Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website http://www.cardiologyres.org

Original Article

Volume 10, Number 6, December 2019, pages 345-349


Short-Term Clinical Follow-Up After Thrombolytic Therapy in Patients With Prosthetic Valve Thrombosis: A Single-Center Experience

Figure

Figure 1.
Figure 1. Details of: (a) type of affected valve; (b) type of surgery. AVR: aortic valve replacement; MVR: mitral valve replacement; DVR: double valve replacement.

Tables

Table 1. Baseline and Demographic Characteristics of the Study Population
 
Baseline and demographic characteristics (N = 16)
IQR: interquartile range; BP: blood pressure; LVEF: left ventricular ejection fraction; MDRD: modification of diet in renal disease; eGFR: estimated glomerular filtration rate; NYHA: New York Heart Association; AVR: aortic valve replacement; MVR: mitral valve replacement; DVR: double valve replacement; SD: standard deviation; INR: international normalized ratio.
Age, years (mean ± SD)40 ± 11.60
Gender, n (%)
  Male6 (37.5%)
  Female10 (62.5%)
Presentation time after surgery (years), median (IQR)3 (1 - 4)
Subtherapeutic INR (< 1.6), n (%)14 (87.5%)
Symptom duration
  < 10 days, n (%)13 (81.2%)
  ≥ 10 days, n (%)3 (18.8%)
Rhythm per minute, mean ± SD107.38 ± 20.25
Systolic BP (mm Hg), mean ± SD109.14 ± 16.98
Diastolic BP (mm Hg), mean ± SD66 ± 8.38
Hemoglobin (g/dL), mean ± SD11.81 ± 1.69
Serum creatinine (mg/dL), mean ± SD1.24 ± 0.87
MDRD eGFR (mL/min/1.73 m2), mean ± SD75.38 ± 35.30
Dyspnea, n (%)15 (93.75%)
NYHA function class, n (%)
  NYHA II1 (6.25%)
  NYHA III7 (43.75%)
  NYHA IV8 (50%)
LVEF %, n (%)
  > 606 (37.5%)
  < 6010 (62.5%)

 

Table 2. Clinical Outcomes
 
Transvalvular gradientPre-thrombolysis3 days post-thrombolysisP value
SD: standard deviation.
Mitral valve
  Peak gradient mean ± SD43.79 ± 18.4715.91 ± 7.56< 0.05
  Mean gradient, mean ± SD24.06 ± 8.768.45 ± 4.01< 0.05
Aortic valve
  Peak gradient mean ± SD93.5 ± 33.1123.50 ± 6.45< 0.05
  Mean gradient, mean ± SD57.50 ± 26.7113.60 ± 3.83< 0.05
Thrombolysis failure/death2 (12.50%)
Hemodynamic success13 (81.25%)