| Influence of commissural calcification on the immediate outcomes of percutaneous balloon mitral valvuloplasty. | |
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MedLine Citation:
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PMID: 14609306 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To evaluate the impact of mild to moderate commissural calcification on the immediate outcomes of percutaneous balloon mitral valvuloplasty (PBMV). METHODS AND RESULTS: We analysed the results of 223 consecutive patients (mean age 37.6 +/- 8.7 years) who underwent PBMV for rheumatic mitral stenosis. Commissural calcification was identified with a two-dimensional echocardiography (echo) in 65 (29.1%) patients with the severity of calcification being graded from 0-3. The anatomy and function of the mitral valve were assessed byWilkins echo score. In patients with no commissural calcification the increase in mitral valve area after PBMV was 0.90 +/- 0.42 cm2, which was greater than the increase in those with calcification grade 1 (0.83 +/- 0.42 cm2, p < 0.05), grade 2 (0.72 +/- 0.38 cm2, p < 0.05) and grade 3 (0.63 +/- 0.13 cm2, p < 0.05). In patients with an echo score of < or = 8, the presence of commissural calcification was associated with a smaller increase in mitral valve area (p < 0.05) and a smaller reduction in New York Heart Association (NYHA) function class after PBMV (p < 0.05). In patients with an echo score of more than 8, commissural calcification had no significant effect on the valve area increase and NYHA function class reduction (p > 0.05). CONCLUSIONS: Commissural calcification has an adverse effect on the clinical results of PBMV. Detailed pre-procedural assessment of commissural calcification with echocardiography must be performed to provide background information on the immediate outcomes of PBMV. |
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Authors:
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Tiemin Wei; Chunlai Zeng; Fanghong Chen; Chunming Wang; Liping Chen; Qunying Chen; Wenshenh Lan; Lexin Wang |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta cardiologica Volume: 58 ISSN: 0001-5385 ISO Abbreviation: Acta Cardiol Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-11-11 Completed Date: 2004-03-11 Revised Date: 2009-06-11 |
Medline Journal Info:
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Nlm Unique ID: 0370570 Medline TA: Acta Cardiol Country: Belgium |
Other Details:
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Languages: eng Pagination: 411-5 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Lishui City Central Hospital, Zhejiang Province, People's Republic of China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Analysis of Variance Balloon Dilatation* Calcinosis / complications, surgery*, ultrasonography Echocardiography Female Humans Male Middle Aged Mitral Valve Stenosis / complications, surgery*, ultrasonography Rheumatic Heart Disease / complications, surgery*, ultrasonography Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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