Clinical, Echocardiographic, and Hemodynamic Characteristics of Rheumatic Mitral Valve Stenosis and Atrial Fibrillation
Chronic atrial fibrillation (AF) is associated with an increased frequency of embolic events and negative impact on cardiac function, and therefore, an increased morbidity and mortality risk in patients with rheumatic mitral valve stenosis (RMS). In the present study, the clinical, 2-D and Doppler e...
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| Veröffentlicht in: | Angiology 2005-03, Vol.56 (2), p.159-163 |
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| creator | Kabukçu, Mehmet Arslantas, Esin Ates, Ismail Demircioglu, Fatih Ersel, Filiz |
| description | Chronic atrial fibrillation (AF) is associated with an increased frequency of embolic events and negative impact on cardiac function, and therefore, an increased morbidity and mortality risk in patients with rheumatic mitral valve stenosis (RMS). In the present study, the clinical, 2-D and Doppler echocardiographic, and left- and right-heart hemodynamic data were evaluated for 92 patients (68 women) with RMS and AF and compared with data from 118 patients (88 women) with RMS with sinus rhythm. The clinical, echocardiographic, and hemodynamic evaluations were performed within 1 to 7 days of each other. Patients with AF were older (45.7 ±13.4 vs 38.6 ±12.0 years, p |
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In the present study, the clinical, 2-D and Doppler echocardiographic, and left- and right-heart hemodynamic data were evaluated for 92 patients (68 women) with RMS and AF and compared with data from 118 patients (88 women) with RMS with sinus rhythm. The clinical, echocardiographic, and hemodynamic evaluations were performed within 1 to 7 days of each other. Patients with AF were older (45.7 ±13.4 vs 38.6 ±12.0 years, p<0.01) and had a longer symptomatic period (108.2 ±117.9 vs 50.6 ±53.1 months, p<0.01) compared with those with sinus rhythm. Most of the patients with AF were in NYHA functional capacity 3-4 (74% vs 19%), whereas most of the patients with sinus rhythm were in NYHA functional capacity 2. Patients with AF had a higher mitral valve score based on morphologic features ranging from 4 to 16 depending on the severity of disease (8.3 ±2.1 vs 6.5 ±1.9, p<0.01) and greater left ventricular end-diastolic diameter (LVEDD) (52.3 ±8.7 vs 47.7 ±8.7 mm, p<0.02), and end-systolic diameter (LVESD) (34.4 ±7.5 vs 30.9 ±7.5 mm, p<0.01). Organic tricuspid valve involvement was diagnosed more frequently in patients with AF (61% vs 32%, p<0.01). Mild mitral regurgitation was also more frequent in patients with AF (71% vs 51%, p<0.03). The mitral valve area was similar in patients with and without AF (1.30 ±0.39 vs 1.39 ±0.41 cm2, p>0.05). Mean diastolic mitral valve gradient and pulmonary artery pressure did not differ in patients with and without AF. Right atrial pressures were higher in patients with AF (7.6 ±3.3 vs 6.3 ±1.9 mm Hg, p<0.02). The authors suggest that (1) AF occurred in older patients, who had a longer disease process and more serious symptoms; (2) hemodynamic derangements (mitral valve gradient, pulmonary artery pressure) did not differ in patients with and without AF; (3) greater mitral valve score, more tricuspid valve involvement, higher LVEDD, which are suggestive of greater rheumatic activity process were more frequently seen in patients with AF than in those without AF. These findings support the opinion that AF is a marker of widespread rheumatic damage in patients with RMS.]]></description><identifier>ISSN: 0003-3197</identifier><identifier>EISSN: 1940-1574</identifier><identifier>DOI: 10.1177/000331970505600206</identifier><identifier>PMID: 15793605</identifier><identifier>CODEN: ANGIAB</identifier><language>eng</language><publisher>Thousand Oaks, CA: SAGE Publications</publisher><subject>Adult ; Atrial Fibrillation - diagnostic imaging ; Atrial Fibrillation - physiopathology ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiac Catheterization ; Cardiac Volume - physiology ; Cardiology. Vascular system ; Clinical trial. Drug monitoring ; Diseases of the aorta ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Echocardiography ; Echocardiography, Doppler ; Female ; General pharmacology ; Hemodynamics - physiology ; Humans ; Male ; Medical sciences ; Middle Aged ; Mitral Valve - diagnostic imaging ; Mitral Valve - physiopathology ; Mitral Valve Insufficiency - diagnostic imaging ; Mitral Valve Insufficiency - physiopathology ; Mitral Valve Stenosis - diagnostic imaging ; Mitral Valve Stenosis - physiopathology ; Pharmacology. Drug treatments ; Prognosis ; Pulmonary Wedge Pressure - physiology ; Rheumatic Heart Disease - diagnostic imaging ; Rheumatic Heart Disease - physiopathology ; Tricuspid Valve - diagnostic imaging ; Tricuspid Valve - physiopathology ; Ventricular Function, Left - physiology</subject><ispartof>Angiology, 2005-03, Vol.56 (2), p.159-163</ispartof><rights>2005 INIST-CNRS</rights><rights>Copyright Westminster Publications, Inc. Mar/Apr 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-6e957751e8153dc6704bbfcd601fc5df4a7af7e98f976ab623f7e7f141217a773</citedby><cites>FETCH-LOGICAL-c398t-6e957751e8153dc6704bbfcd601fc5df4a7af7e98f976ab623f7e7f141217a773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000331970505600206$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000331970505600206$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16655565$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15793605$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kabukçu, Mehmet</creatorcontrib><creatorcontrib>Arslantas, Esin</creatorcontrib><creatorcontrib>Ates, Ismail</creatorcontrib><creatorcontrib>Demircioglu, Fatih</creatorcontrib><creatorcontrib>Ersel, Filiz</creatorcontrib><title>Clinical, Echocardiographic, and Hemodynamic Characteristics of Rheumatic Mitral Valve Stenosis and Atrial Fibrillation</title><title>Angiology</title><addtitle>Angiology</addtitle><description><![CDATA[Chronic atrial fibrillation (AF) is associated with an increased frequency of embolic events and negative impact on cardiac function, and therefore, an increased morbidity and mortality risk in patients with rheumatic mitral valve stenosis (RMS). In the present study, the clinical, 2-D and Doppler echocardiographic, and left- and right-heart hemodynamic data were evaluated for 92 patients (68 women) with RMS and AF and compared with data from 118 patients (88 women) with RMS with sinus rhythm. The clinical, echocardiographic, and hemodynamic evaluations were performed within 1 to 7 days of each other. Patients with AF were older (45.7 ±13.4 vs 38.6 ±12.0 years, p<0.01) and had a longer symptomatic period (108.2 ±117.9 vs 50.6 ±53.1 months, p<0.01) compared with those with sinus rhythm. Most of the patients with AF were in NYHA functional capacity 3-4 (74% vs 19%), whereas most of the patients with sinus rhythm were in NYHA functional capacity 2. Patients with AF had a higher mitral valve score based on morphologic features ranging from 4 to 16 depending on the severity of disease (8.3 ±2.1 vs 6.5 ±1.9, p<0.01) and greater left ventricular end-diastolic diameter (LVEDD) (52.3 ±8.7 vs 47.7 ±8.7 mm, p<0.02), and end-systolic diameter (LVESD) (34.4 ±7.5 vs 30.9 ±7.5 mm, p<0.01). Organic tricuspid valve involvement was diagnosed more frequently in patients with AF (61% vs 32%, p<0.01). Mild mitral regurgitation was also more frequent in patients with AF (71% vs 51%, p<0.03). The mitral valve area was similar in patients with and without AF (1.30 ±0.39 vs 1.39 ±0.41 cm2, p>0.05). Mean diastolic mitral valve gradient and pulmonary artery pressure did not differ in patients with and without AF. Right atrial pressures were higher in patients with AF (7.6 ±3.3 vs 6.3 ±1.9 mm Hg, p<0.02). The authors suggest that (1) AF occurred in older patients, who had a longer disease process and more serious symptoms; (2) hemodynamic derangements (mitral valve gradient, pulmonary artery pressure) did not differ in patients with and without AF; (3) greater mitral valve score, more tricuspid valve involvement, higher LVEDD, which are suggestive of greater rheumatic activity process were more frequently seen in patients with AF than in those without AF. These findings support the opinion that AF is a marker of widespread rheumatic damage in patients with RMS.]]