predictors of risk for unfavourable outcomes were: age, ejection fraction, degree of mitral insufficiency, degree of pulmonary hypertension, presence of tricuspid insufficiency, left chamber dilation, preoperative functional classification, duration of cardiopulmonary bypass, duration of anoxia, presence of atrial fibrillation, and duration of vasoactive drug use. The outcomes evaluated were: death, congestive heart failure, reoperation, residual mitral regurgitation, residual mitral stenosis, stroke, bleeding and valve replacement. For all analyzes a value of p < 0.05 was established as significant. Results: Of the patients evaluated, 29 (53.7%) were female, with an average of 10.5 ± 3.2 years. The functional classification of 13 patients (25%) was 4. There was no death in the sample studied. The average duration of extracorporeal circulation was 62.7±17.8 min, and anoxia 50 ± 15.7 min. The duration of use of vasoactive drug in the immediate postoperative period has an average of 1 day (interquartile interval 1-2 days). The logistic regression model was used to evaluate the predictive variables for each unfavourable outcome. The duration of use of vasoactive drug was the only independent predictor for the outcomes studied (p = 0.007). Residual mitral insufficiency was associated with reoperation (p = 0.044), whereas tricuspid insufficiency (p = 0.012) and pulmonary hypertension (p = 0.012) were associated with the presence of unfavourable outcomes. Conclusion: The duration of vasoactive drug use is an independent predictor for unfavourable outcomes in the immediate and late postoperative period, while residual mitral regurgitation was associated with reoperation, and both tricuspid regurgitation and pulmonary hypertension were associated with unfavourable outcomes. Cardiopatias Congênitas Insuficiência da Valva Mitral/cirurgia Hipertensão Pulmonar Reoperação Insuficiência da Valva Tricúspide/cirurgia Cardiopatia Reumática Diseases of the circulatory (Cardiovascular) system Bruna Silva Cordeiro verfasserin aut Felipe de Souza Santos verfasserin aut Caroline Rodrigues Fernandes verfasserin aut Julia Maria Alves Gama verfasserin aut Ana Marice Teixeira Ladeia verfasserin aut In Arquivos Brasileiros de Cardiologia Sociedade Brasileira de Cardiologia (SBC), 2004 (DE-627)320623572 (DE-600)2023015-1 16784170 nnns https://doi.org/10.5935/abc.20190184 kostenfrei https://doaj.org/article/081c38894c4b4436bd0b0b297948d074 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019005017102&lng=en&tlng=en kostenfrei https://doaj.org/toc/1678-4170 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR |
allfields_unstemmed |
10.5935/abc.20190184 doi (DE-627)DOAJ072318457 (DE-599)DOAJ081c38894c4b4436bd0b0b297948d074 DE-627 ger DE-627 rakwb eng por RC666-701 Renata Cristina Castro Cruz verfasserin aut Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to rheumatic heart disease. Methods: Retrospective study of 54 patients under the age of 16 operated at a tertiary paediatric hospital between March 2011 and January 2017. The predictors of risk for unfavourable outcomes were: age, ejection fraction, degree of mitral insufficiency, degree of pulmonary hypertension, presence of tricuspid insufficiency, left chamber dilation, preoperative functional classification, duration of cardiopulmonary bypass, duration of anoxia, presence of atrial fibrillation, and duration of vasoactive drug use. The outcomes evaluated were: death, congestive heart failure, reoperation, residual mitral regurgitation, residual mitral stenosis, stroke, bleeding and valve replacement. For all analyzes a value of p < 0.05 was established as significant. Results: Of the patients evaluated, 29 (53.7%) were female, with an average of 10.5 ± 3.2 years. The functional classification of 13 patients (25%) was 4. There was no death in the sample studied. The average duration of extracorporeal circulation was 62.7±17.8 min, and anoxia 50 ± 15.7 min. The duration of use of vasoactive drug in the immediate postoperative period has an average of 1 day (interquartile interval 1-2 days). The logistic regression model was used to evaluate the predictive variables for each unfavourable outcome. The duration of use of vasoactive drug was the only independent predictor for the outcomes studied (p = 0.007). Residual mitral insufficiency was associated with reoperation (p = 0.044), whereas tricuspid insufficiency (p = 0.012) and pulmonary hypertension (p = 0.012) were associated with the presence of unfavourable outcomes. Conclusion: The duration of vasoactive drug use