Prevalence and Evaluation of Complications in Valvular Heart Disease Patients In Tertiary Care Hospital

Amtul Rafeh Mariya, Arshiya Mubeen Batool, Sri Praneeth Polamuri, Anupama Koneru, S. P. Srinivas Nayak
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Abstract

Background: One of the major outcomes of valvular heart disease have been chronic complications that in turn have led to the reduced quality of life of patients. These complications have indeed caused immense burden on the health care system and has led to increased mortality rate. Objective: To determine prevalence rate and to evaluate complications of valvular heart disease patients. Methods: This is a cross sectional-based study carried out in a single hospital in Hyderabad, India. The survey was carried out over a year in India. The source of data collection was through case sheets and lab reports. Results: Of the total 102 subjects, valvular diseases were more prevalent in the age group of 51-60 and females were found to be more affected than males. Complications were less or equal to no after the procedure of valve replacement was performed in patients with severe cases though some patients showed complications even after surgery, but were stable after a long time of monitoring. 1% of valve prolapse cases were seen and 3% deaths due to the disease. St.jude mechanical valve of different sizes, 19 EPR biological valve and aortic valve implants were majorly used for valve replacement procedure. Conclusion: The study concludes that valvular diseases are more prevalent in the age group 51-60, and females were more affected by valvular diseases than males. Hypertension and diabetes mellitus were found to be the major comorbidities in valvular heart disease patients.  
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三级医院瓣膜性心脏病患者并发症发生率及评价
背景:瓣膜性心脏病的主要结局之一是慢性并发症,这反过来又导致患者生活质量下降。这些并发症确实给卫生保健系统造成了巨大的负担,并导致死亡率上升。目的:了解瓣膜性心脏病患者的患病率及并发症。方法:这是在印度海德拉巴的一家医院进行的一项基于横断面的研究。这项调查在印度进行了一年多。数据收集的来源是通过案例表和实验室报告。结果:102例患者中,51 ~ 60岁年龄组瓣膜病患病率较高,女性患病率高于男性。严重者行瓣膜置换术后并发症少或等于无,部分患者术后仍出现并发症,但经长期监测后病情稳定。1%的瓣膜脱垂病例被发现,3%的病例死亡。瓣膜置换术主要采用不同尺寸的St.jude机械瓣膜、19 EPR生物瓣膜和主动脉瓣植入物。结论:51 ~ 60岁人群是心脏瓣膜疾病的高发人群,女性患病率高于男性。高血压和糖尿病是瓣膜性心脏病患者的主要合并症。
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