A STUDY OF CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES OF PERCUTANEOUS TRANSVENOUS MITRAL COMMISSUROTOMY FOR MITRAL STENOSIS

ABSTRACT Objective: Toassess clinical and echocardiographic outcomes of mitral stenosis (MS) patients treated with Percutaneous trans-venous mitral commissurotomy (PTMC) with regard to mitral valve area and dyspnea functional class NYHA. Study Design: A single center, descriptive cross-sectional stu...

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Published in:Pakistan Armed Forces medical journal 2019-03 (1), p.S118
Main Authors: Nadeem, Asif, Tariq Hussain Khattak, Shehzad, Syed Khurram, Sarfraz Ali Zahid, Javeria Kamran, Ahmed, Imtiaz, Tuyyab, Farhan, Syeda Anzala Zahra Kazmi
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Language:English
Subjects:
Age
Blood clots
Calcification
Cardiac arrhythmia
Cardiology
Cardiovascular disease
Cardiovascular diseases
Conflicts of interest
Coronary vessels
Heart
Heart diseases
Mitral valve stenosis
Mortality
Prostheses and implants
Rheumatic fever
Rheumatic heart disease
Stenosis
Success
Surgery
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container_title Pakistan Armed Forces medical journal
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creator Nadeem, Asif
Tariq Hussain Khattak
Shehzad, Syed Khurram
Sarfraz Ali Zahid
Javeria Kamran
Ahmed, Imtiaz
Tuyyab, Farhan
Syeda Anzala Zahra Kazmi
description ABSTRACT Objective: Toassess clinical and echocardiographic outcomes of mitral stenosis (MS) patients treated with Percutaneous trans-venous mitral commissurotomy (PTMC) with regard to mitral valve area and dyspnea functional class NYHA. Study Design: A single center, descriptive cross-sectional study. Place and Duration of Study: Adult Cardiology department of AFIC/NIHD, from 1st Jan 2016 till 31st Dec 2017. Material and Methods: Fifty patients with severe mitral stenosis were recruited in the study using consecutive sampling technique that underwent PTMC. Wilkin’s scoring system was used to ascertain the appropriateness of these patients for the procedure. The results of the procedure were evaluated using 2-D Echocardiography by tracing mitral valve area via planimetry method 24 hours after PTMC. Results: There were 86.0% females (n=43) and 14.0% males (n=7) in the study, with mean age 40.3 ± 2.8 years. Age of the patients ranged from 20-79 years. About 44 (88%) patients had rheumatic heart disease. Mean End-diastolic trans-mitral gradient before PTMC was 25.5 ± 2.1mm Hg which reduced to 5.3 ± 1.6 mm Hg after PTMC. Mean mitral valve area prior to PTMC was 0.81 ± 0.1cm2 which became 1.52 ± 0.1cm2 post PTMC. No gross complications like hemodynamically significant hematoma, significant mitral regurgitation or circulatory compromise were noted. Septal punctures were all successful though the balloon could not cross the mitral orifice in one patient, in whom the procedure had to be abandoned. Paired samples t-test was used to assess the statistical significance. The results turned out to be statistically significant (p
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Study Design: A single center, descriptive cross-sectional study. Place and Duration of Study: Adult Cardiology department of AFIC/NIHD, from 1st Jan 2016 till 31st Dec 2017. Material and Methods: Fifty patients with severe mitral stenosis were recruited in the study using consecutive sampling technique that underwent PTMC. Wilkin’s scoring system was used to ascertain the appropriateness of these patients for the procedure. The results of the procedure were evaluated using 2-D Echocardiography by tracing mitral valve area via planimetry method 24 hours after PTMC. Results: There were 86.0% females (n=43) and 14.0% males (n=7) in the study, with mean age 40.3 ± 2.8 years. Age of the patients ranged from 20-79 years. About 44 (88%) patients had rheumatic heart disease. Mean End-diastolic trans-mitral gradient before PTMC was 25.5 ± 2.1mm Hg which reduced to 5.3 ± 1.6 mm Hg after PTMC. Mean mitral valve area prior to PTMC was 0.81 ± 0.1cm2 which became 1.52 ± 0.1cm2 post PTMC. No gross complications like hemodynamically significant hematoma, significant mitral regurgitation or circulatory compromise were noted. Septal punctures were all successful though the balloon could not cross the mitral orifice in one patient, in whom the procedure had to be abandoned. Paired samples t-test was used to assess the statistical significance. The results turned out to be statistically significant (p&lt;0.05) on the basis of area of mitral valve and End-diastolic trans-mitral gradient. 