Ventricular dysfunction associated with valvular heart disease

摘要: The article by Hildner et al.1 in this issue of the Journal again points to importance considering functional state myocardium when evaluating patients for correction a valvular lesion and assessing th.e results surgery. report myocardial dysfunction accompanying disease remaining after corrective surgery is consistent with previous investigations experimental animals man.2-s Cardiac symptoms function: When response valve replacement, evaluation can be based upon (symptomatic classification), function heart as pump (ventricular function), or particularly true because pressure-volume alterations, distinct from changes contractile state, have distinguished cause fok angiographitally appareilt dysfunction.g Decreased fimction disease: In their paper a1.l fully discuss many possible causes dysfunction. Coronary atherosclerosis, coronary emboli, surgical trauma other deleterious factors associated were probably not responsible postoperative deteriorhtion myocarditil patients. greater-incidence failure improve mitral attributed muscle (contractile state). Symptomatic