ariano Larman Tellechea, Miren Telleria Arrieta,* rikoitz Lasa Larraya, Juan Carlos Sanmartin Pena, d Koldo Gaviria Molinero Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Guidelines on the management of valvular heart disease (versión 2012). Eur Heart J. 2012;33:2451–96. 2. Tamburino C, Capodanno D, Ramondo A, Petronio AS, ...

Perioperative management of severe pulmonary hypertension (PH) is challenging. Anaesthesiologists come across perioperative management of such cases during incidental surgeries, surgery for various congenital heart diseases and valvular heart diseases and for caesarean section or painless labour in pregnant patient with Eisenmenger syndrome. Knowledge of pathophysiology of PH and novel drugs ac...

Aortic stenosis is now the most common type of valvular heart disease in Europe and North America. Calcific aortic stenosis affects 2-7% of people aged over 65 years. Dyspnoea, chest pain, and syncope require investigation and surgery is the preferred option for suitable individuals. Operative mortality is 3-5% for those aged under 70 years and 5-15% in older adults. The case reported here illu...

Valvular heart disease is a rare complication of juvenile rheumatoid arthritis (JRA), with most cases associated with polyarticular JRA. The aortic valve is most commonly affected, and valvular involvement occurs months or years after the onset of JRA. Reported cases of valvular heart disease in patients with JRA in a pauciarticular pattern are rare. We report a case of severe aortic insufficie...

BACKGROUND A variety of measures of heart rate variability have been devised to measure high-frequency (0.15-0.40 Hz), low-frequency (0.04-0.15 Hz), or ultralow-frequency (< 0.0033 Hz) fluctuations in sinus cycle length. Although measures of low-frequency and ultralow-frequency heart rate variability have been shown to correlate with prognosis in several populations with ischemic heart disease,...

INTRODUCTION Pergolide is an ergot derived dopamine agonist that is widely used for the treatment of Parkinson's disease. Studies have found an association between pergolide and valvular heart abnormalities although there is still much to be learned about the clinical significance of the valvular changes, who is at risk, and whether there is duration of exposure effect. OBJECTIVE To assess th...

BACKGROUND Significant myxomatous mitral regurgitation leads to progressive left ventricular (LV) decline, resulting in congestive heart failure and death. Such patients benefit from mitral valve surgery. Exercise echocardiography aids in risk stratification and helps decide surgical timing. We sought to assess predictors of outcomes in such patients undergoing exercise echocardiography. METH...

OBJECTIVE To analyze the success rates and prognosis of heart valvuloplasty and valve replacement for elderly patients, and to provide clinical evidence. METHODS A total of 1240 patients who received heart valve surgeries in our hospital from June 2004 to October 2014 were selected and retrospectively analyzed. They were divided into two groups based on age (60), and those older than 60 (Grou...

Objective: In the present study we aimed to demonstrate clinical characteristics, predictors of procedural success and long term recurrence atrial tachyarrhythmia patients undergoing catheter ablation (CA). Patients Methods: Consecutive who had undergone CA due an in a single centre arrhythmia unit between 2012 – 2020 were screened. Predictors analysed by logistic regression. Results: Study pop...

BACKGROUND Significant mitral regurgitation in patients undergoing transcatheter aortic valve replacement (TAVR) is associated with increased mortality. The aim of this study is to determine if surgical correction of both aortic and mitral valves in high risk patients with concomitant valvular disease would offer patients better outcomes than TAVR alone. METHODS A retrospective analysis of 43...