Download PDF
Thorac Cardiovasc Surg 2020; 68(06): 492-497
DOI: 10.1055/s-0039-1695788
Original Cardiovascular

Effect of the Different Mechanical Mitral Valve Sounds on the Patients' Quality of Life

Jiang-Shan Huang
1   Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, People’s Republic of China
,
Zhi-Nuan Hong
1   Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, People’s Republic of China
,
Kai-Peng Sun
1   Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, People’s Republic of China
,
Hua Cao
2   Department of Cardiac Surgery, Fujian Provincial Maternity and Children's Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, People's Republic of China
,
Qiang Chen
1   Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, People’s Republic of China
› Author Affiliations Funding This research was sponsored by Chinese national and Fujian provincial key clinical specialty construction programs, and education scientific research project for young and middle-aged people of the Education Department of Fujian Province (JA14134).
› Further Information
    Permissions and Reprints All articles of this category

Abstract

Background The purpose of this study was to compare the opening and closing sounds of three different mechanical mitral valves and to analyze their effects on the quality of life of patients.

Methods Ninety patients who underwent mechanical mitral valve replacement (MVR) were divided into three groups: those who received Advancing the Standard (ATS), St. Jude Medical (SJM), or Carbomedics (CM) mechanical valves. The sound pressure of the different valves was measured with a microphone. A detailed, self-designed questionnaire with a 1 to 10 analog scale and the 36-item Short Form Health Survey (SF-36) score was used to assess the quality of life of the patients.

Result The sound pressure measured by ATS was 64.4 ± 3.1 dB, while that measured by SJM, and CM was 64.5 ± 4.7 and 67.2 ± 5.3 dB, respectively. The overall subjective interference score in the ATS group was the lowest compared with that in the SJM and CM groups (ATS: 1.3 ± 0.9 dB, SJM: 3.9 ± 1.6 dB, CM: 4.1 ± 1.5 dB). Relatives and nonfamily members of the ATS group also had the lowest analog scale scores. Specific questions showed that the ATS valve had the least impact on sleep and daily life (impact on sleep: ATS: 4/30, SJM: 9/30, CM: 11/30, impact on daily life: ATS: 2/30, SJM: 8/30, CM: 8/30). The SF-36 score showed that there were significant differences in social functioning, role-emotional, mental health, and vitality.

Conclusion Patients receiving ATS mechanical MVR may be less disturbed by valve noise than those receiving SJM or CM mechanical MVR in a single Chinese cardiac center.

