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There’re no exact data about RHD prevalence in Indonesia, but its estimated
there’re about 0.3-0.8 cases per 1000 people
Sanglah central hospital is the only hospital that can performed surgical valve
replacement around East Indonesian
Why TAPSE?
TAPSE represented right
heart function in
echocardiography
Time of research :
• September 2017 – December 2017
Sample :
• 101 participants registered from 2012-2017
• Underwent surgical valve replacement at Sanglah General
Hospital
Method
Research method :
• Single center cohort study, with follow up for 1 year
• Bivariate analysis measure using chi-square
• Multivariate analysis and survival measure using cox-regression
Data collection :
• Secondary data ; Medical record
• Demographic data
• Echocardiography pre operative
• Echocardiography post operative
• Surgical Detail (types of technique, total time, ACC time, CPB time,
and type of prosthetic valve that we used)
Result : Patients Characteristics
Pulmonary Hipertention Total
Characteristic
No PH 64 Persen
63.4 (%)
(N=101)
Mild PH 19 18.8
Female
Moderategender
PH 64
9 63.4
8.9
Elevated JVP
Severe PH 33
9 32.7
8.9
LVEF (%)Fibrilation
Atrial 42 41.6
Normal EF (>55) 87 86.1
AF NVR
Midrange EF (40-55)
30
13
29.7
12.9
AFEF
Low RVR(<40) 12
1 40.6
1.0
LVIDD (cm)
TAPSE (cm)
Normal TAPSE (>1.6) 66 65.3
Normal (3.9-5.3) 74 73.3
Low TAPSE (<1.6) 35 34.7
Type Mildly
of SurgeryDilated (5.4-5.7) 6 5.9
Moderately Dilated (5.8-6.1)
MVR 7
51 6.9
50.5
MVR + Tvr Dilated (>6.2)
Severely 13
14 12.9
13.9
MVR + Tvr + LAA Lig 9 8.9
LA Diameter (cm)
DVR 24 23.8
Normal
DVR + Tvr (2.8-4.0) 47
4 46.5
4.0
Type Midly
of ValveDilated (4.1-4.6) 14 13.9
Mechanical
Moderately ValveDilated (4.7-5.2) 68
3 67.3
3.0
Bio prosthesis Valve 33 32.7
Severely Dilated >5.2
Time for ACC used
37 36.6
E\A< 2.5
Ratio
hours 86 85.1
Normal
2.5 Hoursor Pseudonormal (1-2) 50
15 49.5
14.9
Time for CPB used
Delayed Relaxation (<1) 32 31.7
< 4 hours 97 96
Restrictive
4 Hours Filling (>2) 19
4 18.8
4.0
Result : TAPSE 12 months after surgery