Combined mitral and aortic stenosis
| Autor: | Harry Goldberg, K.P. Sinah, Joseph F. Uricchio, William Likoff |
|---|---|
| Rok vydání: | 1959 |
| Předmět: |
medicine.medical_specialty
biology business.industry Diastole Cardiac index Hemodynamics medicine.disease biology.organism_classification Surgery Angina Stenosis Mitral valve stenosis Aortic valve stenosis Internal medicine Vertigo cardiovascular system Cardiology Medicine cardiovascular diseases Cardiology and Cardiovascular Medicine business |
| Zdroj: | The American Journal of Cardiology. 4:479-491 |
| ISSN: | 0002-9149 |
| DOI: | 10.1016/0002-9149(59)90170-5 |
| Popis: | The clinical features and hemodynamic findings in 141 patients with combined mitral and aortic stenosis are presented. Dyspnea, fatigue, edema and hemoptysis were the most commonly occurring symptoms with angina pectoris, vertigo and syncope being noted less often. The mitral first sound was frequently less sharp than in isolated mitral stenosis and its characteristics were sometimes obscured by the aortic systolic murmur transmitted from the base. Hemodynamic alterations included a low cardiac index, elevated left atrial, pulmonary arterial and left ventricular systolic pressures and left atrial, left ventricular diastolic and left ventricular-aortic systolic gradients. Operative mortality by a variety of approaches was 19.2 per cent and improvement in symptoms was noted in 86.6 per cent of the survivors. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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