The quality of life in patients with at least moderate ischemic mitral regurgitation qualified to cardiosurgery treatment
Piątkowski, R.ła.; Kucharz, J.; Gawałko, M.; Budnik, M.; Wołosiewicz, K.; Kozub, B.; Kochanowski, J.; Grabowski, M.; Opolski, G.
Folia Medica Cracoviensia 61(3): 65-83
2021
ISSN/ISBN: 0015-5616 PMID: 34882665 Accession: 079494374
B a c k g r o u n d: To assess and compare mid-term outcomes and the quality of life (QoL) in patients with multivessel coronary artery disease (MVD) and moderate ischemic mitral regurgitation (IMR), treated with either coronary artery bypass grafting (CABG; group I) or CABG + mitral annuloplasty (CABG+MA; group II) in 12-months follow-up after surgery. M e t h o d s: We prospectively analyzed 74 patients (50.7% female, 66 [67-72] years) with at least moderate IMR, 3-24 weeks after myocardial infarction (MI). The effective regurgitation orifice (ERO) was used for a quantitative IMR assessment. To evaluate QoL we used a Short Form-36 (SF-36) questionnaire. R e s u l t s: Patients in group II spent more time in the hospital, expired more infection complications and received more often in-hospital complications requiring use amines and intra-aortic balloon pump as compared to those in group I. Analysis of SF-36 showed that all patients treated surgically notable improved their QoL during 12 months of follow-up. C o n c l u s i o n s: We observed a significant improvement in QoL among patients with MVD in 12 months follow-up after surgery irrespective of treatment type.