LEFT VENTRICULAR SYSTOLIC DYSFUNCTION AS A SURROGATE FOR RHEUMATIC MYOCARDITIS IN PATIENTS WITH ISOLATED RHEUMATIC MITRAL STENOSIS

Authors

  • Adnan Mehmood Gul
  • Mohammad Hafizullah
  • Shah Zeb
  • Ibrahim Shah
  • Nasir Ali
  • Jabar Ali
  • Muhammad Abdur Rauf
  • Mohammad Irfan

DOI:

https://doi.org/10.47144/phj.v46i4.745

Keywords:

Rheumatic Myocarditis, Mitral Stenosis, Left Ventricular Systolic Dysfunction

Abstract

Objective: To know the frequency of LV dysfunction as a surrogate for rheumatic
myocarditis in patients with isolated mitral stenosis (MS) after successful
percutaneous transluminal mitral commissurotomy (PTMC).
Methodology: This Descriptive study was conducted from January to December
2011 in Cardiology Department of Lady Reading Hospital Peshawar. Patients
with severe isolated MS undergoing echocardiography before and after PTMC
were included.
Results: A total of 141 patients with severe isolated MS have undergone
successful PTMC were studied. Females were 97(68.8%). Mean age was
26.74±7.24years.TTE was performed before PTMC showing mean MVA
2 0.8cm±0.2cm . Mean MV gradient was 22.3± 16.7 mm of Hg. Mean LA
diameter was 4.8± 2.4 cm. AF was found in 63 (44.36%). Mean RVSP was
55.67±23.41mm of Hg. LV systolic dysfunction i.e. EF< 50 % was found in 24
(17.02%) of patients. The LV systolic function was mildly impaired in 13 (9.2%),
moderately impaired in 7(4.9%) and severely impaired in 4 (3%) of the study
group. TTE 24 hours after PTMC shows mean left atrial diameter of 4.3±2.3cm,
2 mean MV area of 1.74±0.41cm , mean MV gradient of 5.21±4.9 mm of Hg,
mean RVSP 29±16.34 mm of Hg, while left ventricular systolic dysfunction was
present in 14.3% of patient with mild degree impairment in 10 (7.1%), moderately
impaired in 6 (4.2%) and severely impaired in 4 (3%) of the study group.
Conclusion: The LV systolic dysfunction which is used as a surrogate of
rheumatic myocarditis occurs in about 14% of patients with isolated severe MS
after successful PTMC.

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How to Cite

1.
Gul AM, Hafizullah M, Zeb S, Shah I, Ali N, Ali J, Rauf MA, Irfan M. LEFT VENTRICULAR SYSTOLIC DYSFUNCTION AS A SURROGATE FOR RHEUMATIC MYOCARDITIS IN PATIENTS WITH ISOLATED RHEUMATIC MITRAL STENOSIS. Pak Heart J [Internet]. 2014May15 [cited 2024Nov.24];46(4). Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/745

Issue

Vol. 46 No. 4 (2013): Pakistan Heart Journal

Section

Original Article

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