scholarly journals ASSESSMENT OF COMMISSURAL MORPHOLOGY BY 2-DIMENSIONALAND 3- DIMENSIONAL ECHOCARDIOGRAPHY TO PREDICT THE IMMEDIATE OUTCOME OF PERCUTANEOUS TRANSVENOUS MITRAL COMMISSUROTOMY IN PATIENTS WITH RHEUMATIC MITRAL STENOSIS

2020 ◽  
pp. 1-3
Author(s):  
Jeet Ram Kashyap ◽  
Kewal Chand Goswami ◽  
Rakesh Yadav ◽  
Ganesan Karthikeyan ◽  
Neeraj Parakh ◽  
...  
Keyword(s):  
Mitral Stenosis ◽  
Three Dimensional ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Rheumatic Mitral Stenosis ◽  
3D Echo ◽  
Percutaneous Transvenous Mitral Commissurotomy ◽  
Mitral Commissurotomy ◽  
Dimensional Echocardiography

OBJECTIVE To find various commissural morphologic predictors of immediate outcome of percutaneous transvenous mitral commissurotomy by two and three dimensional echocardiography. METHODS Design: Cross sectional study Setting: Teratiry care hospital Participants: Symptomatic patients with severe rheumatic mitral stenosis aged more than 12 years without any contraindications for the procedure. Intervention: 2D and 3D echocardiographic evaluation of commissural morphology was done by measuring commissural thickness score, commissural fusion score, commissural calcification and intercommissural distance. End point: Predictors of successful procedure. RESULTS Sixty-five patients were screened. Ten were excluded because of (commissural calcification 5, > moderate mitral regurgitation 2, thrombus in left atrium 2 and emergency procedure in a pregnant lady 1). Fifty five patients (29 (53%) men and 26 (47%) women), mean age 30.58 ± 9.27 were studied. The procedure was successful in 47 (86%) patients. The following parameters predicted the success; lower commissural fusion score by 3D echo 1.5 (0.5 – 2.0) vs. 2.0 (0.5 -2.0); p ≤ 0.002, higher intercommissural distance by 2D echo 19.0 (12.5 – 21.5) vs. 16.5 (12.0 – 18.5); p ≤ 0.009, lesser commissural thickness score 3D echo 5.0 (0.4 – 10.2) vs. 8.8 (3.9 – 10.0); p ≤ 0.028 as well as by 2D echo 5.1 (1.7 - 9.8) vs 8.5 (4.3 - 9.7); p < 0.037. Commissural thickness score by 2D echo was the best predictor of outcome (r=0.509, P<0.0001). CONCLUSIONS Comissural morphology is an important independent predictor of immediate outcome of percutaneous transvenous mitral commissurotomy.

scholarly journals FREQUENCY OF ACUTE MITRAL REGURGITATION IN POST PERCUTANEOUS TRANSVENOUS MITRAL COMMISSUROTOMY PATIENTS WITH SEVERE MITRAL STENOSIS

2022 ◽  
Vol 54 (4) ◽  
pp. 328-332
Author(s):  
Zuhaib Uddin ◽  
Zeeshan Shaikh ◽  
Naveed Ahmed Shaikh ◽  
Sanaullah Shaikh ◽  
Gian Chand ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Mitral Stenosis ◽  
Cross Sectional Study ◽  
Severe Mitral Regurgitation ◽  
Cross Sectional ◽  
Post Procedure ◽  
Number Of Patients ◽  
Acute Mitral Regurgitation ◽  
Percutaneous Transvenous Mitral Commissurotomy ◽  
Mitral Commissurotomy

Objectives: To determine the frequency of Acute Mitral Regurgitation in Post Percutaneous Transvenous Mitral Commissurotomy (PTMC) patients with severe mitral stenosis (MS). Methodology: A cross-sectional study was conducted at the Tabba Heart Institute, Karachi, Pakistan between September 2019 and April 2021. All patients irrespective of gender, aged between 19-80 years, and those who did not undergo PTMC were eligible to partake in the study. Patients with mitral regurgitation along with mitral stenosis, or those with clot in left atrium, or those suffering with the last stage of renal disease were excluded from the study. A predefined Proforma was used as a research instrument through which medical records of patients of PTMC are collected. The variables of the Proforma include patient’s age, name, sex, echo findings, treatment procedure, post-procedure data and complications. Results: A mean age of 40.6 ± 12.63 years was reported. 86 (81.9%) of the patients developed ‘no complications’, 15 (14.3%) of the PTMC patients suffered from ‘severe mitral regurgitation’, 2 (1.9%) had local hematoma, and one patient had a cardiac tamponade after the procedure. Only one patient died post-procedure. Post-stratification analysis showed that the majority of the female patients and 83% of the patients with no previous commissurotomy history did not have any complications. While a total of 14.7% who had no history of previous commissurotomy suffered from severe MR. Conclusion: Our study revealed that only a small number of patients who underwent PTMC suffered from severe mitral regurgitation. Overall, the procedure is safe with a good outcome.

