Impact of socio-economic profile on the prosthesis type choice used on heart surgery

André Maurício S. Fernandes, Larissa Santana Bitencourt, Igor Nogueira Lessa, Agnaldo Viana, Felipe Pereira, Gabriel Bastos, Cristiano Ricardo Bastos de Macedo, Roque Aras Júnior
2012 Brazilian Journal of Cardiovascular Surgery  
Valvar heart disease is an important public health problem, more common in developing countries, especially in younger. Objective: To evaluate the epidemiological features of patients and its influence on the prosthesis type choice used on patients who underwent valve surgery. Methods: Cross-sectional. Data such as age, sex, provenance, surgery procedure and prosthesis type were retrospectively analyzed. We reviewed 366 charts of all patients submitted to heart valve surgery during three years
more » ... n a public health cardiovascular treatment center. Results: 52% of patients were female. The age range was from 5 to 82, the median was 41 years old. In regards 37.7% of patients came from Salvador (Bahia, Brazil) and 62.3% from countryside. Valve replacement was performed in 73% of patients, whereas 7.38% underwent valvuloplasty and 18.3% underwent valve repair and replacement. Regarding type of prosthesis, 70.0% received bioprosthesis and 30.0% received metal prosthesis. On note bioprosthesis were more used in younger (66 vs. 14; P<0,001). Conclusion: Biological prostheses were used predominantly in younger. This might be possible due to a low social-economic status, avoiding metal valve implantation and the consequent anticoagulation therapy. Descriptors: Heart valve diseases. Prosthesis implantation. Socioeconomic factors. Resumo Introdução: A doença cardíaca valvar é um grave problema de saúde pública, mais frequente em países em desenvolvimento, acometendo indivíduos em idade laboralmente produtiva. Objetivo: Avaliar o perfil socioeconômico e RBCCV 44205-1373 Fernandes AMS, et al. -Impact of socio-economic profile on the prosthesis type choice used on heart surgery Rev Bras Cir Cardiovasc 2012;27(2):211-6 Fernandes AMS, et al. -Impact of socio-economic profile on the prosthesis type choice used on heart surgery Rev Bras Cir Cardiovasc 2012;27(2):211-6
doi:10.5935/1678-9741.20120056 pmid:22996971 fatcat:opuokfgsgrd4dfylmwteqoupda