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Ambari AM, Setianto B, Santoso A, Dwiputra B, Radi B, Alkatiri AA, Adji AB, Susilowati E, Tulrahmi F, Cramer MJM, Doevendans PA. Survival analysis of patients with rheumatic MS after PBMV compared with MVS in a low-to-middle-income country. Neth Heart J 2019; 27:559-564. [PMID: 31359321 PMCID: PMC6823404 DOI: 10.1007/s12471-019-01315-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Introduction Rheumatic mitral stenosis continues to be prevalent in developing countries, notably in endemic areas. Over the last few decades, percutaneous balloon mitral valvuloplasty (PBMV) has been established as a lower-cost alternative treatment for mitral stenosis (MS) in low-to-middle-income countries. PBMV has also been suggested to be an effective and safe alternative treatment modality. This study aims to analyse the survival of rheumatic MS patients treated with PBMV compared with those treated with mitral valve surgery (MVS). Methods This study was a national, single-centre, longitudinal study using a survival analysis method in 329 consecutive patients suffering from rheumatic heart disease with severe MS who underwent PBMV compared with 142 consecutive patients with similar characteristics who underwent MVS between January 2011 and December 2016. Survival analysis and event-free duration were determined over a median follow-up of 24 months in the PBMV group and 27 months in the MVS group. Results The results showed that of the 329 consecutive patients in the PBMV group, 61 patients (18.5) had an event (6 patients died and 55 patients were hospitalised), and of the 142 consecutive patients in the MVS group, 19 patients (13.4%) had an event (5 patients died, and 14 patients were hospitalised). The hazard ratio was 0.631 (95% confidence interval, 0.376–1.058; P = 0.081). Longer short-term survival was found in the MVS group but was not statistically significant. Event-free survival was significantly longer in the MVS group (P = 0.002), by 5 months. Conclusions In this study, the efficacy and safety of PBMV was reconfirmed, as PBMV proved to be non-inferior to MVS in survival prognosis, but sustained event-free duration was significantly better in the MVS group than in the PBMV group.
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Affiliation(s)
- A M Ambari
- Department of Cardiology Vascular Medicine, Faculty of Medicine, National Cardiovascular Center Harapan Kita, University of Indonesia, Jakarta, Indonesia.
| | - B Setianto
- Department of Cardiology Vascular Medicine, Faculty of Medicine, National Cardiovascular Center Harapan Kita, University of Indonesia, Jakarta, Indonesia
| | - A Santoso
- Department of Cardiology Vascular Medicine, Faculty of Medicine, National Cardiovascular Center Harapan Kita, University of Indonesia, Jakarta, Indonesia
| | - B Dwiputra
- Department of Cardiology Vascular Medicine, Faculty of Medicine, National Cardiovascular Center Harapan Kita, University of Indonesia, Jakarta, Indonesia
| | - B Radi
- Department of Cardiology Vascular Medicine, Faculty of Medicine, National Cardiovascular Center Harapan Kita, University of Indonesia, Jakarta, Indonesia
| | - A A Alkatiri
- Department of Cardiology Vascular Medicine, Faculty of Medicine, National Cardiovascular Center Harapan Kita, University of Indonesia, Jakarta, Indonesia
| | - A B Adji
- Department of Thorax Cardio Vascular Surgery, Faculty of Medicine, National Cardiovascular Center Harapan Kita, University of Indonesia, Jakarta, Indonesia
| | - E Susilowati
- Division of Preventive and Rehabilitative, National Cardiovascular Centre Harapan Kita, Jakarta, Indonesia
| | - F Tulrahmi
- Division of Preventive and Rehabilitative, National Cardiovascular Centre Harapan Kita, Jakarta, Indonesia
| | - M J M Cramer
- Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands
| | - P A Doevendans
- Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands
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Raharjo SB, Ahmad F, Soesanto AM, Adji AB. 1005Effect of left atrial reduction on rhythm conversion in atrial fibrillation with rheumatic mitral valve disease. Europace 2018. [DOI: 10.1093/europace/euy015.554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S B Raharjo
- National Cardiovascular Center Harapan Kita, Cardiology & Vascular Medicine, University of Indonesia, Jakarta, Indonesia
| | - F Ahmad
- National Cardiovascular Center Harapan Kita, Cardiology & Vascular Medicine, University of Indonesia, Jakarta, Indonesia
| | - A M Soesanto
- National Cardiovascular Center Harapan Kita, Cardiology & Vascular Medicine, University of Indonesia, Jakarta, Indonesia
| | - A B Adji
- National Cardiovascular Center Harapan Kita, Cardiology & Vascular Medicine, University of Indonesia, Jakarta, Indonesia
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Satria A, Husink A, Artiko E, Aritonang F, Ramadhani H, Waliy L, Siswardana S, Perdan T, Rossimarina V, Rachmawan YP, Siwi K, Widya A, Vittryaturida, Ubaidillah N, Failasufi M, Ramadhan F, Wulandari H, Waranugraha Y, Putri D, Sargowo D, Soesanto AM, Lilyasari O, Adji AB, Romdoni R, Pikir B, Andrianto A, Sukmawan R, Supari S, Soesanto A, Muslim F, Soerianata S, Kasim M, Soesanto A, Soesanto A, Kuncoro A, Sukmawan R, Nadha K, Wita W, Santoso A, Adiarto S, Kasim M, Siswanto B, Soesanto A, Radi B, Hanafy D, Soesanto A, Uddin I, Fatah S, Herry Y, Rifqi S. Young Investigator AwardThe Efficacy of polysaccharide peptides ofGanoderma lucidumto reduce endothelial dysfunction and dyslipidemia in high risk and stable angina pectoris patientsHarapan Kita Score as predictor of in-hospital mortality and morbidity after heart valve surgeryCardiovascular Autonomic Neuropathy Profile in Controlled and Un-controlled Type 2 Diabetes Mellitus by Exercise Treadmill TestingThe difference of blood pressure and arterial stiffness after intake of arabica and robusta coffee in controlled hypertensionAsscociation of the biomarkers soluble ST2 andsubclinical left ventricularsystolicdysfunctionassessed by myocardialGlobal Longitudinal Strainin patients severe aortic stenosisRemote ischemic conditioning reduce final infarct size in ST-segment elevation myocardial infarction patient with succesful TIMI 3 flow primary percutaneous coronary interventionElevated plasma interleukin-6 associates with left ventricular diastolic dysfunction by tissue doppler imaging in chronic heart failureAssociation between serum ST2 levels and early myocardial fibrosis in disglycemic patientsEffect of respiratory training as adjuvant exercise training for improving pulmonary function and functional capacity among patients undergoing second phase cardiovascular rehabilitation after coronary artery bypass graft surgeryExpression of IL-10 on mitral valve and myocardium in patients with rheumatic mitral valve disease. Eur Heart J Suppl 2016. [DOI: 10.1093/eurheartj/suw026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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