scholarly journals Role of inflammation in initiation and maintenance of atrial fibrillation in rheumatic mitral stenosis – An analytical cross‐sectional study

2020 ◽  
Vol 36 (6) ◽  
pp. 1007-1015
Author(s):  
Gautam Sharma ◽  
Nirmal Ghati ◽  
Mohd Sharique ◽  
Shruti Sharma ◽  
Sudhir Shetkar ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Mitral Stenosis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rheumatic Mitral Stenosis

Assessment of RV function following Percutaneous Transvenous Mitral Commissurotomy (PTMC) for rheumatic mitral stenosis

2016 ◽  
Vol 7 (2) ◽  
pp. 58-63
Author(s):  
Huliyurdurga Srinivasa Setty Natraj Setty ◽  
Veeresh Patil Hebbal ◽  
Yeriswamy Mogalahalli Channabasappa ◽  
Santosh Jadhav ◽  
Kandenahalli Shankarappa Ravindranath ◽  
...  
Keyword(s):  
Mitral Stenosis ◽  
Rheumatic Mitral Stenosis ◽  
Percutaneous Transvenous Mitral Commissurotomy ◽  
Mitral Commissurotomy ◽  
Rv Function

scholarly journals Frequency of atrial septal defect in patients of rheumatic mitral stenosis undergoing percutaneous transseptal mitral commisurotomy.

2020 ◽  
Vol 27 (04) ◽  
pp. 857-862
Author(s):  
Munir Ahmad ◽  
Qasim Rauf ◽  
Muhammad Akram ◽  
Naeem Hameed ◽  
Shahid Iqbal ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Mitral Stenosis ◽  
Septal Defect ◽  
Cross Sectional Study ◽  
Functional Class ◽  
Class Iii ◽  
Cross Sectional ◽  
Nyha Functional Class ◽  
Rheumatic Mitral Stenosis ◽  
Inoue Balloon

Objectives: To determine the frequency of atrial septal defect in patients of rheumatic mitral stenosis undergoing percutaneous trans septal mitral commissurotomy. Study Design: Cross sectional study. Setting: Faisalabad Institute of Cardiology, Faisalabad. Period: 15-07-2018 to 14-01-2019. Material & Methods: Study was approved by hospital ethical committee. A total of 45 patients were included in the study that fulfilled the study inclusion criteria and gave written informed consent. PTMC was performed using Inoue balloon technique through right femoral venous route under local anesthesia. Transthoracic echocardiography was done after 48 hours of PTMC for ASD assessment. Results: Out of 45 patients there were 17 (37.8%) males and 28 (62.2%) females. The mean age was (29.06±10.85) years. There were 9 (20%) patients with NYHA functional class II, 28(62.2%) with NYHA functional class III and 8(17.8%) with NYHA functional class IV symptoms. ASD was detected in 15 (33.3%) patients after 48 hours of PTMC. Conclusion: In this study frequency of ASD in patients of mitral stenosis undergoing PTMC was 33.3%. Results of this study can help to identify the patients who will be potential candidates for closure of residual ASD.

scholarly journals Evaluation of serum 25-hydroxyvitamin D levels in calcific rheumatic mitral stenosis— A cross sectional study

2018 ◽  
Vol 70 (2) ◽  
pp. 206-213 ◽  
Author(s):  
Jamal Yusuf ◽  
Jothinath P ◽  
Saibal Mukhopadhyay ◽  
Vickram Vignesh ◽  
Sanjay Tyagi
Keyword(s):  
Mitral Stenosis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hydroxyvitamin D ◽  
Rheumatic Mitral Stenosis ◽  
25 Hydroxyvitamin D
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