Journal of the American College of Cardiology
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J. Am. Coll. Cardiol. · Apr 2008
Restrictive annuloplasty for ischemic mitral regurgitation may induce functional mitral stenosis.
The purpose of this study was to evaluate mitral valve hemodynamic performance and functional capacity in patients with ischemic mitral regurgitation (MR) who underwent restrictive mitral valve annuloplasty (MVA). ⋯ The results suggest that performing a restrictive MVA in patients with ischemic MR may create a functional mitral stenosis. This hemodynamic sequel is associated with higher PAP and a worse functional capacity.
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J. Am. Coll. Cardiol. · Apr 2008
Comparative StudyLong-term prognosis of patients with peripheral arterial disease: a comparison in patients with coronary artery disease.
This study was designed to compare the long-term outcomes of patients with peripheral arterial disease (PAD) with a risk factor matched population of coronary artery disease (CAD) patients, but without PAD. ⋯ Long-term prognosis of vascular surgery patients is significantly worse than for patients with CAD. The vascular surgery patients receive less cardiac medication than CAD patients do, and cerebro-cardiovascular events are the major cause of late death.
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J. Am. Coll. Cardiol. · Apr 2008
Reversibility of cardiac abnormalities in morbidly obese adolescents.
The purpose of this study was to evaluate changes in cardiac geometry, systolic and diastolic function before and after weight loss in morbidly obese adolescents. ⋯ Elevated LVM index, concentric LVH, altered diastolic function, and cardiac workload significantly improve following surgically induced weight loss in morbidly obese adolescents. Large weight loss due to bariatric surgery improves predictors of future cardiovascular morbidity in these young people.