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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1991-11-22
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pubmed:abstractText |
This is a study of 199 consecutive patients who survived isolated mitral or aortic valve replacement with a Björk-Shiley (B-S) or St. Jude Medical (SJM) prostheses. Mean follow-up was 36 months. Preoperative status was similar for both groups (B-S or SMJ). Five year survival rates for mitral valve replacement (MVR) were 91% for B-S and SJM, and for aortic valve replacement (AVR) 96% vs 91% for SJM (p less than 0.06). Linearized incidence of thromboembolism in MVR was 5.62% patient year for BS and 5.23% patient year for SJM (p = NS). Classical risk factors for thromboembolism were evaluated on a univariate analysis: no single risk factor was identified. Only the association of two or more was possibly significant. The presence of inadequate anticoagulation (prothrombin index greater than 50%) was the main risk factor for thromboembolism, as the incidence rate was 19% per patient year when poorly anticoagulated versus 4.6% per patient year incidence in the whole series (p less than 0.01).
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0021-9509
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
32
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
557-63
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:1939315-Actuarial Analysis,
pubmed-meshheading:1939315-Anticoagulants,
pubmed-meshheading:1939315-Aortic Valve,
pubmed-meshheading:1939315-Heart Valve Diseases,
pubmed-meshheading:1939315-Heart Valve Prosthesis,
pubmed-meshheading:1939315-Humans,
pubmed-meshheading:1939315-Incidence,
pubmed-meshheading:1939315-Middle Aged,
pubmed-meshheading:1939315-Mitral Valve,
pubmed-meshheading:1939315-Postoperative Complications,
pubmed-meshheading:1939315-Prosthesis Design,
pubmed-meshheading:1939315-Risk Factors,
pubmed-meshheading:1939315-Thromboembolism
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pubmed:articleTitle |
A comparative study of the St. Jude Medical and Björk-Shiley convexo-concave prostheses in isolated valve replacement.
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pubmed:affiliation |
Division of Cardiac Surgery, Hospital De Cruces, Cruces-Baracaldo (Vizcaya), Spain.
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pubmed:publicationType |
Journal Article,
Comparative Study
|