is an independent predictor for unfavourable outcomes in the immediate and late postoperative period, while residual mitral regurgitation was associated with reoperation, and both tricuspid regurgitation and pulmonary hypertension were associated with unfavourable outcomes. Cardiopatias Congênitas Insuficiência da Valva Mitral/cirurgia Hipertensão Pulmonar Reoperação Insuficiência da Valva Tricúspide/cirurgia Cardiopatia Reumática Diseases of the circulatory (Cardiovascular) system Bruna Silva Cordeiro verfasserin aut Felipe de Souza Santos verfasserin aut Caroline Rodrigues Fernandes verfasserin aut Julia Maria Alves Gama verfasserin aut Ana Marice Teixeira Ladeia verfasserin aut In Arquivos Brasileiros de Cardiologia Sociedade Brasileira de Cardiologia (SBC), 2004 (DE-627)320623572 (DE-600)2023015-1 16784170 nnns https://doi.org/10.5935/abc.20190184 kostenfrei https://doaj.org/article/081c38894c4b4436bd0b0b297948d074 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019005017102&lng=en&tlng=en kostenfrei https://doaj.org/toc/1678-4170 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR |
allfieldsGer |
10.5935/abc.20190184 doi (DE-627)DOAJ072318457 (DE-599)DOAJ081c38894c4b4436bd0b0b297948d074 DE-627 ger DE-627 rakwb eng por RC666-701 Renata Cristina Castro Cruz verfasserin aut Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to rheumatic heart disease. Methods: Retrospective study of 54 patients under the age of 16 operated at a tertiary paediatric hospital between March 2011 and January 2017. The predictors of risk for unfavourable outcomes were: age, ejection fraction, degree of mitral insufficiency, degree of pulmonary hypertension, presence of tricuspid insufficiency, left chamber dilation, preoperative functional classification, duration of cardiopulmonary bypass, duration of anoxia, presence of atrial fibrillation, and duration of vasoactive drug use. The outcomes evaluated were: death, congestive heart failure, reoperation, residual mitral regurgitation, residual mitral stenosis, stroke, bleeding and valve replacement. For all analyzes a value of p < 0.05 was established as significant. Results: Of the patients evaluated, 29 (53.7%) were female, with an average of 10.5 ± 3.2 years. The functional classification of 13 patients (25%) was 4. There was no death in the sample studied. The average duration of extracorporeal circulation was 62.7±17.8 min, and anoxia 50 ± 15.7 min. The duration of use of vasoactive drug in the immediate postoperative period has an average of 1 day (interquartile interval 1-2 days). The logistic regression model was used to evaluate the predictive variables for each unfavourable outcome. The duration of use of vasoactive drug was the only independent predictor for the outcomes studied (p = 0.007). Residual mitral insufficiency was associated with reoperation (p = 0.044), whereas tricuspid insufficiency (p = 0.012) and pulmonary hypertension (p = 0.012) were associated with the presence of unfavourable outcomes. Conclusion: The duration of vasoactive drug use is an independent predictor for unfavourable outcomes in the immediate and late postoperative period, while residual mitral regurgitation was associated with reoperation, and both tricuspid regurgitation and pulmonary hypertension were associated with unfavourable outcomes. Cardiopatias Congênitas Insuficiência da Valva Mitral/cirurgia Hipertensão Pulmonar Reoperação Insuficiência da Valva Tricúspide/cirurgia Cardiopatia Reumática Diseases of the circulatory (Cardiovascular) system Bruna Silva Cordeiro verfasserin aut Felipe de Souza Santos verfasserin aut Caroline Rodrigues Fernandes verfasserin aut Julia Maria Alves Gama verfasserin aut Ana Marice Teixeira Ladeia verfasserin aut In Arquivos Brasileiros de Cardiologia Sociedade Brasileira de Cardiologia (SBC), 2004 (DE-627)320623572 (DE-600)2023015-1 16784170 nnns https://doi.org/10.5935/abc.20190184 kostenfrei https://doaj.org/article/081c38894c4b4436bd0b0b297948d074 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019005017102&lng=en&tlng=en kostenfrei https://doaj.org/toc/1678-4170 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR |
allfieldsSound |
