Insuficiencia cardiaca derecha tras el implante de un marcapasos

Galiana, J; Castellanos, Genoveva López; Gioia, Francesca; Ortega, R.; Reinoso, Maria Eugenia Cobo; Espinosa, Luís

doi:10.1016/j.medcli.2015.01.017

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…All of the heart valves can suffer alterations due to different etiologies such as myxomatous mitral valve disease or senile calcified aortic valve stenosis ( 2 ). Less frequent presentations include severe tricuspid valve regurgitation secondary to pacemaker implantation ( 3 ). Echocardiography is an important tool that allows the identification of anatomical heart valve changes in patients without a prior diagnosis ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Prior oral conditions in patients undergoing heart valve surgery

et al. 2017

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BackgroundPatients scheduled for heart valve surgery should be free of any oral infectious disorders that might pose a risk in the postoperative period. Few studies have been made on the dental conditions of such patients prior to surgery. The present study describes the most frequent prior oral diseases in this population group.Material and MethodsA prospective, observational case-control study was designed involving 60 patients (30 with heart valve disease and 30 controls, with a mean age of 71 years in both groups). A dental exploration was carried out, with calculation of the DMFT (decayed, missing and filled teeth) index and recording of the periodontal parameters (plaque index, gingival bleeding index, periodontal pocket depth, and attachment loss). The oral mucosa was also examined, and panoramic X-rays were used to identify possible intrabony lesions.ResultsSignificant differences in bacterial plaque index were observed between the two groups (p<0.05), with higher scores in the patients with valve disease. Probing depth and the presence of moderate pockets were also greater in the patients with valve disease than among the controls (p<0.01). Sixty percent of the patients with valve disease presented periodontitis.ConclusionsPatients scheduled for heart valve surgery should be examined for possible active periodontitis before the operation. Those individuals found to have periodontal disease should receive adequate periodontal treatment before heart surgery. Key words:Valve disease, aortic, mitral, heart surgery, periodontitis.

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Section: Introductionmentioning

confidence: 99%

Prior oral conditions in patients undergoing heart valve surgery

et al. 2017

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The effect of treated apical periodontitis before heart valve surgery on C‐reactive protein levels

2020

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Objective Dental infections produce significant increases in systemic inflammatory responses manifested by cytokines and acute‐phase reactants. This study evaluated the postoperative C‐reactive protein (CRP) levels according to patients having teeth treated or not treated for apical periodontitis (AP) before heart valve surgery. Materials and Methods Preoperative, postoperative third‐ and fifth‐day CRP levels, and the previous dental data of 91 patients were investigated. Whether the patients had been treated for AP and whether they used antibiotic prophylaxis for this treatment were determined by examining the previous data. The analysis of covariance (ANCOVA) was used for statistical analysis. Results There were no statistically significant differences in the preoperative CRP levels and the third‐day CRP levels between all patients treated and those not treated for AP (p > .05). The mean fifth‐day CRP levels of the patients with teeth treated for AP were significantly lower than those of the patients with teeth not treated for AP (p < .05). Antibiotic prophylaxis had a significant effect on the fifth‐day CRP levels. Conclusion The decrease in CRP levels after AP treatment may contribute to alleviating heart valve disease and maintaining cardiac health.

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Insuficiencia cardiaca derecha tras el implante de un marcapasos

Cited by 2 publications

References 6 publications

Prior oral conditions in patients undergoing heart valve surgery

Prior oral conditions in patients undergoing heart valve surgery

The effect of treated apical periodontitis before heart valve surgery on C‐reactive protein levels

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