Publications by authors named "Layara Fernanda Vicente Pereira Lipari"
Influence of Right Atrial Pressure on the Prognosis of Patients with Rheumatic Mitral Stenosis Undergoing Percutaneous Mitral Balloon Valvuloplasty.
Daniella Cian Nazzetta Larissa Christine Gomes de Sousa Vitor Emer Egypto Rosa Fernanda Castiglioni Tessari Carlos M Campos Layara Fernanda Vicente Pereira Lipari
Diagnostics (Basel)
September 2024
Article Synopsis
- Pulmonary hypertension (PH) complicates mitral stenosis (MS), and this study investigates the role of pulmonary vascular resistance (PVR) and right atrial pressure (RAP) in predicting outcomes for patients with rheumatic MS undergoing percutaneous mitral balloon valvuloplasty (PMBV).
- The study included 58 patients, dividing them based on PVR levels, and assessed outcomes like death and the need for further interventions during follow-up.
- Results indicated that RAP was a significant independent predictor of adverse outcomes, while PVR did not demonstrate the expected prognostic significance, suggesting that RAP is more critical in monitoring these patients.
Genetic tests for dilated cardiomyopathy (DCM) have a diagnostic yield of up to 40%, but there is significant genetic heterogeneity and other challenges, such as variable expressivity and incomplete penetrance. Pedigree analysis is essential for distinguishing between sporadic and familial DCM cases by assessing family history. Familial DCM yields higher results in genetic testing, but sporadic DCM does not rule out the possibility of a genetic cause.
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