10.5935/abc.20190184 doi (DE-627)DOAJ072318457 (DE-599)DOAJ081c38894c4b4436bd0b0b297948d074 DE-627 ger DE-627 rakwb eng por RC666-701 Renata Cristina Castro Cruz verfasserin aut Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to rheumatic heart disease. Methods: Retrospective study of 54 patients under the age of 16 operated at a tertiary paediatric hospital between March 2011 and January 2017. The predictors of risk for unfavourable outcomes were: age, ejection fraction, degree of mitral insufficiency, degree of pulmonary hypertension, presence of tricuspid insufficiency, left chamber dilation, preoperative functional classification, duration of cardiopulmonary bypass, duration of anoxia, presence of atrial fibrillation, and duration of vasoactive drug use. The outcomes evaluated were: death, congestive heart failure, reoperation, residual mitral regurgitation, residual mitral stenosis, stroke, bleeding and valve replacement. For all analyzes a value of p < 0.05 was established as significant. Results: Of the patients evaluated, 29 (53.7%) were female, with an average of 10.5 ± 3.2 years. The functional classification of 13 patients (25%) was 4. There was no death in the sample studied. The average duration of extracorporeal circulation was 62.7±17.8 min, and anoxia 50 ± 15.7 min. The duration of use of vasoactive drug in the immediate postoperative period has an average of 1 day (interquartile interval 1-2 days). The logistic regression model was used to evaluate the predictive variables for each unfavourable outcome. The duration of use of vasoactive drug was the only independent predictor for the outcomes studied (p = 0.007). Residual mitral insufficiency was associated with reoperation (p = 0.044), whereas tricuspid insufficiency (p = 0.012) and pulmonary hypertension (p = 0.012) were associated with the presence of unfavourable outcomes. Conclusion: The duration of vasoactive drug use is an independent predictor for unfavourable outcomes in the immediate and late postoperative period, while residual mitral regurgitation was associated with reoperation, and both tricuspid regurgitation and pulmonary hypertension were associated with unfavourable outcomes. Cardiopatias Congênitas Insuficiência da Valva Mitral/cirurgia Hipertensão Pulmonar Reoperação Insuficiência da Valva Tricúspide/cirurgia Cardiopatia Reumática Diseases of the circulatory (Cardiovascular) system Bruna Silva Cordeiro verfasserin aut Felipe de Souza Santos verfasserin aut Caroline Rodrigues Fernandes verfasserin aut Julia Maria Alves Gama verfasserin aut Ana Marice Teixeira Ladeia verfasserin aut In Arquivos Brasileiros de Cardiologia Sociedade Brasileira de Cardiologia (SBC), 2004 (DE-627)320623572 (DE-600)2023015-1 16784170 nnns https://doi.org/10.5935/abc.20190184 kostenfrei https://doaj.org/article/081c38894c4b4436bd0b0b297948d074 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019005017102&lng=en&tlng=en kostenfrei https://doaj.org/toc/1678-4170 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR |
language |
English Portuguese |
source |
In Arquivos Brasileiros de Cardiologia |
sourceStr |
In Arquivos Brasileiros de Cardiologia |
format_phy_str_mv |
Article |
institution |
findex.gbv.de |
topic_facet |
Cardiopatias Congênitas Insuficiência da Valva Mitral/cirurgia Hipertensão Pulmonar Reoperação Insuficiência da Valva Tricúspide/cirurgia Cardiopatia Reumática Diseases of the circulatory (Cardiovascular) system |
isfreeaccess_bool |
true |
container_title |
Arquivos Brasileiros de Cardiologia |
authorswithroles_txt_mv |
Renata Cristina Castro Cruz @@aut@@ Bruna Silva Cordeiro @@aut@@ Felipe de Souza Santos @@aut@@ Caroline Rodrigues Fernandes @@aut@@ Julia Maria Alves Gama @@aut@@ Ana Marice Teixeira Ladeia @@aut@@ |
publishDateDaySort_date |
2024-01-01T00:00:00Z |
hierarchy_top_id |
320623572 |
id |
DOAJ072318457 |
language_de |
englisch portugiesisch |
fullrecord |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ072318457</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230309105814.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230228nuuuuuuuuxx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.5935/abc.20190184</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ072318457</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ081c38894c4b4436bd0b0b297948d074</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield><subfield code="a">por</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RC666-701</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Renata Cristina Castro Cruz</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to rheumatic heart disease. Methods: Retrospective study of 54 patients under the age of 16 operated at a tertiary paediatric hospital between March 2011 and January 2017. The predictors of risk for unfavourable outcomes were: age, ejection fraction, degree of mitral insufficiency, degree of pulmonary hypertension, presence of tricuspid insufficiency, left