Abstract
Introduction. The study aimed at examination of patient state in a long-term postoperative period
after mitral and aortic valve replacement in pediatric and adolescent patients and at detection
of relation between them.
Material and methods. 49 patients after aortic valve replacement and 24 patients after mitral valve
replacement in infancy and adolescence were examined. All patients underwent bicycle exercise
with evaluation of hemodynamic criteria using impedance-cardiography. Life-quality was studied
using method of its detection in patients with cardiovascular diseases.
Results. Patients after aortic valve replacement showed high level of physical capability. 39%
patients had normal hemodynamic rates. After mitral valve replacement we noted intermediate
level of physical capability, normal hemodynamic rates were noted in 17% patients. Most patients
in both groups had moderate life-quality impairment. The main reasons of its impairment were
heart pains and palpitations, necessity in treatment (to take drugs, to visit doctors regularly),
restrictions in physical activity. Life-quality after aortic valve replacement was statistically higher
in patients with normal hemodynamic rates and absence of fatigue on physical exercise.
Conclusion. Life-quality impairment in a long-term period after mitral and aortic valve replacement
in infancy and adolescence is associated with physical reasons.
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