Сurrent issues of maintaining patientswith the operated valvular heart disease

Authors: Lisina M.O., Zhdanova I.A., Ermolenko M.L., Nevedrova M.N., Meladze M.G., Dzhandzhgava D.A.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery of Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

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Type:  Reviews

DOI: https://doi.org/10.24022/1997-3187-2019-13-1-52-62

For citation: Lisina M.O., Zhdanova I.A., Ermolenko M.L., Nevedrova M.N., Meladze M.G., Dzhandzhgava D.A. Сurrent issues of maintaining patients with the operated valvular heart disease. Creative Cardiology. 2019; 13 (1): 52–62 (in Russ.). DOI: 10.24022/1997-3187-2019-13-1-52-62

Received / Accepted:  18.01.2019/25.01.2019

Keywords: prosthetic heart valves rehabilitation anticoagulant therapy

Полнотекстовая версия:  



Now hundreds of thousands of patients with the fitted a prosthesis heart valves live in the world. Application of everything types of artificial limbs is accompanied by a number of specific complications in the postoperative period, valvular implants peculiar to different groups. In this article questions of maintaining patients with the operated valvular heart disease are considered. The issues of follow-up of patients, prevention of bacterial endocarditis, recurrence of rheumatic fever, prevention of development and early detection of dysfunction of the prosthetic heart valve, identification of indications for valve re-prosthesis, physical and psychological rehabilitation of patients are considered in detail. Particular attention is paid to anticoagulant therapy in patients with biological and mechanical valve prostheses, as well as after valve plastic, perioperative management of patients receiving long-term anti-thrombotic therapy, and management of pregnancy.


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About Authors

  • Marina O. Lisina, Researcher, ORCID
  • Inna A. Zhdanova, Junior Researcher, ORCID
  • Marina L. Ermolenko, Head of Department, ORCID
  • Mariya N. Nevedrova, Researcher, ORCID
  • Mayya G. Meladze, Junior Researcher, ORCID
  • Daredzhan A. Dzhandzhgava, Researcher, ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery