2008
DOI: 10.1136/hrt.2007.116673
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Abstract: The present study reveals a significant impact of PPM on physical capacity, measured by exercise testing, in patients after AVR. Although other factors such as training status and comorbidity (for example, concomitant coronary revascularisation) also influence the achievement of higher exercise levels, our data strengthen the hypothesis that the avoidance of PPM could result in better exercise capacity for patients after AVR.

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Cited by 65 publications
(39 citation statements)
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“…A considerable number of studies have yielded conflicting results 315 17 18. However, these studies are difficult to interpret since PPM was not uniformly defined, patient groups were not clearly specified and in most papers causes of death were not discussed.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…A considerable number of studies have yielded conflicting results 315 17 18. However, these studies are difficult to interpret since PPM was not uniformly defined, patient groups were not clearly specified and in most papers causes of death were not discussed.…”
Section: Discussionmentioning
confidence: 99%
“…Several studies indicated that moderate PPM significantly increases morbidity and mortality3 6 7 and also leads to reduced exercise capacity,15 while others showed no impact on long-term outcome but elevated short-term mortality 5 10. On the basis of these results it has been proposed that PPM should be avoided if possible and that even left ventricular outflow tract enlargement may be justified to prevent moderate PPM 4 5 16 17.…”
mentioning
confidence: 99%
“…Several studies have reported that aortic PPM is associated with less improvement in symptoms and functional class, 30 impaired exercise capacity, 31 less regression of LV hypertrophy, 32 less improvement in coronary flow reserve, 33 and more adverse cardiac events. 30,34 Moreover, PPM has a significant impact on both short-term 35,36 and long-term mortality.…”
Section: Clinical Impact Of Ppmmentioning
confidence: 99%
“…There is evidence available to show that the avoidance of patient-prosthesis mismatch can result in better exercise capacity for patients after aortic valve replacement. 577 Selected patients with very low postoperative exercise capacity should undergo echocardiography to rule out patientprosthesis mismatch. Electrocardiographic monitoring should be considered on a case-by-case basis.…”
mentioning
confidence: 99%