Keywords

mitral valve replacement - sounds of mechanical valves - quality of life


Publication History

Received: 01 June 2019

Accepted: 19 July 2019

Article published online:
06 September 2019

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 

  • References

  • 1 Blome-Eberwein SA, Mrowinski D, Hofmeister J, Hetzer R. Impact of mechanical heart valve prosthesis sound on patients' quality of life. Ann Thorac Surg 1996; 61 (02) 594-602
    CrossrefPubMedGoogle Scholar
  • 2 Koertke H, Hoffmann-Koch A, Boethig D. , et al. Does the noise of mechanical heart valve prostheses affect quality of life as measured by the SF-36 questionnaire?. Eur J Cardiothorac Surg 2003; 24 (01) 52-57 , discussion 57–58
    CrossrefPubMedGoogle Scholar
  • 3 Moritz A, Steinseifer U, Kobinia G. , et al. Closing sounds and related complaints after heart valve replacement with St Jude Medical, Duromedics Edwards, Björk-Shiley Monostrut, and Carbomedics prostheses. Br Heart J 1992; 67 (06) 460-465
    CrossrefPubMedGoogle Scholar
  • 4 Sezai A, Shiono M, Orime Y. , et al. Evaluation of valve sound and its effects on ATS prosthetic valves in patients' quality of life. Ann Thorac Surg 2000; 69 (02) 507-512
    CrossrefPubMedGoogle Scholar
  • 5 Golczyk K, Kompis M, Englberger L, Carrel TP, Stalder M. Heart valve sound of various mechanical composite grafts, and the impact on patients' quality of life. J Heart Valve Dis 2010; 19 (02) 228-232
    PubMedGoogle Scholar
  • 6 Nygaard H, Johansen P, Riis C, Hasenkam JM, Paulsen PK. Assessment of perceived mechanical heart valve sound level in patients. J Heart Valve Dis 1999; 8 (06) 655-661
    PubMedGoogle Scholar
  • 7 Mirabel M, Iung B, Baron G. , et al. What are the characteristics of patients with severe, symptomatic, mitral regurgitation who are denied surgery?. Eur Heart J 2007; 28 (11) 1358-1365
    CrossrefPubMedGoogle Scholar
  • 8 Nishida T, Sonoda H, Oishi Y. , et al. Mechanical prosthesis is reasonable for MVR in patients approximately 65 years of age. Ann Thorac Surg 2013; 96 (05) 1614-1620
    CrossrefPubMedGoogle Scholar
  • 9 Mantovani V, Mariscalco G, Leva C, Blanzola C, Cattaneo P, Sala A. Long-term results of the surgical treatment of chronic ischemic mitral regurgitation: comparison of repair and prosthetic replacement. J Heart Valve Dis 2004; 13 (03) 421-428 , discussion 428–429
    PubMedGoogle Scholar
  • 10 Perchinsky M, Henderson C, Jamieson WR. , et al. Quality of life in patients with bioprostheses and mechanical prostheses. Evaluation of cohorts of patients aged 51 to 65 years at implantation. Circulation 1998; 98 (19, Suppl): II81-II86, discussion II86–II87
    PubMedGoogle Scholar
  • 11 Jamieson WR, Edwards FH, Schwartz M, Bero JW, Clark RE, Grover FL. ; National Cardiac Surgery Database. Database Committee of The Society of Thoracic Surgeons. Risk stratification for cardiac valve replacement. Ann Thorac Surg 1999; 67 (04) 943-951
    CrossrefPubMedGoogle Scholar
  • 12 Thulin LI. Quality of life and mechanical heart valve sound. Cor Vasa 1989; 31 (02) 134-138
    PubMedGoogle Scholar
  • 13 Kerendi F, Guyton RA. Replacement of mechanical mitral valve prosthesis due to patient intolerance of clicking noise: case report. J Heart Valve Dis 2005; 14 (02) 261-263
    PubMedGoogle Scholar
  • 14 Perrotti A, Ecarnot F, Monaco F. , et al. Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study. Health Qual Life Outcomes 2019; 17 (01) 88
    CrossrefPubMedGoogle Scholar
  • 15 Kwan YH, Fong WW, Lui NL. , et al. Validity and reliability of the Short Form 36 Health Surveys (SF-36) among patients with spondyloarthritis in Singapore. Rheumatol Int 2016; 36 (12) 1759-1765
    CrossrefPubMedGoogle Scholar
  • 16 Hou WH, Yeh TS, Liang HW. Reliability and validity of the Taiwan Chinese version of the lower extremity functional scale. J Formos Med Assoc 2014; 113 (05) 313-320
    CrossrefPubMedGoogle Scholar
  • 17 Li L, Wang HM, Shen Y. Chinese SF-36 Health Survey: translation, cultural adaptation, validation, and normalisation. J Epidemiol Community Health 2003; 57 (04) 259-263
    CrossrefPubMedGoogle Scholar
  • 18 Umeda T. An evaluation study on the quietness of the ATS valve. Ann Thorac Cardiovasc Surg 2007; 13 (03) 172-177
    PubMedGoogle Scholar
  • 19 Laurens RR, Wit HP, Ebels T. Mechanical heart valve prostheses: sound level and related complaints. Eur J Cardiothorac Surg 1992; 6 (02) 57-61
    CrossrefPubMedGoogle Scholar