Correlation of severity of pulmonary regurgitation with right ventricular diastolic function in early post operative period in patients of tatralogy of fallot after total correction
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH - Year 2018, Vol 10, Issue 5
Abstract
Objective: To assess the occurrence of pulmonary regurgitation and right ventricular diastolic dysfunction in Tetralogy of Fallot after total correction and to correlate its severity with right ventricular diastolic dysfunction in early post operative period after total correction in TOF patients. Methods: We prospectively studied 38 TOF patients who has undergone total correction. Standard 2-Dimentional & doppler Trans thoracic echocardiographic assessment was done at seventh day , three month and six month after total correction . Pulmonary regurgitation severity, right ventricular diastolic dysfunction, right ventricular myocardial performance index, and tricuspid annular plane systolic excursion were assessed. Results: Most of the patients (50%) were < 5 year of age. 23 (60.5%) had none or mild pulmonary regurgitation while 15(39.5%) had moderate or severe pulmonary regurgitation. At 6 month follow up 86.8% patients had right ventricular diastolic dysfunction. Grade I, II and III right ventricular diastolic dysfunction was found in 31.6%, 31.6% and 23.7% respectively. Mean TAPSE and right ventricular myocardial performance index values at 6 month were 10.9±2.4mm and 39.07±7.8 respectively. The mean RVMPI was normal in none/mild pulmonary regurgitation severity group while it was abnormally high in mod/severe pulmonary regurgitation severity group. Spearman’s rank order correlation coefficient value for pulmonary regurgitation severity group and RV diastolic dysfunction grade was 0.438, 0.50, and 0.447 on 7thday, three month and six month follow up respectively. Conclusion: PR severity had moderate positive correlation with right ventricular diastolic dysfunction in early post operative period after total correction in TOF patients.
Authors and Affiliations
Ranjit Nath, Vivek Dashore, 1Ajay Raj and 1Neeraj Pandit, Anubhav Gupta,
Keywords
Related Articles
- EP ID EP404613
- DOI -
- Views 126
- Downloads 0
Study of assessment of levels of 25 (oh) vitamin d3 in diabetes mellitus and its correlation with glycemic control and micro vascular complications
Aims and Objective: The world today is witnessing epidemic of Diabetes Mellitus. It is a chronic disorder with multiorgan involvement. The aim of the present study 25(OH) Vitamin D3 as a causative factor in pathogenesis...
Acute toxicity study and parasympatholytic effect of burantashi ethanol extract on an isolated smooth muscle preparation
The acute toxicity and parasympatholytic effects of a powder made from the stem bark of Pausinystalia yohimbe, popularly called Burantashi was evaluated using carefully designed in vivo charcoal meal transit in rats and...
Derangement of blood chemistry specifically Liver function tests and Renal function tests in Influenza A/H1N1 Infection
Objective: To determine the multi-organ effects of influenza A/H1N1 virus, particularly focusing on the derangement of hepatic and renal function during the course of the infection. Design: Cross sectional study Place an...
To study the utilization of antenatal services among the pregnant women of rural amritsar : an interventional study
Background: Health status of women is one of the most serious social issues affecting the community particularly in developing countries. Women are more vulnerable during the reproductive period. If women remain healthy...
Helicobacter pylori as a risk indicator of oral Squamous cell carcinoma – A PCR based study
Traditionally oral cancer has always been associated with tobacco and areca nut chewing habit. An emerging concept is that tumor development and progression is also largely dependent on the cross - talk between immune sy...