Valvuloplastia Mitral Percutânea por Balão: Sedação Consciente e Impacto Clínico em Curto Prazo

• Ano de defesa: 2020
• Autor(a) principal: Marta Eugênia Alcici
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; Brasil; MEDICINA - FACULDADE DE MEDICINA; Programa de Pós-Graduação em Ciências da Saúde - Infectologia e Medicina Tropical; UFMG
• Palavras-chave em Português: Febre reumática; Valvuloplastia mitral percutânea; Valva Mitral; Sedação Consciente; Intervenção Coronária Percutânea; Valvuloplastia com Balão; Febre Reumática
• Link de acesso: http://hdl.handle.net/1843/38204

The present study sought to identify the demographic, clinical, echocardiographic and procedural parameters that predict the mitral valve area immediately after percutaneous mitral balloon valvuloplasty. And to assess the efficacy and safety of conscious sedation in patients undergoing the procedure. The mitral valve area after PMVB was determined by a combination of factors, including demographic and procedure-related parameters. Long-term clinical outcomes were predicted by post-procedure mitral valve area and severity of mitral regurgitation. In the study of sedation, it was shown that the combination of midazolam and fentanyl achieved adequate sedation, without significant changes in hemodynamic parameters, allowing the maintenance of spontaneous ventilation.