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Tariq Hussain Khattak ; Shehzad, Syed Khurram ; Sarfraz Ali Zahid ; Javeria Kamran ; Ahmed, Imtiaz ; Tuyyab, Farhan ; Syeda Anzala Zahra Kazmi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g176t-a52faea25936a05559df39af854017e7956646507a012153ce1b658721d539353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Age</topic><topic>Blood clots</topic><topic>Calcification</topic><topic>Cardiac arrhythmia</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Conflicts of interest</topic><topic>Coronary vessels</topic><topic>Heart</topic><topic>Heart diseases</topic><topic>Mitral valve stenosis</topic><topic>Mortality</topic><topic>Prostheses and implants</topic><topic>Rheumatic fever</topic><topic>Rheumatic heart disease</topic><topic>Stenosis</topic><topic>Success</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nadeem, Asif</creatorcontrib><creatorcontrib>Tariq Hussain Khattak</creatorcontrib><creatorcontrib>Shehzad, Syed Khurram</creatorcontrib><creatorcontrib>Sarfraz Ali Zahid</creatorcontrib><creatorcontrib>Javeria Kamran</creatorcontrib><creatorcontrib>Ahmed, Imtiaz</creatorcontrib><creatorcontrib>Tuyyab, Farhan</creatorcontrib><creatorcontrib>Syeda Anzala Zahra Kazmi</creatorcontrib><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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Study Design: A single center, descriptive cross-sectional study. Place and Duration of Study: Adult Cardiology department of AFIC/NIHD, from 1st Jan 2016 till 31st Dec 2017. Material and Methods: Fifty patients with severe mitral stenosis were recruited in the study using consecutive sampling technique that underwent PTMC. Wilkin’s scoring system was used to ascertain the appropriateness of these patients for the procedure. The results of the procedure were evaluated using 2-D Echocardiography by tracing mitral valve area via planimetry method 24 hours after PTMC. Results: There were 86.0% females (n=43) and 14.0% males (n=7) in the study, with mean age 40.3 ± 2.8 years. Age of the patients ranged from 20-79 years. About 44 (88%) patients had rheumatic heart disease. Mean End-diastolic trans-mitral gradient before PTMC was 25.5 ± 2.1mm Hg which reduced to 5.3 ± 1.6 mm Hg after PTMC. Mean mitral valve area prior to PTMC was 0.81 ± 0.1cm2 which became 1.52 ± 0.1cm2 post PTMC. No gross complications like hemodynamically significant hematoma, significant mitral regurgitation or circulatory compromise were noted. Septal punctures were all successful though the balloon could not cross the mitral orifice in one patient, in whom the procedure had to be abandoned. Paired samples t-test was used to assess the statistical significance. The results turned out to be statistically significant (p&lt;0.05) on the basis of area of mitral valve and End-diastolic trans-mitral gradient. Conclusion: PTMC is a procedure that has quite high success rates and in addition to the favorable outcomes it has a high safety profile when performed in patients who have optimal Wilkin’s scores.</abstract><cop>Rawalpindi</cop><pub>Knowledge Bylanes</pub><oa>free_for_read</oa></addata></record>
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source Nexis UK; Publicly Available Content Database
subjects Age
Blood clots
Calcification
Cardiac arrhythmia
Cardiology
Cardiovascular disease
Cardiovascular diseases
Conflicts of interest
Coronary vessels
Heart
Heart diseases
Mitral valve stenosis
Mortality
Prostheses and implants
Rheumatic fever
Rheumatic heart disease
Stenosis
Success
Surgery
title A STUDY OF CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES OF PERCUTANEOUS TRANSVENOUS MITRAL COMMISSUROTOMY FOR MITRAL STENOSIS
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