Echocardiographic and Clinical Evaluation of Rheumatic Mitral Stenosis in Younger and Elderly Patients
| Autor: | Placid Sebastian Kanattu, C D Ramakrishna |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
education.field_of_study Percutaneous Heart disease business.industry Population Cardiovascular examination 030204 cardiovascular system & hematology medicine.disease Surgery 03 medical and health sciences Stenosis 0302 clinical medicine medicine.anatomical_structure Internal medicine Mitral valve cardiovascular system medicine Cardiology cardiovascular diseases 030212 general & internal medicine Chordae tendineae education Commissurotomy business |
| Zdroj: | International Journal of Clinical Medicine. :128-135 |
| ISSN: | 2158-2882 2158-284X |
| DOI: | 10.4236/ijcm.2017.83012 |
| Popis: | Background: Rheumatic heart disease (RHD) is common form of heart disease among population, especially in developing countries like India. Mitral stenosis (MS) is majorly caused by rheumatic heart disease with mitral commissural adhesion, fibrosis and calcification of the chordae tendineae. The aim of present study was clinical and echocardiographic evaluation for mitral stenosis in RHD patients with different age group. Methods: This was a retrospective, nonrandomized, and single-centre study in which 203 consecutive patients presented rheumatic mitral stenosis. All the patients were divided into different age group viz. 65 years. Cardiovascular examination and echocardiography were done in each patient. Mitral valve area (MVA), mitral valve gradient (MVG) and left atrial (LA) diameter were assessed by echocardiography. Mitral valve score was recorded to analyse the degenerative changes in mitral valve structure. Results: A total of 203 patients (133 females) were enrolled and divided into three age groups. Patients with age above 65 years were considered as elderly and those patients with age below 40 years were considered as younger. Echocardiographic assessment showed mean 4.7 and 4.9 cm LA diameter, 0.92 and 0.86 cm2 MVA and 11.2 and 9.7 mm Hg MVG in younger and elderly patients respectively. Total mitral valve score has shown significant (p 2 had shown significant difference (p < 0.001) between younger and elderly patients. Conclusion: Present study provides unique contemporary data on characteristics and management of patients with rheumatic mitral stenosis. Majority of elderly patients are unsuitable for percutaneous commissurotomy due to degenerative changes in mitral valve structure. |
| Databáze: | OpenAIRE |
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