CLINICAL PROFILE AND NATURAL-HISTORY OF EBSTEINS-ANOMALY OF TRICUSPID-VALVE

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dc.contributorJAISWAL, PK
dc.contributorBALAKRISHNAN, KG
dc.contributorSAHA, A
dc.contributorVENKITACHALAM, CG
dc.contributorTHARAKAN, J
dc.contributorTITUS, T
dc.date.accessioned2012-12-04T11:43:40Z
dc.date.available2012-12-04T11:43:40Z
dc.date.issued1994
dc.description.abstractThere were 63 patients of Ebstein's anomaly of tricuspid valve encountered from 1976 to 1991; 28 (44.40%) were male and 35 (55.6%) female. Their age at presentation ranged from 3 months to 51 years. Five (7.9%) patients were asymptomatic, 48 (76.2%) had class II-III exertional dyspnoea, palpitation or both. Thirty patients (47.6%) had cyanosis. Electrocardiogram showed paroxysmal atrial fibrillation in two, chronic atrial fibrillation in four (6.3%), paroxysmal supraventricular tachycardia in seven, atrial or ventricular ectopic beats in five (7.9%), 2:1 atrioventricular block in one (1.6%), complete atrioventricular block in two (3.2%) and type B WPW syndrome in nine patients (14.3%). Chest X-ray showed diminished vascularity in 22 (34.9%). Diagnosis was established by cardiac catheterization and or echocardiography. Atrialized right ventricular chamber was demonstrated in 51 (80.9%) by angiography and in 40 (63.5%) by electrophysiology. Patients were followed up for 1-172 months. Seventeen patients (26.9%) required surgery. Three patients (4.8%) died during medical follow-up, and five (7.9%) died following surgery. Survival probability for 46 medical patients was 88.9% at 172 months. Factors affecting survival were pulmonary blood flow, cyanosis, clubbing and systemic arterial oxygen saturation.
dc.identifier.citationINTERNATIONAL JOURNAL OF CARDIOLOGY. 46; 2; 113-119en_US
dc.identifier.urihttp://dx.doi.org/10.1016/0167-5273(94)90031-0
dc.identifier.urihttps://dspace.sctimst.ac.in/handle/123456789/269
dc.publisherINTERNATIONAL JOURNAL OF CARDIOLOGY
dc.subjectCardiology
dc.titleCLINICAL PROFILE AND NATURAL-HISTORY OF EBSTEINS-ANOMALY OF TRICUSPID-VALVE
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