Alcohol Septal Ablation - Outcomes

Outcomes

Relief of obstruction is noted immediately in the majority of appropriately selected patients. Clinical success is defined as a 50% or more reduction in peak gradient across the outflow tract, predicting continued improvement in gradient and cardiac remodeling over the ensuing 1 to 2 years. Over 90% of patients experience a successful procedure, with improvement in outflow tract gradient and mitral regurgitation. Patients typically report progressive reduction in symptoms, including improved shortness of breath, lightheadedness and chest pain. Serial echocardiograms are routinely obtained to follow the cardiac remodeling over time, and document reduction in outflow tract gradient.

When compared to surgical myectomy, similar outcomes are noted out to approximately 5 years. However, a prospective, randomized trial has not been performed. Despite initial concerns regarding long-term arrhythmic potential of alcohol septal ablation, no increased risk has been noted to date. It is important to note that patients who fail to respond to alcohol septal ablation may still be candidates for surgical myectomy. Likewise, patients who fail surgical myectomy may still respond to alcohol septal ablation. Which patients are best served by surgical myectomy, alcohol septal ablation, or medical therapy is an important topic and one which is intensely debated in medical scientific circles.

Read more about this topic:  Alcohol Septal Ablation

Other articles related to "outcomes":

Surgical Outcomes Analysis And Research - About Outcomes Research
... Outcomes Research evaluates the impact of health care on the health outcomes of patients and populations AHRQ ... of economic impacts linked to health outcomes, such as cost effectiveness and cost utility ... There are a wide range of outcomes to study including mortality, morbidity, functional status, mental well-being, and other aspects of health-related quality of life ...
SOS Outreach - Outcomes
... During the 2009/2010 season, SOS saw an increase in nine of the ten protective factors, while one category saw no change ... Significant increases were seen in five of the 10 areas measured Interested and caring adults (.25) Liking/perceived competence in snowsports (.24) Ability to work out conflicts (.20) Neighborhood resources (.18) Positive attitude toward the future/future expectations (.18) Further, all program staff, volunteers and teachers receive a qualitative survey at the end of the program session ...
Surgical Outcomes Analysis And Research
... Surgical Outcomes Analysis Research, SOAR, is a research laboratory of the Department of Surgery at the University of Massachusetts Medical School with expertise in ... SOAR investigates surgical diseases and perioperative outcomes ... to address factors contributing to disease outcomes and healthcare disparities ...
Cross-Cultural Competence
... Whereas previous models have tended to emphasize subjective outcomes, by focusing primarily on adjustment, outcomes of interest here include both subjective and objective outcomes ... Objective outcomes, such as job performance, have been addressed in previous research, but to a lesser degree than the subjective outcomes ... Research indicates that the outcomes are linked, with personal and interpersonal adjustment linked to work adjustment, which has in turn been linked with job performance (Shay Baack, 2006) ...
'Choice Architecture' Concept
... Choice architecture seeks to affect outcomes through the manner in which the person or organization presents the choice to the decision-maker ... Another technique suggested is laying out various outcomes of a decision in a way that is easy for the choice-maker to understand ... or manipulation that changes outcomes without changing people's underlying preferences, described by political scientist William H ...