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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 |
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creator | Vatankulu, Mehmet Akif Koc, Fatih Gul, Enes Elvin 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 |
format | article |
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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 < 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 < 0.001). The maximum CS dilatation was positively correlated with the RV MPI (r = 0.691; P < 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 < 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 < 0.001). The maximum CS dilatation was positively correlated with the RV MPI (r = 0.691; P < 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 ; Koc, Fatih ; Gul, Enes Elvin ; Bacaksiz, Ahmet ; Sonmez, Osman ; Demir, Kenan ; Alihanoglu, Yusuf ; Ari, Hatem ; Ayhan, Selim ; Tokac, Mehmet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3677-3b08f563e25396292d9f7f2bd1c3003d74c3320761dad5765494fd8879fa6d363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>coronary sinus</topic><topic>Coronary Sinus - diagnostic imaging</topic><topic>Coronary Sinus - pathology</topic><topic>Coronary Sinus - physiopathology</topic><topic>Dilatation, Pathologic - complications</topic><topic>Dilatation, Pathologic - pathology</topic><topic>Dilatation, Pathologic - physiopathology</topic><topic>Echocardiography - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>mitral stenosis</topic><topic>Mitral Valve Stenosis - complications</topic><topic>Mitral Valve Stenosis - diagnostic imaging</topic><topic>Mitral Valve Stenosis - physiopathology</topic><topic>myocardial performance index</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Statistics as Topic</topic><topic>tissue Doppler echocardiography</topic><topic>Ventricular Dysfunction, Right - complications</topic><topic>Ventricular Dysfunction, Right - diagnostic imaging</topic><topic>Ventricular Dysfunction, Right - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vatankulu, Mehmet Akif</au><au>Koc, Fatih</au><au>Gul, Enes Elvin</au><au>Bacaksiz, Ahmet</au><au>Sonmez, Osman</au><au>Demir, Kenan</au><au>Alihanoglu, Yusuf</au><au>Ari, Hatem</au><au>Ayhan, Selim</au><au>Tokac, Mehmet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Relationship between Coronary Sinus and Impaired Right Ventricular Myocardial Performance Index in Mitral Stenosis</atitle><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle><addtitle>Echocardiography</addtitle><date>2013-09</date><risdate>2013</risdate><volume>30</volume><issue>8</issue><spage>936</spage><epage>939</epage><pages>936-939</pages><issn>0742-2822</issn><eissn>1540-8175</eissn><abstract>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 < 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 < 0.001). The maximum CS dilatation was positively correlated with the RV MPI (r = 0.691; P < 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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