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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1992-11-18
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pubmed:abstractText |
A 10-year experience with early operation for postinfarction ventricular septal defect is reviewed. Twenty-two patients underwent surgical repair; operative mortality was 36% (< 30 days). The actuarial survival was 64% at 1 month, 59% at 1 year, and 47% at 5 years. Risk factors predictive of operative mortality were diabetes (p = 0.001), elevated preoperative right atrial pressure (p = 0.02), the absence of a preoperative intraaortic balloon pump (p = 0.006), and a short time interval between infarct and operation (p = 0.018). Long-term survival was adversely related to diabetes (p = 0.030), elevated preoperative right atrial pressure (p = 0.005), and, surprisingly, survival was better in patients with a greater extent of coronary artery disease (p = 0.023). There were 14 operative survivors (64%) and 11 long-term survivors (3 months to 10 years, mean 6.0 +/- 3.5 years). Six of eleven survivors were in functional New York Heart Association class I, one was in class II, and four were in class III.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0022-5223
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
104
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
961-5
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1405696-Aged,
pubmed-meshheading:1405696-Aged, 80 and over,
pubmed-meshheading:1405696-Female,
pubmed-meshheading:1405696-Heart Rupture, Post-Infarction,
pubmed-meshheading:1405696-Heart Ventricles,
pubmed-meshheading:1405696-Humans,
pubmed-meshheading:1405696-Male,
pubmed-meshheading:1405696-Middle Aged,
pubmed-meshheading:1405696-Risk Factors,
pubmed-meshheading:1405696-Survival Analysis,
pubmed-meshheading:1405696-Time Factors
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pubmed:year |
1992
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pubmed:articleTitle |
Results of early repair of ventricular septal defect after an acute myocardial infarction.
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pubmed:affiliation |
Department of Thoracic and Cardiovascular Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif. 90048.
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pubmed:publicationType |
Journal Article
|