A retrospective descriptive study on 46 patients comorbid rheumatic valvular heart and cerebrovascular ischemic stroke at Viet Tiep Hai Phong Hospital in 2004. Results: this condition appears more common in women than in men (71.74% vs 28.16%), average age 52.70± 0.45. 95.65% of patients are over 30 years old. Most of patients had heart failure at grade NYHA III (89.13%). Causes of cerebrovascular ischemia were simple or combined mitral valve stenosis (100%). 73.91% of patients had first cerebrovascular stroke and 100% patients had sudden hemiplegia. Cerebrovascular stroke in patients with rheumatic heart valvular disease had more atria fibrillation in sinus rhythm (82.61% vs 17.39%). 82.35% patients with acute CVA had been treated by low molecular weight Heparin for 5-7 days in combination with anti-vitamin K. 91.30% patients used anti-vitamin K for the rest of their life. After treatment, clinical condition was improved: 8.69% hemiplegic patients recovered completely, 47.83% recovered partly and 43.48% had no improvement. Mortality rate of CAV was 0%
Heart Valve Diseases ; Stroke

Optimal surgical timing is of crucial importance for the treatment of valvular heart diseases. Clinical implications of functional tricuspid regurgitation (TR) are increasingly being recognized. In contrast to the well-established treatment strategies for left-sided valve disease, optimal surgical timing of functional TR has not yet been established. Several lines of evidence have accumulated over the past 10 years, and now is the perfect time to review the data. The present article reviews the clinical implications and treatment strategies of functional TR, particularly in relation to optimal surgical timing.
Heart Valve Diseases ; Tricuspid Valve Insufficiency*

No abstract available.
Heart Valve Diseases* ; Heart Valves* ; Heart*

Heart Valve Diseases ; therapy ; Humans

To observe the characteristics of the posterior aortic wall motions of the patients with various valvular heart diseases the aortic root echocardiogram of the 60 patients with various valvular diseases were examined. 15 cases in each group of patients with mitral stenosis, mitral insufficiency, mitral stenoinsufficiency or aortic insufficiency. Thirty normal subjects were served as a control group. In each, the total amplitude of the aortic posterior wall motion(OV), the amplitude of the motion evented at atrial systole(AV), AV/OV ratio, atrial emptying index(AEI), left atrial and aortic root dimensions (LAD and AOD), and LAD/AOD were measured. The results were as follows ; 1) The AV was significantly increased in mitral stenosis(P<0.01) and decreased in mitral insufficiency(P<0.05) compared with control group. 2) The OV was increase in mitral insufficiency and aortic insufficiency(p<0.01, p<0.05), but decreased in mitral stenosis(p<0.05). 3) The AV/OV was increased in mitral stenosis(p<0.01) and decreased in mitral insufficiency and aortic insufficiency(p<0.01). 4) The AEI was decreased in all patient groups(p<0.01) and LAD was increase in all compared with control group(p<0.01). 5) The AOD was increased only in aortic insufficiency(p<0.01). 6) The LAD/AOD ratio was increased in all patient groups(p<0.01).
Heart Valve Diseases* ; Humans ; Mitral Valve Insufficiency ; Mitral Valve Stenosis

Participants in this study were 50 patients with heart valve diseases who were 16 – 60 years old. In whom, 30 patients have arterial embolism and 20 patients have not. It was found that fibrinogen level has been increased in the patients with vascular embolism. The platelet counts have been increased and there were changes in platelet aggregation. Use of anti-coagulations such as heparin, urokinase and vitamin K provides benefits for variable disease levels if they are used with proper doses.
Heart Valve Diseases ; Heart Valves ; Platelet Aggregation

To stydy the parameters of preload, afterload, and contractility of the heart, we evaluated 10 mitral stenosis, 5 mitral stenoinsufficiency, and 5 mitral stenosis with aortic insufficiency by measuring the external energy potential, external mechaical work, and external energy potential to PVa(Pressure-volume Area) ratio with non-invasive method, echocardiography and carotid pulse tracting. The results are summarized as follows; 1) External energy potential of mitral stenosis was significantly higher than that of MSI or MS with AI. 2) External mechanical work of MSI or MS with AI was significantly higher than that of Ms. 3) External energy potential to PVA ratio was signifiantly higher in the MS, but there was no significantly difference between the MSI and MS with AI. According to the above results, external energy potential to PVA ratio with echocardiogram and carotid pulse tracting was good parameters of preload, afterload, and contractility. And this method may used bed-side monitoring in the clinical area.
Echocardiography ; Heart ; Heart Valve Diseases* ; Mitral Valve Stenosis

Heart Valve Diseases ; therapy ; Heart Valve Prosthesis Implantation ; methods ; Humans

Heart Valve Diseases/therapy* ; Heart Valve Prosthesis Implantation ; Humans

No abstract available.
Aortic Valve ; Bicuspid ; Coronary Stenosis ; Coronary Vessels ; Heart Valve Diseases