scholarly journals III-1-10 Open heart surgery of acquired heart disease in patients with risk factors, referring to preoperative renal dysfunction

1979 ◽  
Vol 9 (3) ◽  
pp. 197-199
Author(s):  
K. Nakada
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Renal Dysfunction ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Acquired Heart Disease

Emergency Open Heart Surgery for Acquired Heart Disease

1969 ◽  
Vol 55 (6) ◽  
pp. 456-461 ◽  
Author(s):  
Hassan Najafi ◽  
William S. Dye ◽  
Hushang Javid ◽  
James A. Hunter ◽  
Ormand C. Julian
Keyword(s):  
Heart Disease ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Acquired Heart Disease

scholarly journals The Incidence and Clinical Outcome of Cardiac Tamponade Following an Open Heart Surgery in a Developing Country

2012 ◽  
Vol 2 (1) ◽  
pp. 23-27
Author(s):  
Abdalla Misbah ◽  
Koteswara R. Pothineni ◽  
Eman Elshiekh ◽  
Yassir H. Yousif Ali
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Cardiac Tamponade ◽  
Rheumatic Heart Disease ◽  
Valve Replacement ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Mechanical Valve ◽  
Open Heart ◽  
Rheumatic Heart

Introduction: Pericardial effusion is not uncommon following an open heart surgery, thus, it may progress to cardiac tamponade. This is a retrospective cross-sectional analysis evaluates the incidence, the potential perioperative and surgical risk factors causing cardiac tamponade following an open-heart surgery of patients during the period 2001-2006 at Ahmed Gasim Cardiac Center in Khartoum, North Sudan. Methods: Diagnosis of cardiac tamponade was based on clinical and echocardiographic findings. Univariate analysis was performed to assess possible risk factors related to both, early and late cardiac tamponade. Results: Among the 890 patients who underwent open heart surgery in this study, 47(5%) patients developed tamponade (early 49% or 51%). Early cardiac tamponade was found to be present with significant cardiac compromise and can easily be detected using echocardiography. In contrast the presentation of late cardiac tamponade, atypical and echocardiography was inconclusive. The mean age of patients was 31 ± 12 with slight female predominance. The main indication for the operation was rheumatic heart disease (89%), mainly mechanical valve replacement of the mitral valve. Eight (17%) patients were receiving warfarin preoperatively. Oozing wounds and blocked drains were encountered in 27% and 37%, respectively. About 6% of the patients recollect tamponade after decompression and one in-hospital death directly related to the cardiac tamponade. Conclusion: Significant cardiac tamponade was associated with preexisting rheumatic heart disease, (preoperative warfarin use), mechanical valve replacement in the mitral position, oozing wounds and blocked drain. Echocardiography was reliable in early diagnosis, but not late, hemodynamically significant cardiac tamponade.

scholarly journals The Incidence and Clinical Outcome of Cardiac Tamponade Following an Open Heart Surgery in a Developing Country

2012 ◽  
Vol 2 (1) ◽  
pp. 23-27
Author(s):  
Abdalla Misbah ◽  
Koteswara R. Pothineni ◽  
Eman Elshiekh ◽  
Yassir H. Yousif Ali
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Cardiac Tamponade ◽  
Rheumatic Heart Disease ◽  
Valve Replacement ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Mechanical Valve ◽  
Open Heart ◽  
Rheumatic Heart

