Psychoemotional and Quality of Life Response to Mitral Operations in Patients With Mitral Regurgitation: A Prospective Study Tali Bayer-Topilsky, PhD,

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Presentation transcript:

Psychoemotional and Quality of Life Response to Mitral Operations in Patients With Mitral Regurgitation: A Prospective Study Tali Bayer-Topilsky, PhD, Rakesh M. Suri, MD, DPhil, Yan Topilsky, MD, Yariv N. Marmor, PhD, Max R. Trenerry, PhD, Ryan M. Antiel, MD, Douglas W. Mahoney, MS, Hartzell V. Schaff, MD, Maurice Enriquez-Sarano, MD The Annals of Thoracic Surgery Volume 99, Issue 3, Pages 847-854 (March 2015) DOI: 10.1016/j.athoracsur.2014.10.030 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Study construct. All enrolled patients had complete definition of valvular morphologic characteristics and dysfunction by Doppler echocardiography. Mitral valve operations were decided through consensus of the patient, cardiologist, and cardiac surgeon. High repeated response rates (78%) were obtained from the 6-month follow-up assessment questionnaires. (HR-QOL = health-related quality of life; PES = psychoemotional status.) The Annals of Thoracic Surgery 2015 99, 847-854DOI: (10.1016/j.athoracsur.2014.10.030) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Psychoemotional status (PES) at diagnosis and follow-up. (A and C) Baseline and follow-up score medians and (B and D) 6-month mean change for (A and B) anxiety and (C and D) posttraumatic stress (PTS) scores. Anxiety was assessed using Hospital Anxiety and Depression Scale (HADS), and PTS was assessed using PCL-C scale. Each group is represented by a bar according to grayscale indicated and an asterisk represents statistical significance versus baseline measurement in follow-up panels and versus other groups in the delta panels. Note that patients who underwent mitral operation had worst scores preoperatively, improved most from pre- to postoperative period, and are indistinguishable from controls at follow-up, underscoring postoperative normalization of emotional well-being. The Annals of Thoracic Surgery 2015 99, 847-854DOI: (10.1016/j.athoracsur.2014.10.030) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions