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The Relationship between Coronary Sinus and Impaired Right Ventricular Myocardial Performance Index in Mitral Stenosis

Objectives We aimed to investigate whether coronary sinus (CS) dilatation develops in patients with mitral stenosis (MS) and to demonstrate its relationship with the global myocardial performance of the right ventricle (RV). Methods We enrolled 34 patients with MS who underwent echocardiography afte...

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Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2013-09, Vol.30 (8), p.936-939
Main Authors: Vatankulu, Mehmet Akif, Koc, Fatih, Gul, Enes Elvin, Bacaksiz, Ahmet, Sonmez, Osman, Demir, Kenan, Alihanoglu, Yusuf, Ari, Hatem, Ayhan, Selim, Tokac, Mehmet
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container_title Echocardiography (Mount Kisco, N.Y.)
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creator Vatankulu, Mehmet Akif
Koc, Fatih
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Bacaksiz, Ahmet
Sonmez, Osman
Demir, Kenan
Alihanoglu, Yusuf
Ari, Hatem
Ayhan, Selim
Tokac, Mehmet
description Objectives We aimed to investigate whether coronary sinus (CS) dilatation develops in patients with mitral stenosis (MS) and to demonstrate its relationship with the global myocardial performance of the right ventricle (RV). Methods We enrolled 34 patients with MS who underwent echocardiography after exhibiting typical symptoms (31 female; mean age 41 ± 12 years) and 20 age‐ and sex‐matched controls without MS who underwent echocardiography (16 female; mean age 38 ± 13 years). The RV myocardial performance index (MPI) was detected using tissue Doppler echocardiography (TDE), and maximum CS diameter was measured from the posterior atrioventricular groove in the apical four‐chamber view during the ventricular systole. Results The RV MPI was significantly higher in the MS group compared to the control group (0.60 ± 0.11 vs. 0.41 ± 0.08, P 
doi_str_mv 10.1111/echo.12157
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Methods We enrolled 34 patients with MS who underwent echocardiography after exhibiting typical symptoms (31 female; mean age 41 ± 12 years) and 20 age‐ and sex‐matched controls without MS who underwent echocardiography (16 female; mean age 38 ± 13 years). The RV myocardial performance index (MPI) was detected using tissue Doppler echocardiography (TDE), and maximum CS diameter was measured from the posterior atrioventricular groove in the apical four‐chamber view during the ventricular systole. Results The RV MPI was significantly higher in the MS group compared to the control group (0.60 ± 0.11 vs. 0.41 ± 0.08, P &lt; 0.001). Moreover, the maximum CS dimension was higher in the MS group compared to the control group (8.5 ± 1.1 mm vs. 6.5 ± 1.4 mm, P &lt; 0.001). The maximum CS dilatation was positively correlated with the RV MPI (r = 0.691; P &lt; 0.001). Conclusion The RV MPI, which represents both systolic and diastolic functions, is increased in patients with MS and correlates with CS dilatation.</description><identifier>ISSN: 0742-2822</identifier><identifier>EISSN: 1540-8175</identifier><identifier>DOI: 10.1111/echo.12157</identifier><identifier>PMID: 23488940</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; coronary sinus ; Coronary Sinus - diagnostic imaging ; Coronary Sinus - pathology ; Coronary Sinus - physiopathology ; Dilatation, Pathologic - complications ; Dilatation, Pathologic - pathology ; Dilatation, Pathologic - physiopathology ; Echocardiography - methods ; Female ; Humans ; Male ; mitral stenosis ; Mitral Valve Stenosis - complications ; Mitral Valve Stenosis - diagnostic imaging ; Mitral Valve Stenosis - physiopathology ; myocardial performance index ; Reproducibility of Results ; Sensitivity and Specificity ; Statistics as Topic ; tissue Doppler echocardiography ; Ventricular Dysfunction, Right - complications ; Ventricular Dysfunction, Right - diagnostic imaging ; Ventricular Dysfunction, Right - physiopathology</subject><ispartof>Echocardiography (Mount Kisco, N.Y.), 2013-09, Vol.30 (8), p.936-939</ispartof><rights>2013, Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3677-3b08f563e25396292d9f7f2bd1c3003d74c3320761dad5765494fd8879fa6d363</citedby><cites>FETCH-LOGICAL-c3677-3b08f563e25396292d9f7f2bd1c3003d74c3320761dad5765494fd8879fa6d363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23488940$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vatankulu, Mehmet Akif</creatorcontrib><creatorcontrib>Koc, Fatih</creatorcontrib><creatorcontrib>Gul, Enes Elvin</creatorcontrib><creatorcontrib>Bacaksiz, Ahmet</creatorcontrib><creatorcontrib>Sonmez, Osman</creatorcontrib><creatorcontrib>Demir, Kenan</creatorcontrib><creatorcontrib>Alihanoglu, Yusuf</creatorcontrib><creatorcontrib>Ari, Hatem</creatorcontrib><creatorcontrib>Ayhan, Selim</creatorcontrib><creatorcontrib>Tokac, Mehmet</creatorcontrib><title>The Relationship between Coronary Sinus and Impaired Right Ventricular Myocardial Performance Index in Mitral Stenosis</title><title>Echocardiography (Mount Kisco, N.Y.)