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. 2020 Oct 13;115(4):720–775. [Article in Portuguese] doi: 10.36660/abc.20201047

Table 57. Step 4: Evaluation of severe multivalvular disease prognostic factors.

Prognostic factors
Pulmonary hypertension

  • Resting SPAP ≥ 50 mmHg

  • Most often present with associated MS

  • Symptoms of right heart failure

  • Related to increased surgical risk
Recent onset AF

  • Related to LA remodeling
Increased ventricular diameters

  • Consider diameters depending on the type of valve lesion

LA: left atrium; MS: mitral stenosis; SPAP: systolic pulmonary artery pressure.