Introduction: Pericardial effusion is not uncommon following an open heart surgery, thus, it may progress to cardiac tamponade. This is a retrospective cross-sectional analysis evaluates the incidence, the potential perioperative and surgical risk factors causing cardiac tamponade following an open-heart surgery of patients during the period 2001-2006 at Ahmed Gasim Cardiac Center in Khartoum, North Sudan. Methods: Diagnosis of cardiac tamponade was based on clinical and echocardiographic findings. Univariate analysis was performed to assess possible risk factors related to both, early and late cardiac tamponade. Results: Among the 890 patients who underwent open heart surgery in this study, 47(5%) patients developed tamponade (early 49% or 51%). Early cardiac tamponade was found to be present with significant cardiac compromise and can easily be detected using echocardiography. In contrast the presentation of late cardiac tamponade, atypical and echocardiography was inconclusive. The mean age of patients was 31 ± 12 with slight female predominance. The main indication for the operation was rheumatic heart disease (89%), mainly mechanical valve replacement of the mitral valve. Eight (17%) patients were receiving warfarin preoperatively. Oozing wounds and blocked drains were encountered in 27% and 37%, respectively. About 6% of the patients recollect tamponade after decompression and one in-hospital death directly related to the cardiac tamponade. Conclusion: Significant cardiac tamponade was associated with preexisting rheumatic heart disease, (preoperative warfarin use), mechanical valve replacement in the mitral position, oozing wounds and blocked drain. Echocardiography was reliable in early diagnosis, but not late, hemodynamically significant cardiac tamponade.

P1798Assessing attitudes and knowledge of infective endocarditis in adult survivors of congenital heart disease

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
K Krishanthasan ◽  
S Haider ◽  
A Khokhar ◽  
K Dimopoulos ◽  
I Rafiq
Keyword(s):  
Risk Factors ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Infective Endocarditis ◽  
Antibiotic Treatment ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Significant Morbidity

Abstract Background Adults with congenital heart disease (ACHD) have an increased risk of infective endocarditis (IE), which is associated with significant morbidity and mortality. This risk is further compounded by patient-related factors such as education and awareness of IE. The onus of patient education falls on both patient and physician, and is paramount to successful outcomes. Our study sought to evaluate patients' understanding of the risks, preventative measures and symptoms of IE, and to identify high-risk ACHD patients who would benefit from targeted education. Methods A cross-sectional study was conducted using a pre-tested questionnaire to assess knowledge of and attitudes towards IE. Patients attending the outpatient department of a tertiary referral centre completed the questionnaires independently. Baseline demographics and clinical data were collected from electronic patient records. Results 132 questionnaires were completed (median age 38 years, 50% male). 106 patients (80%) had previous surgical or percutaneous interventions and 7 patients (5%) had suffered with infective endocarditis in the past. 37% were able to accurately define IE. Out of a range of symptoms, most patients chose temperature (47%) and tiredness (39%) as classical symptoms of IE, however none correctly identified all listed symptoms as potential signs of IE. The majority of patients knew tooth abscess (58%) and body piercings (50%) were risk factors for IE. A fifth of patients (20%) were failing to have annual dental check-ups. 22% thought that IE would only require a few days stay as an inpatient and only 20% of patients were aware of the requirement for prolonged antibiotic treatment and the majority (63%) were unaware of the potential need for open heart surgery. 1 in 4 patients could recall having received information regarding IE. A third of patients reported that they would have made lifestyle changes had they known that IE required prolonged intravenous antibiotic treatment and could result in open heart surgery and death. Discussion Our study highlights key issues in the management of ACHD. Moving forward with the continuously growing population of patients we need to focus on the multi-disciplinary approach including specialist clinical nurses and increasing awareness online and through meetings and patient days as well as the importance of transition services as paediatric patients move across to adult specialists. General physcians will also encounter ACHD, therefore it is important to ensure awareness is widespread in the form online platforms and leaflets. We must also acknowledge the impact of guidelines and ensure there is still a significant focus on IE within them. To conclude, despite the significant morbidity and mortality associated with IE in ACHD, patient awareness of symptoms, risk factors and consequences is limited. Promotion of IE awareness is a cost-effective intervention, which can reduce the incidence and complications of IE.

Permanent Cardiac Pacing After Open-heart Surgery: Acquired Heart Disease

1984 ◽  
Vol 7 (3) ◽  
pp. 367-371 ◽  
Author(s):  
B.S. GOLDMAN ◽  
T.J. HILL ◽  
R.D. WEISEL ◽  
H.E. SCULLY ◽  
L.L. MICKLEBOROUGH ◽  
...  
Keyword(s):  
Heart Disease ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Cardiac Pacing ◽  
Open Heart ◽  
Acquired Heart Disease
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