Clinical Profiles of Adult Patients With Single Ventricular Physiology
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概要
- 論文の詳細を見る
Background: This study was performed to clarify the present global clinical status, including medication(s) and social abilities, of adult patients with single ventricular physiology (SVP). Methods and Results: Clinical charts were retrospectively reviewed to evaluate the global clinical status, including functional capacity, medication(s), complications, and social activities of 68 adult patients with SVP aged 20-53 years (41 males); 50 had undergone the Fontan operation and they were divided into the young adult (25 patients) and adult Fontan groups. The others were cyanotic patients without the Fontan operation (non-Fontan group). Although the Fontan groups showed better functional capacity, higher arterial oxygen saturation and brain natriuretic peptide levels, and a better renal function, there was no difference in the cardiovascular events during follow-up between the 3 groups. The most frequent complication was arrhythmia without a significant group difference, although the non-Fontan group showed a high percentage of heart failure. Only 41 patients (60%) had a job and 8 (12%) were married. Conclusions: Although the Fontan groups had favorable pathophysiological conditions, the high rate of cardiovascular events, as well as unsatisfactory social situations, indicate the importance of meticulous life-long management of patients with SVP, regardless of the type of surgical intervention. (Circ J 2009; 73: 1711-1716)
- 社団法人 日本循環器学会の論文
- 2009-08-20
著者
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Yamada Osamu
Department Of Pediatric Cardiology Division Of Cardiology National Cardiovascular Center
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Miyazaki Aya
Department Of Pediatric Cardiology Division Of Cardiology National Cardiovascular Center
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Ohuchi Hideo
Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center
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Ohuchi Hideo
Department Of Pediatrics National Cardiovascular Center
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Ohuchi Hideo
Department Of Cardiovascular Surgery And Padiatrics National Cardiovascular Center
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Yamada Osamu
Department Of Cardiovascular Dynamics National Cardiovascular Center Research Institute
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Miyazaki Aya
Department Of Chemistry Faculty Of Science Kochi University
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Yamada Osamu
Department Of Pediatrics National Cardiovascular Center
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MOTOKI Noriko
Department of Pediatrics, Shinshu University School of Medicine
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Motoki Noriko
Department Of Pediatrics Shinshu University School Of Medicine
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Miyazaki Aya
Department Of Pediatric Cardiology National Cardiovascular Center
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Ohuchi Hideo
Department Of Pediatric Cardiology National Cerebral And Cardiovascular Center
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