Wednesday, September 9, 2015

Predictors of Adverse Outcomes

Endocarditis
Aortic valve
>10mm vegetation (Increased risk of embolization)
TV- generally good prognosis
Cardiac amyloidosis

DT < 150 ms 
Other less validated markers of worse prognosis: LV wall thickness > 15 mm, RV enlargement

Peripartum Cardiomyopathy
LVEF < 30 %
LVEDD ≥60mm
Elevated troponin
??Abnormal dobutamine stress predicts recurrence
Cardiomyopathy
RV dysfunction
Sphericity index < 0.76 
Diffuse hypokinesis (RWMA more favorable prognosis)
Chemotherapy induced CM (worse prognosis compared with idiopathic)


Pericardiectomy
Post radiation (worst prognosis)
**idiopathic- best prognosis
LV thrombus (risk for embolization)
Large pendulous thrombus (>0.8cm)
Mobile thrombus
Post MV repair
(Risk of SAM)
Co-aptation to septal distance (C-sept) < 2.6 cm Posterior mitral valve leaflet height > 1.5 cm
Anterior leaflet/Posterior leaflet height ratio (AL/PL) < 1 
Aortic Mitral angle < 130 


No comments:

Post a Comment