J Heart Stroke | Volume 2, Issue 1 | Short Communication | Open Access

Afterload – Mismatch: It’s Importance in Surgical Decision Making

José Fernando Guadalajara-Boo^1*, Eugenia Ruiz-Esparza², Hugo Rodríguez-Zanella², AntonioAriaz-Godinez³ and Samuel Ramírez-Marroquín⁴

¹Head of Clinical Cardiology, National Institute of Mexico, Mexico
²Echocardiography Department, National Institute of Mexico, Mexico
³Head Echocardiography Department, National Institute of Mexico, Mexico
⁴Head of Cardiovascular Pediatric Surgery, National Institute of Mexico, Mexico

^*Correspondance to: José Fernando Guadalajara-Boo 

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Abstract

In valvular heart disease, heart failure due to intrinsic myocardial damage causes surgical high mortality. When patient survives surgical time; the functional class not always is below II, and longterm mortality is high. On the other hand, when heart failure is due to excessive afterload and normal myocardial structure, the reduction of excessive afterload normalizes ventricular function, reduce surgical mortality and improve long term survival.

Keywords:

Afterload Mismatch; Aortic Valve Disease; Heart Failure

Citation:

Guadalajara-Boo JF, Ramírez- Marroquín S, Rodríguez-Zanella H. Afterload – Mismatch: It’s Importance in Surgical Decision Making. J Heart Stroke. 2017; 2(1): 1014.