></description><subject>Adult</subject><subject>Atrial Fibrillation - diagnostic imaging</subject><subject>Atrial Fibrillation - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiac Catheterization</subject><subject>Cardiac Volume - physiology</subject><subject>Cardiology. Vascular system</subject><subject>Clinical trial. Drug monitoring</subject><subject>Diseases of the aorta</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Echocardiography</subject><subject>Echocardiography, Doppler</subject><subject>Female</subject><subject>General pharmacology</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mitral Valve - diagnostic imaging</subject><subject>Mitral Valve - physiopathology</subject><subject>Mitral Valve Insufficiency - diagnostic imaging</subject><subject>Mitral Valve Insufficiency - physiopathology</subject><subject>Mitral Valve Stenosis - diagnostic imaging</subject><subject>Mitral Valve Stenosis - physiopathology</subject><subject>Pharmacology. Drug treatments</subject><subject>Prognosis</subject><subject>Pulmonary Wedge Pressure - physiology</subject><subject>Rheumatic Heart Disease - diagnostic imaging</subject><subject>Rheumatic Heart Disease - physiopathology</subject><subject>Tricuspid Valve - diagnostic imaging</subject><subject>Tricuspid Valve - physiopathology</subject><subject>Ventricular Function, Left - physiology</subject><issn>0003-3197</issn><issn>1940-1574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kVtLxDAQhYMouq7-AR8kCPq01aRtks2jLN5AEby9lmmauJG2WZNW2X9v9gILCj4Nh_nmzIGD0BEl55QKcUEIyTIqBWGEcUJSwrfQgMqcJJSJfBsNFkCyIPbQfggfUTJK-C7ai3uZccIG6HtS29YqqEf4Sk2dAl9Z9-5hNrVqhKGt8K1uXDVvobEKT6bgQXXa29BZFbAz-Gmq-waiwg-281DjN6i_NH7udOuCDUuLy87buLm2pbd1HWHXHqAdA3XQh-s5RK_XVy-T2-T-8eZucnmfqEyOu4RryYRgVI8pyyrFBcnL0qiKE2oUq0wOAozQcmyk4FDyNItKGJrTlAoQIhuis5XvzLvPXoeuaGxQOqZotetDwQVjnEsawZNf4IfrfRuzFWmaj3OZLd3SFaS8C8FrU8y8bcDPC0qKRSfF307i0fHauS8bXW1O1iVE4HQNQIhNGA-tsmHDcc5iyAV3seICvOtNvH9e_wDm7aE_</recordid><startdate>20050301</startdate><enddate>20050301</enddate><creator>Kabukçu, Mehmet</creator><creator>Arslantas, Esin</creator><creator>Ates, Ismail</creator><creator>Demircioglu, Fatih</creator><creator>Ersel, Filiz</creator><general>SAGE Publications</general><general>Westminster</general><general>SAGE PUBLICATIONS, INC</general><scope>IQODW</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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20050301</creationdate><title>Clinical, Echocardiographic, and Hemodynamic Characteristics of Rheumatic Mitral Valve Stenosis and Atrial Fibrillation</title><author>Kabukçu, Mehmet ; Arslantas, Esin ; Ates, Ismail ; Demircioglu, Fatih ; Ersel, Filiz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-6e957751e8153dc6704bbfcd601fc5df4a7af7e98f976ab623f7e7f141217a773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Atrial Fibrillation - diagnostic imaging</topic><topic>Atrial Fibrillation - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiac Catheterization</topic><topic>Cardiac Volume - physiology</topic><topic>Cardiology. Vascular system</topic><topic>Clinical trial. Drug monitoring</topic><topic>Diseases of the aorta</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Echocardiography</topic><topic>Echocardiography, Doppler</topic><topic>Female</topic><topic>General pharmacology</topic><topic>Hemodynamics - physiology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mitral Valve - diagnostic imaging</topic><topic>Mitral Valve - physiopathology</topic><topic>Mitral Valve Insufficiency - diagnostic imaging</topic><topic>Mitral Valve Insufficiency - physiopathology</topic><topic>Mitral Valve Stenosis - diagnostic imaging</topic><topic>Mitral Valve Stenosis - physiopathology</topic><topic>Pharmacology. Drug treatments</topic><topic>Prognosis</topic><topic>Pulmonary Wedge Pressure - physiology</topic><topic>Rheumatic Heart Disease - diagnostic imaging</topic><topic>Rheumatic Heart Disease - physiopathology</topic><topic>Tricuspid Valve - diagnostic imaging</topic><topic>Tricuspid Valve - physiopathology</topic><topic>Ventricular Function, Left - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kabukçu, Mehmet</creatorcontrib><creatorcontrib>Arslantas, Esin</creatorcontrib><creatorcontrib>Ates, Ismail</creatorcontrib><creatorcontrib>Demircioglu, Fatih</creatorcontrib><creatorcontrib>Ersel, Filiz</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Angiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kabukçu, Mehmet</au><au>Arslantas, Esin</au><au>Ates, Ismail</au><au>Demircioglu, Fatih</au><au>Ersel, Filiz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical, Echocardiographic, and