Document Detail


Coronary sinus dilatation. A simple additional echocardiographic indicator of severe rheumatic mitral and tricuspid valve disease.
MedLine Citation:
PMID:  20174730     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the usefulness of examining the coronary sinus (CS) anatomic diameter as an additional surrogate marker of severity in chronic rheumatic valve disease (RVD). METHODS: In this cross-sectional observational study, we echocardiographically analyzed 88 patients with RVD, and 104 normal subjects in the Department of Cardiology, Gaziantep University Medical Faculty, Gaziantep, Turkey between February 2007 and April 2007. Echocardiographically all valve regurgitation, stenosis, left ventricular function, left/right atrial volume, and pulmonary artery pressure were obtained. Coronary sinus was assessed as a sonolucency in the posterior atrioventricular groove. RESULTS: Strong positive correlation was present between CS measurements and mitral mean gradient, mitral and tricuspid regurgitation grade, tricuspid stenosis gradient, pulmonary artery systolic pressure, left and right atrial volume, and New York Heart Association class. A statistically negative correlation was present between CS measurements and mitral valve area and ejection fraction. Only the mitral valve area, tricuspid regurgitation grade, and the right atrial volume were predictors of body surface area adjusted mean CS dilatation. CONCLUSION: In this preliminary study, we showed that echocardiographic assessment of dilated CS may provide useful additional information in predicting the severity of mitral/tricuspid RVD. Findings of this study needs to be confirmed in further studies.
Authors:
Nese Kizilkan; Vedat Davutoglu; Hulya Erbagci; Alper Karagoz; Murat Akcay; Ibrahim Sari; Suleyman Ercan; Adnan Dogan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Saudi medical journal     Volume:  31     ISSN:  0379-5284     ISO Abbreviation:  Saudi Med J     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-22     Completed Date:  2010-06-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7909441     Medline TA:  Saudi Med J     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  153-7     Citation Subset:  IM    
Affiliation:
Department of Anatomy, Faculty of Medicine, School of Medicine, Gaziantep University, Gaziantep TR 27310, Turkey. kizilkan@gantep.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Cross-Sectional Studies
Echocardiography
Female
Heart Valve Diseases / ultrasonography*
Humans
Male
Middle Aged
Mitral Valve / ultrasonography*
Rheumatic Heart Disease / ultrasonography*
Tricuspid Valve / ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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