Mitral Valve Disease, Right Heart Failure, Right Ventricular Dysfunction, Right Ventricular Failure
Conditions
Brief summary
The PREPARE-MVR (PRediction of Early PostoperAtive Right vEntricular failure in Mitral Valve Replacement/Repair patients) Study aims to evaluate those preoperative factors which can predict the early postoperative right ventricular failure or determine the functional shift seen in right ventricular function after mitral valve replacement/repair. The PREPARE-MVR study focuses mainly on echocardiographic (both conventional and advanced) parameters and includes right heart catheterization intraoperatively and in the early postoperative period as gold standard method.
Interventions
Mitral valve replacement/repair: standard of care operation of the mitral valve due to severe insufficiency
Sponsors
Study design
Eligibility
Inclusion criteria
* patients admitted for mitral valve replacement/repair * severe mitral valve insufficiency
Exclusion criteria
* preoperative right ventricular dysfunction * cardiac surgery in medical history * infective endocarditis * primary cardiomyopathies * congenital heart disease * decreased left ventricular ejection fraction * pulmonary embolism in medical history * severe chronic obstructive pulmonary disease * primary pulmonary hypertension * any malignancy affecting right heart
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| right ventricular failure | From date of operation until the date of first documented right ventricular failure assessed up to 6 months | Early postoperative right ventricular failure is defined as right ventricular stroke work index \<300 mmHg/mL/m2 measured by right heart catheterization. Late right ventricular failure is defined as \>10% decrease in right ventricular ejection fraction compared to preoperative value measured by 3D echocardiography. |
Countries
Hungary