</title><addtitle>Echocardiography</addtitle><description>Objectives We aimed to investigate whether coronary sinus (CS) dilatation develops in patients with mitral stenosis (MS) and to demonstrate its relationship with the global myocardial performance of the right ventricle (RV). Methods We enrolled 34 patients with MS who underwent echocardiography after exhibiting typical symptoms (31 female; mean age 41 ± 12 years) and 20 age‐ and sex‐matched controls without MS who underwent echocardiography (16 female; mean age 38 ± 13 years). The RV myocardial performance index (MPI) was detected using tissue Doppler echocardiography (TDE), and maximum CS diameter was measured from the posterior atrioventricular groove in the apical four‐chamber view during the ventricular systole. Results The RV MPI was significantly higher in the MS group compared to the control group (0.60 ± 0.11 vs. 0.41 ± 0.08, P &lt; 0.001). Moreover, the maximum CS dimension was higher in the MS group compared to the control group (8.5 ± 1.1 mm vs. 6.5 ± 1.4 mm, P &lt; 0.001). The maximum CS dilatation was positively correlated with the RV MPI (r = 0.691; P &lt; 0.001). Conclusion The RV MPI, which represents both systolic and diastolic functions, is increased in patients with MS and correlates with CS dilatation.</description><subject>Adult</subject><subject>coronary sinus</subject><subject>Coronary Sinus - diagnostic imaging</subject><subject>Coronary Sinus - pathology</subject><subject>Coronary Sinus - physiopathology</subject><subject>Dilatation, Pathologic - complications</subject><subject>Dilatation, Pathologic - pathology</subject><subject>Dilatation, Pathologic - physiopathology</subject><subject>Echocardiography - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>mitral stenosis</subject><subject>Mitral Valve Stenosis - complications</subject><subject>Mitral Valve Stenosis - diagnostic imaging</subject><subject>Mitral Valve Stenosis - physiopathology</subject><subject>myocardial performance index</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Statistics as Topic</subject><subject>tissue Doppler echocardiography</subject><subject>Ventricular Dysfunction, Right - complications</subject><subject>Ventricular Dysfunction, Right - diagnostic imaging</subject><subject>Ventricular Dysfunction, Right - physiopathology</subject><issn>0742-2822</issn><issn>1540-8175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp9kE1PGzEQhi3UClLaS38A8rFCWuqvtXePKOIjEhSUpOVoOfZsY9i1g71byL_v0gDHzmUO87yvRg9CXyk5oeN8B7uOJ5TRUu2hCS0FKSqqyg9oQpRgBasYO0Cfcr4nhChKxT46YFxUVS3IBP1ZrgHPoTW9jyGv_QavoH8CCHgaUwwmbfHChyFjExyedRvjEzg897_XPf4FoU_eDq1J-HobrUnOmxbfQmpi6kywgGfBwTP2AV_7Po23RQ8hZp8_o4-NaTN8ed2H6Of52XJ6WVzdXMymp1eF5VKpgq9I1ZSSAyt5LVnNXN2ohq0ctZwQ7pSwnDOiJHXGlUqWohaNqypVN0Y6Lvkh-rbr3aT4OEDudeezhbY1AeKQNRWcSUal4iN6vENtijknaPQm-W4UoCnRL571i2f9z_MIH732DqsO3Dv6JnYE6A548i1s_1Olz6aXN2-lxS7jcw_P7xmTHvT4oCr13Y8LvST13Xxxu9SC_wWihJfH</recordid><startdate>201309</startdate><enddate>201309</enddate><creator>Vatankulu, Mehmet Akif</creator><creator>Koc, Fatih</creator><creator>Gul, Enes Elvin</creator><creator>Bacaksiz, Ahmet</creator><creator>Sonmez, Osman</creator><creator>Demir, Kenan</creator><creator>Alihanoglu, Yusuf</creator><creator>Ari, Hatem</creator><creator>Ayhan, Selim</creator><creator>Tokac, Mehmet</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201309</creationdate><title>The Relationship between Coronary Sinus and Impaired Right Ventricular Myocardial Performance Index in Mitral Stenosis</title><author>Vatankulu, Mehmet Akif ; 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Methods We enrolled 34 patients with MS who underwent echocardiography after exhibiting typical symptoms (31 female; mean age 41 ± 12 years) and 20 age‐ and sex‐matched controls without MS who underwent echocardiography (16 female; mean age 38 ± 13 years). The RV myocardial performance index (MPI) was detected using tissue Doppler echocardiography (TDE), and maximum CS diameter was measured from the posterior atrioventricular groove in the apical four‐chamber view during the ventricular systole. Results The RV MPI was significantly higher in the MS group compared to the control group (0.60 ± 0.11 vs. 0.41 ± 0.08, P &lt; 0.001). Moreover, the maximum CS dimension was higher in the MS group compared to the control group (8.5 ± 1.1 mm vs. 6.5 ± 1.4 mm, P &lt; 0.001). The maximum CS dilatation was positively correlated with the RV MPI (r = 0.691; P &lt; 0.001). Conclusion The RV MPI, which represents both systolic and diastolic functions, is increased in patients with MS and correlates with CS dilatation.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>23488940</pmid><doi>10.1111/echo.12157</doi><tpages>4</tpages></addata></record>
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subjects Adult
coronary sinus
Coronary Sinus - diagnostic imaging
Coronary Sinus - pathology
Coronary Sinus - physiopathology
Dilatation, Pathologic - complications
Dilatation, Pathologic - pathology
Dilatation, Pathologic - physiopathology
Echocardiography - methods
Female
Humans
Male
mitral stenosis
Mitral Valve Stenosis - complications
Mitral Valve Stenosis - diagnostic imaging
Mitral Valve Stenosis - physiopathology
myocardial performance index
Reproducibility of Results
Sensitivity and Specificity
Statistics as Topic
tissue Doppler echocardiography
Ventricular Dysfunction, Right - complications
Ventricular Dysfunction, Right - diagnostic imaging
Ventricular Dysfunction, Right - physiopathology
title The Relationship between Coronary Sinus and Impaired Right Ventricular Myocardial Performance Index in Mitral Stenosis
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