Doppler echocardiographic assessment of long-term progression of mitral stenosis in 103 patients: Valve area and right heart disease
Autor: | Alex Sagie, Eleanor Morris, Marcia Leavitt, Arthur E. Weyman, Nelmacy Freitas, Luis R. Padial, Robert A. Levine |
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Rok vydání: | 1996 |
Předmět: |
Male
medicine.medical_specialty Time Factors Referral Hypertension Pulmonary Ventricular Dysfunction Right Population Aortic Valve Insufficiency Hemodynamics Disease Atrial Function Right complex mixtures Mitral valve Internal medicine medicine Humans Mitral Valve Stenosis skin and connective tissue diseases education education.field_of_study business.industry Rheumatic Heart Disease Mitral Valve Insufficiency Middle Aged medicine.disease Echocardiography Doppler Tricuspid Valve Insufficiency Stenosis medicine.anatomical_structure Right heart Cardiology Disease Progression Mitral Valve Female sense organs Mitral valve area business Cardiology and Cardiovascular Medicine Algorithms Follow-Up Studies |
Zdroj: | Journal of the American College of Cardiology. 28(2):472-479 |
ISSN: | 0735-1097 |
DOI: | 10.1016/0735-1097(96)00153-2 |
Popis: | Objectives.The purpose of this study was to determine, in a large referral population, the rate of echocardiographic change in mitral valve area (MVA) without interim intervention, to determine which factors influence progression of narrowing and to examine associated changes in the right side of the heart.Background.Little information is currently available on the echocardiographic progression of mitral stenosis, particularly on progressive changes in the right side of the heart and the ability of a previously proposed algorithm to predict progression.Methods.We studied 103 patients (mean age 61 years; 74% female) with serial two-dimensional and Doppler echocardiography. The average interval between entry and most recent follow-up study was 3.3 ± 2 years (range 1 to 11).Results.During the follow-up period, MVA decreased at a mean rate of 0.09 cm2/year. In 28 patients there was no decrease, in 40 there was only relatively little change ( |
Databáze: | OpenAIRE |
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