Quality of life after surgical treatment of mitral heart disease

Aim. To evaluate long-term quality of life (QOL) of patients after surgical treatment of mitral valve disease depending on the types of surgical intervention, to identify predictors of a lower QOL after surgery. Material and methods. A single-center retrospective study involved 107 patients after...

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Autores principales:	Vladlen V. Bazylev, Evgeniy V. Nemchenko, Galina N. Abramova, Tаtyana V. Kanaeva, Vаdim A. Karnakhin
Formato:	article
Lenguaje:	EN RU
Publicado:	Concilium Medicum 2021
Materias:	quality of life mitral valve disease surgical treatment mitral valve repair mitral valve replacement Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the endocrine glands. Clinical endocrinology RC648-665
Acceso en línea:	https://doaj.org/article/0958644cc11b480197c8104b9194145a
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spelling	oai:doaj.org-article:0958644cc11b480197c8104b9194145a2021-12-01T22:07:01ZQuality of life after surgical treatment of mitral heart disease2221-71852658-570710.26442/22217185.2020.4.200553https://doaj.org/article/0958644cc11b480197c8104b9194145a2021-02-01T00:00:00Zhttps://cardiosomatics.orscience.ru/2221-7185/article/viewFile/60808/43925https://doaj.org/toc/2221-7185https://doaj.org/toc/2658-5707Aim. To evaluate long-term quality of life (QOL) of patients after surgical treatment of mitral valve disease depending on the types of surgical intervention, to identify predictors of a lower QOL after surgery. Material and methods. A single-center retrospective study involved 107 patients after isolated correction of primary non-ischemic mitral valve (MV) pathology, who were operated on from 2009 to 2016, and analyzed their long-term QOL. The follow-up period was from 2 to 6 years. 2 groups of patients were formed: the 1st group (n=60) patients who underwent mitral valve replacement (MVR); the 2nd group (n=47) patients who underwent mitral valve repair (MVRep). There were no statistically significant differences between the main clinical and demographic characteristics in reference to the groups. The SF-36 questionnaire was used for studying QOL. Results. The indicators of QOL approach the average population levels in both groups. In group MVRep Physical Functioning PF (p=0.02 and 0.01), Bodily Pain BP (p=0.04), Vitality VT (p=0.01) and Social Functioning SF (p=0.001) are higher. There are improvements in physical and mental health components after surgery. Mental and physical components are lower than in the normal population but they dont go beyond average populations indicators. Mental health in the MVRep group is better than in the MVR group (p=0.01). Female gender, dilatation of the left atrium (every 1 mm before surgery), older age (every year) increased the probability of lower QOL in the long term by 84, 11 and 8% respectively. Conclusion. Long-term QOL of patients after surgical treatment of mitral valve disease improves both after valve repair and after valve replacement. After MVRep Physical Functioning, Bodily Pain, Vitality and Social Functioning indicators are higher. There are improvements in physical and mental health components. Psychological component of health is higher in patients in the MVRep-group. Female gender, dilatation of the left atrium, older age increase the probability of lower QOL in the long term after mitral valve surgery.Vladlen V. BazylevEvgeniy V. NemchenkoGalina N. AbramovaTаtyana V. KanaevaVаdim A. KarnakhinConcilium Medicumarticlequality of lifemitral valve diseasesurgical treatmentmitral valve repairmitral valve replacementDiseases of the circulatory (Cardiovascular) systemRC666-701Diseases of the endocrine glands. Clinical endocrinologyRC648-665ENRUКардиоСоматика, Vol 11, Iss 4, Pp 30-35 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	quality of life mitral valve disease surgical treatment mitral valve repair mitral valve replacement Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the endocrine glands. Clinical endocrinology RC648-665
spellingShingle	quality of life mitral valve disease surgical treatment mitral valve repair mitral valve replacement Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the endocrine glands. Clinical endocrinology RC648-665 Vladlen V. Bazylev Evgeniy V. Nemchenko Galina N. Abramova Tаtyana V. Kanaeva Vаdim A. Karnakhin Quality of life after surgical treatment of mitral heart disease
description	Aim. To evaluate long-term quality of life (QOL) of patients after surgical treatment of mitral valve disease depending on the types of surgical intervention, to identify predictors of a lower QOL after surgery. Material and methods. A single-center retrospective study involved 107 patients after isolated correction of primary non-ischemic mitral valve (MV) pathology, who were operated on from 2009 to 2016, and analyzed their long-term QOL. The follow-up period was from 2 to 6 years. 2 groups of patients were formed: the 1st group (n=60) patients who underwent mitral valve replacement (MVR); the 2nd group (n=47) patients who underwent mitral valve repair (MVRep). There were no statistically significant differences between the main clinical and demographic characteristics in reference to the groups. The SF-36 questionnaire was used for studying QOL. Results. The indicators of QOL approach the average population levels in both groups. In group MVRep Physical Functioning PF (p=0.02 and 0.01), Bodily Pain BP (p=0.04), Vitality VT (p=0.01) and Social Functioning SF (p=0.001) are higher. There are improvements in physical and mental health components after surgery. Mental and physical components are lower than in the normal population but they dont go beyond average populations indicators. Mental health in the MVRep group is better than in the MVR group (p=0.01). Female gender, dilatation of the left atrium (every 1 mm before surgery), older age (every year) increased the probability of lower QOL in the long term by 84, 11 and 8% respectively. Conclusion. Long-term QOL of patients after surgical treatment of mitral valve disease improves both after valve repair and after valve replacement. After MVRep Physical Functioning, Bodily Pain, Vitality and Social Functioning indicators are higher. There are improvements in physical and mental health components. Psychological component of health is higher in patients in the MVRep-group. Female gender, dilatation of the left atrium, older age increase the probability of lower QOL in the long term after mitral valve surgery.
format	article
author	Vladlen V. Bazylev Evgeniy V. Nemchenko Galina N. Abramova Tаtyana V. Kanaeva Vаdim A. Karnakhin
author_facet	Vladlen V. Bazylev Evgeniy V. Nemchenko Galina N. Abramova Tаtyana V. Kanaeva Vаdim A. Karnakhin
author_sort	Vladlen V. Bazylev
title	Quality of life after surgical treatment of mitral heart disease
title_short	Quality of life after surgical treatment of mitral heart disease
title_full	Quality of life after surgical treatment of mitral heart disease
title_fullStr	Quality of life after surgical treatment of mitral heart disease
title_full_unstemmed	Quality of life after surgical treatment of mitral heart disease
title_sort	quality of life after surgical treatment of mitral heart disease
publisher	Concilium Medicum
publishDate	2021
url	https://doaj.org/article/0958644cc11b480197c8104b9194145a
work_keys_str_mv	AT vladlenvbazylev qualityoflifeaftersurgicaltreatmentofmitralheartdisease AT evgeniyvnemchenko qualityoflifeaftersurgicaltreatmentofmitralheartdisease AT galinanabramova qualityoflifeaftersurgicaltreatmentofmitralheartdisease AT tatyanavkanaeva qualityoflifeaftersurgicaltreatmentofmitralheartdisease AT vadimakarnakhin qualityoflifeaftersurgicaltreatmentofmitralheartdisease
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Quality of life after surgical treatment of mitral heart disease

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