Hemodynamic Characteristics of Rheumatic Mitral Valve Stenosis and Atrial Fibrillation</atitle><jtitle>Angiology</jtitle><addtitle>Angiology</addtitle><date>2005-03-01</date><risdate>2005</risdate><volume>56</volume><issue>2</issue><spage>159</spage><epage>163</epage><pages>159-163</pages><issn>0003-3197</issn><eissn>1940-1574</eissn><coden>ANGIAB</coden><abstract><![CDATA[Chronic atrial fibrillation (AF) is associated with an increased frequency of embolic events and negative impact on cardiac function, and therefore, an increased morbidity and mortality risk in patients with rheumatic mitral valve stenosis (RMS). In the present study, the clinical, 2-D and Doppler echocardiographic, and left- and right-heart hemodynamic data were evaluated for 92 patients (68 women) with RMS and AF and compared with data from 118 patients (88 women) with RMS with sinus rhythm. The clinical, echocardiographic, and hemodynamic evaluations were performed within 1 to 7 days of each other. Patients with AF were older (45.7 ±13.4 vs 38.6 ±12.0 years, p<0.01) and had a longer symptomatic period (108.2 ±117.9 vs 50.6 ±53.1 months, p<0.01) compared with those with sinus rhythm. Most of the patients with AF were in NYHA functional capacity 3-4 (74% vs 19%), whereas most of the patients with sinus rhythm were in NYHA functional capacity 2. Patients with AF had a higher mitral valve score based on morphologic features ranging from 4 to 16 depending on the severity of disease (8.3 ±2.1 vs 6.5 ±1.9, p<0.01) and greater left ventricular end-diastolic diameter (LVEDD) (52.3 ±8.7 vs 47.7 ±8.7 mm, p<0.02), and end-systolic diameter (LVESD) (34.4 ±7.5 vs 30.9 ±7.5 mm, p<0.01). Organic tricuspid valve involvement was diagnosed more frequently in patients with AF (61% vs 32%, p<0.01). Mild mitral regurgitation was also more frequent in patients with AF (71% vs 51%, p<0.03). The mitral valve area was similar in patients with and without AF (1.30 ±0.39 vs 1.39 ±0.41 cm2, p>0.05). Mean diastolic mitral valve gradient and pulmonary artery pressure did not differ in patients with and without AF. Right atrial pressures were higher in patients with AF (7.6 ±3.3 vs 6.3 ±1.9 mm Hg, p<0.02). The authors suggest that (1) AF occurred in older patients, who had a longer disease process and more serious symptoms; (2) hemodynamic derangements (mitral valve gradient, pulmonary artery pressure) did not differ in patients with and without AF; (3) greater mitral valve score, more tricuspid valve involvement, higher LVEDD, which are suggestive of greater rheumatic activity process were more frequently seen in patients with AF than in those without AF. These findings support the opinion that AF is a marker of widespread rheumatic damage in patients with RMS.]]></abstract><cop>Thousand Oaks, CA</cop><pub>SAGE Publications</pub><pmid>15793605</pmid><doi>10.1177/000331970505600206</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Atrial Fibrillation - diagnostic imaging Atrial Fibrillation - physiopathology Biological and medical sciences Blood and lymphatic vessels Cardiac Catheterization Cardiac Volume - physiology Cardiology. Vascular system Clinical trial. Drug monitoring Diseases of the aorta Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Echocardiography Echocardiography, Doppler Female General pharmacology Hemodynamics - physiology Humans Male Medical sciences Middle Aged Mitral Valve - diagnostic imaging Mitral Valve - physiopathology Mitral Valve Insufficiency - diagnostic imaging Mitral Valve Insufficiency - physiopathology Mitral Valve Stenosis - diagnostic imaging Mitral Valve Stenosis - physiopathology Pharmacology. Drug treatments Prognosis Pulmonary Wedge Pressure - physiology Rheumatic Heart Disease - diagnostic imaging Rheumatic Heart Disease - physiopathology Tricuspid Valve - diagnostic imaging Tricuspid Valve - physiopathology Ventricular Function, Left - physiology |
| title | Clinical, Echocardiographic, and Hemodynamic Characteristics of Rheumatic Mitral Valve Stenosis and Atrial Fibrillation |
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