Prognosis of Cardiac Diseases and Procedures Flashcards
What is mortality of Pericardectomy?
10-15% mortality
What is complication rate for ICD/Pacemaker implantation?
i. Lead dislodgement 2.3%
ii. Early ICD system infection 1.9%
iii. PTX 0.6%
iv. Device malfunction 0.5%
v. Serious bleeding 0.4%
vi. Venous thrombosis 0.2%
vii. Cardiac perforation 0.1%
viii. Inappropriate shock on follow-up 20% (usually as a consequence of sinus tachycardia or afib
What is overall complication rate in PPM implantation?
2-3%
(4-5% for ICD implantation)
What is complication rate of PCI?
a. 0.5% risk of major complication such as coronary dissection, MI, perforation, tamponade, stroke.
b. 1% risk of access site bleeding, infection.
What is in hospital mortality of cardiogenic shock?
50%
What is in hospital mortality of VSR with surgery?
50% (perhaps less with percutaneous closure)
Transplant free survival for fulminant myocarditis?
15-20%
What is the prognosis and life expectancy for giant cell myocarditis?
10-15% transplant free survival
Median survival 5.5 months
What is sudden death per year in asymptomatic severe AI? Symptomatic severe AI?
-4%/ year
-10%/ year
What is complication rate in CRTD? Success rate?
-5-10% (RAFT trial)
-90% successful implantation rate
What is risk of death in asymptomatic severe AS?
1% / year
What is the mortality rate of AVR? AVR + CABG? AVR + MVR?
-2%
-4%
-9%
What is the mortality rate of MVR? MVR + CABG?
-5%
-9%
What is the mortality rate of Mitral valve repair?
-1%
What is complication rate of Pericardiocentesis?
1-2%
What is complication rate and complications of the two types of SRT?
Review radiation doses of common procedures
Mortality rate for acute MR/Mechanical complication in STEMI?
20%
Mortality rate for VSR in STEMI?
50% (Higher for Inferobasal)
Mortality rate for Free wall rupture?
60% (for those that make it to surgery)
Prognosis of Lymphocytic Myocarditis?
80-90% survival with supportive management alone, worse if recurrence, or LV dysfunction, VT
Prognosis of endocarditis in hospital and at 1 year?
20% mortality, 40% mortality at 1 year
What is prgognosis of Type A Aortic Dissection surgery?
20-30%
How to select between Mitral valve repair vs. replacement?
What is immunosuppressive regimen for Giant Cell Myocarditis?
-1 gram methylprednisolone x 3 days
-60mg daily followed by 10mg/week taper to a 5mg maintenance dose
-Consider CNI (Tacrolimus, Cyclosporine) and MMF
What is immunosuppressive regimen for Sarcoidosis if it presents as GCA?
-1 gram methylprednisolone x 3 days
-60mg daily followed by 10mg/week taper to a 5mg maintenance dose
-Can add on methotrexate
What is immunosuppressive regiment for Cardiac Sarcoidosis
Prognosis of cardiac sarcoidosis at 1 year, 5 year and 10 years?
Mortality: 10%, 50%, 90%