chamber dilation, preoperative functional classification, duration of cardiopulmonary bypass, duration of anoxia, presence of atrial fibrillation, and duration of vasoactive drug use. The outcomes evaluated were: death, congestive heart failure, reoperation, residual mitral regurgitation, residual mitral stenosis, stroke, bleeding and valve replacement. For all analyzes a value of p < 0.05 was established as significant. Results: Of the patients evaluated, 29 (53.7%) were female, with an average of 10.5 ± 3.2 years. The functional classification of 13 patients (25%) was 4. There was no death in the sample studied. The average duration of extracorporeal circulation was 62.7±17.8 min, and anoxia 50 ± 15.7 min. The duration of use of vasoactive drug in the immediate postoperative period has an average of 1 day (interquartile interval 1-2 days). The logistic regression model was used to evaluate the predictive variables for each unfavourable outcome. The duration of use of vasoactive drug was the only independent predictor for the outcomes studied (p = 0.007). Residual mitral insufficiency was associated with reoperation (p = 0.044), whereas tricuspid insufficiency (p = 0.012) and pulmonary hypertension (p = 0.012) were associated with the presence of unfavourable outcomes. Conclusion: The duration of vasoactive drug use is an independent predictor for unfavourable outcomes in the immediate and late postoperative period, while residual mitral regurgitation was associated with reoperation, and both tricuspid regurgitation and pulmonary hypertension were associated with unfavourable outcomes.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Cardiopatias Congênitas</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Insuficiência da Valva Mitral/cirurgia</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Hipertensão Pulmonar</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Reoperação</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Insuficiência da Valva Tricúspide/cirurgia</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Cardiopatia Reumática</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Diseases of the circulatory (Cardiovascular) system</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Bruna Silva Cordeiro</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Felipe de Souza Santos</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Caroline Rodrigues Fernandes</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Julia Maria Alves Gama</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ana Marice Teixeira Ladeia</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">Arquivos Brasileiros de Cardiologia</subfield><subfield code="d">Sociedade Brasileira de Cardiologia (SBC), 2004</subfield><subfield code="w">(DE-627)320623572</subfield><subfield code="w">(DE-600)2023015-1</subfield><subfield code="x">16784170</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.5935/abc.20190184</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doaj.org/article/081c38894c4b4436bd0b0b297948d074</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019005017102&lng=en&tlng=en</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/1678-4170</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_DOAJ</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield></record></collection>
|
callnumber-first |
R - Medicine |
author |
Renata Cristina Castro Cruz |
spellingShingle |
Renata Cristina Castro Cruz misc RC666-701 misc Cardiopatias Congênitas misc Insuficiência da Valva Mitral/cirurgia misc Hipertensão Pulmonar misc Reoperação misc Insuficiência da Valva Tricúspide/cirurgia misc Cardiopatia Reumática misc Diseases of the circulatory (Cardiovascular) system Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease |
authorStr |
Renata Cristina Castro Cruz |
ppnlink_with_tag_str_mv |
@@773@@(DE-627)320623572 |
format |
electronic Article |
delete_txt_mv |
keep |
author_role |
aut aut aut aut aut aut |
collection |
DOAJ |
remote_str |
true |
callnumber-label |
RC666-701 |
illustrated |
Not Illustrated |
issn |
16784170 |
topic_title |
RC666-701 Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease Cardiopatias Congênitas Insuficiência da Valva Mitral/cirurgia Hipertensão Pulmonar Reoperação Insuficiência da Valva Tricúspide/cirurgia Cardiopatia Reumática |
topic |
misc RC666-701 misc Cardiopatias Congênitas misc Insuficiência da Valva Mitral/cirurgia misc Hipertensão Pulmonar misc Reoperação misc Insuficiência da Valva Tricúspide/cirurgia misc Cardiopatia Reumática misc Diseases of the circulatory (Cardiovascular) system |
topic_unstemmed |
misc RC666-701 misc Cardiopatias Congênitas misc Insuficiência da Valva Mitral/cirurgia misc Hipertensão Pulmonar misc Reoperação misc Insuficiência da Valva Tricúspide/cirurgia misc Cardiopatia Reumática misc Diseases of the circulatory (Cardiovascular) system |
topic_browse |
misc RC666-701 misc Cardiopatias Congênitas misc Insuficiência da Valva Mitral/cirurgia misc Hipertensão Pulmonar misc Reoperação misc Insuficiência da Valva Tricúspide/cirurgia misc Cardiopatia Reumática misc Diseases of the circulatory (Cardiovascular) system |
format_facet |
Elektronische Aufsätze Aufsätze Elektronische Ressource |
format_main_str_mv |
Text Zeitschrift/Artikel |
carriertype_str_mv |
cr |
hierarchy_parent_title |
Arquivos Brasileiros de Cardiologia |
hierarchy_parent_id |
320623572 |
hierarchy_top_title |
Arquivos Brasileiros de Cardiologia |
isfreeaccess_txt |
true |
familylinks_str_mv |
(DE-627)320623572 (DE-600)2023015-1 |
title |
Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease |
ctrlnum |
(DE-627)DOAJ072318457 (DE-599)DOAJ081c38894c4b4436bd0b0b297948d074 |
title_full |
Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease |
author_sort |
Renata Cristina Castro Cruz |
journal |
Arquivos Brasileiros de Cardiologia |
journalStr |
Arquivos Brasileiros de Cardiologia |
callnumber-first-code |
R |
lang_code |
eng por |
isOA_bool |
true |
recordtype |
marc |
contenttype_str_mv |
txt |
author_browse |
Renata Cristina Castro Cruz Bruna Silva Cordeiro Felipe de Souza Santos Caroline Rodrigues Fernandes Julia Maria Alves Gama Ana Marice Teixeira Ladeia |
class |
RC666-701 |
format_se |
Elektronische Aufsätze |
author-letter |
Renata Cristina Castro Cruz |
doi_str_mv |
10.5935/abc.20190184 |
author2-role |
verfasserin |
title_sort |
predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to chronic rheumatic heart disease |
callnumber |
RC666-701 |
title_auth |
Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease |
abstract |
Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to rheumatic heart disease. Methods: Retrospective study of 54 patients under the age of 16 operated at a tertiary paediatric hospital between March 2011 and January 2017. The predictors of risk for unfavourable outcomes were: age, ejection fraction, degree of mitral insufficiency, degree of pulmonary hypertension, presence of tricuspid insufficiency, left chamber dilation, preoperative functional classification, duration of cardiopulmonary bypass, duration of anoxia, presence of atrial fibrillation, and duration of vasoactive drug use. The outcomes evaluated were: death, congestive heart failure, reoperation, residual mitral regurgitation, residual mitral stenosis, stroke, bleeding and valve replacement. For all analyzes a value of p < 0.05 was established as significant. Results: Of the patients evaluated, 29 (53.7%) were female, with an average of 10.5 ± 3.2 years. The functional classification of 13 patients (25%) was 4. There was no death in the sample studied. The average duration of extracorporeal circulation was 62.7±17.8 min, and anoxia 50 ± 15.7 min. The duration of use of vasoactive drug in the immediate postoperative period has an average of 1 day (interquartile interval 1-2 days). The logistic regression model was used to evaluate the predictive variables for each unfavourable outcome. The duration of use of vasoactive drug was the only independent predictor for the outcomes studied (p = 0.007). Residual mitral insufficiency was associated with reoperation (p = 0.044), whereas tricuspid insufficiency (p = 0.012) and pulmonary hypertension (p = 0.012) were associated with the presence of unfavourable outcomes. Conclusion: The duration of vasoactive drug use is an independent predictor for unfavourable outcomes in the immediate and late postoperative period, while residual mitral regurgitation was associated with reoperation, and both tricuspid regurgitation and pulmonary hypertension were associated with unfavourable outcomes. |
abstractGer |
Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to rheumatic heart disease. Methods: Retrospective study of 54 patients under the age of 16 operated at a tertiary paediatric hospital between March 2011 and January 2017. The predictors of risk for unfavourable outcomes were: age, ejection fraction, degree of mitral insufficiency, degree of pulmonary hypertension, presence of tricuspid insufficiency, left chamber dilation, preoperative functional classification, duration of cardiopulmonary bypass, duration of anoxia, presence of atrial fibrillation, and duration of vasoactive drug use. The outcomes evaluated were: death, congestive heart failure, reoperation, residual mitral regurgitation, residual mitral stenosis, stroke, bleeding and valve replacement. For all analyzes a value of p < 0.05 was established as significant. Results: Of the patients evaluated, 29 (53.7%) were female, with an average of 10.5 ± 3.2 years. The functional classification of 13 patients (25%) was 4. There was no death in the sample studied. The average duration of extracorporeal circulation was 62.7±17.8 min, and anoxia 50 ± 15.7 min. The duration of use of vasoactive drug in the immediate postoperative period has an average of 1 day (interquartile interval 1-2 days). The logistic regression model was used to evaluate the predictive variables for each unfavourable outcome. The duration of use of vasoactive drug was the only independent predictor for the outcomes studied (p = 0.007). Residual mitral insufficiency was associated with reoperation (p = 0.044), whereas tricuspid insufficiency (p = 0.012) and pulmonary hypertension (p = 0.012) were associated with the presence of unfavourable outcomes. Conclusion: The duration of vasoactive drug use is an independent predictor for unfavourable outcomes in the immediate and late postoperative period, while residual mitral regurgitation was associated with reoperation, and both tricuspid regurgitation and pulmonary hypertension were associated with unfavourable outcomes. |
abstract_unstemmed |
Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to rheumatic heart disease. Methods: Retrospective study of 54 patients under the age of 16 operated at a tertiary paediatric hospital between March 2011 and January 2017. The predictors of risk for unfavourable outcomes were: age, ejection fraction, degree of mitral insufficiency, degree of pulmonary hypertension, presence of tricuspid insufficiency, left chamber dilation, preoperative functional classification, duration of cardiopulmonary bypass, duration of anoxia, presence of atrial fibrillation, and duration of vasoactive drug use. The outcomes evaluated were: death, congestive heart failure, reoperation, residual mitral regurgitation, residual mitral stenosis, stroke, bleeding and valve replacement. For all analyzes a value of p < 0.05 was established as significant. Results: Of the patients evaluated, 29 (53.7%) were female, with an average of 10.5 ± 3.2 years. The functional classification of 13 patients (25%) was 4. There was no death in the sample studied. The average duration of extracorporeal circulation was 62.7±17.8 min, and anoxia 50 ± 15.7 min. The duration of use of vasoactive drug in the immediate postoperative period has an average of 1 day (interquartile interval 1-2 days). The logistic regression model was used to evaluate the predictive variables for each unfavourable outcome. The duration of use of vasoactive drug was the only independent predictor for the outcomes studied (p = 0.007). Residual mitral insufficiency was associated with reoperation (p = 0.044), whereas tricuspid insufficiency (p = 0.012) and pulmonary hypertension (p = 0.012) were associated with the presence of unfavourable outcomes. Conclusion: The duration of vasoactive drug use is an independent predictor for unfavourable outcomes in the immediate and late postoperative period, while residual mitral regurgitation was associated with reoperation, and both tricuspid regurgitation and pulmonary hypertension were associated with unfavourable outcomes. |
collection_details |
GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ |
title_short |
Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease |
url |
https://doi.org/10.5935/abc.20190184 https://doaj.org/article/081c38894c4b4436bd0b0b297948d074 http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019005017102&lng=en&tlng=en https://doaj.org/toc/1678-4170 |
remote_bool |
true |
author2 |
Bruna Silva Cordeiro Felipe de Souza Santos Caroline Rodrigues Fernandes Julia Maria Alves Gama Ana Marice Teixeira Ladeia |
author2Str |
Bruna Silva Cordeiro Felipe de Souza Santos Caroline Rodrigues Fernandes Julia Maria Alves Gama Ana Marice Teixeira Ladeia |
ppnlink |
320623572 |
callnumber-subject |
RC - Internal Medicine |
mediatype_str_mv |
c |
isOA_txt |
true |
hochschulschrift_bool |
false |
doi_str |
10.5935/abc.20190184 |
callnumber-a |
RC666-701 |
up_date |
2024-07-04T00:36:37.407Z |
_version_ |
1803606711243636736 |
fullrecord_marcxml |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ072318457</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230309105814.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230228nuuuuuuuuxx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.5935/abc.20190184</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ072318457</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ081c38894c4b4436bd0b0b297948d074</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield><subfield code="a">por</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RC666-701</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Renata Cristina Castro Cruz</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Predictors of Unfavourable Outcomes in Children and Adolescents Submitted to Surgical Mitral Valvuloplasty Secondary to Chronic Rheumatic Heart Disease</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to rheumatic heart disease. Methods: Retrospective study of 54 patients under the age of 16 operated at a tertiary paediatric hospital between March 2011 and January 2017. The predictors of risk for unfavourable outcomes were: age, ejection fraction, degree of mitral insufficiency, degree of pulmonary hypertension, presence of tricuspid insufficiency, left chamber dilation, preoperative functional classification, duration of cardiopulmonary bypass, duration of anoxia, presence of atrial fibrillation, and duration of vasoactive drug use. The outcomes evaluated were: death, congestive heart failure, reoperation, residual mitral regurgitation, residual mitral stenosis, stroke, bleeding and valve replacement. For all analyzes a value of p < 0.05 was established as significant. Results: Of the patients evaluated, 29 (53.7%) were female, with an average of 10.5 ± 3.2 years. The functional classification of 13 patients (25%) was 4. There was no death in the sample studied. The average duration of extracorporeal circulation was 62.7±17.8 min, and anoxia 50 ± 15.7 min. The duration of use of vasoactive drug in the immediate postoperative period has an average of 1 day (interquartile interval 1-2 days). The logistic regression model was used to evaluate the predictive variables for each unfavourable outcome. The duration of use of vasoactive drug was the only independent predictor for the outcomes studied (p = 0.007). Residual mitral insufficiency was associated with reoperation (p = 0.044), whereas tricuspid insufficiency (p = 0.012) and pulmonary hypertension (p = 0.012) were associated with the presence of unfavourable outcomes. Conclusion: The duration of vasoactive drug use is an independent predictor for unfavourable outcomes in the immediate and late postoperative period, while residual mitral regurgitation was associated with reoperation, and both tricuspid regurgitation and pulmonary hypertension were associated with unfavourable outcomes.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Cardiopatias Congênitas</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Insuficiência da Valva Mitral/cirurgia</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Hipertensão Pulmonar</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Reoperação</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Insuficiência da Valva Tricúspide/cirurgia</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Cardiopatia Reumática</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Diseases of the circulatory (Cardiovascular) system</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Bruna Silva Cordeiro</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Felipe de Souza Santos</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Caroline Rodrigues Fernandes</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Julia Maria Alves Gama</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ana Marice Teixeira Ladeia</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">Arquivos Brasileiros de Cardiologia</subfield><subfield code="d">Sociedade Brasileira de Cardiologia (SBC), 2004</subfield><subfield code="w">(DE-627)320623572</subfield><subfield code="w">(DE-600)2023015-1</subfield><subfield code="x">16784170</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.5935/abc.20190184</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doaj.org/article/081c38894c4b4436bd0b0b297948d074</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019005017102&lng=en&tlng=en</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/1678-4170</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_DOAJ</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield></record></collection>
|
score |
7.397299 |