Rheumatic mitral valve area changes with valsalva maneuver
Abstract
Abstract
Aim. Mitral stenosis, is still a problem of the world. Echocardiography is accepted as gold standard for the evaluation of mitral stenosis. We aimed to search influence of valsalva maneuver onto measurement of mitral valve area (MVA) by planimetry, oldest method. Methods. Sixty consecutive patients with mitral stenosis were enrolled. Valsalva maneuver was performed by patients and measurements were done. Results. Mean MVA at baseline was 1.5±0.4cm2 by planimetry, ranging between 1.3-2.1 cm2. In the overall group, Valsalva maneuver did not yield any change in MVA by planimetry. Considering other measurements, gradients, SPAP, velocities decreased up on Valsalva maneuver. Conclusion. Valsalva maneuver influences echocardiographic measures in patients with mitral stenosis, but not, planimetric valve area
Keywords: Mitral stenosis, mitral valve area, planimetry
Özet
Amaç. Mitral darlığı, halen dünyanın bir problemidir. Ekokardiyografi, mitral darlığının değerlendirilmesinde, altın standart olarak kabul edilmektedir. Biz, valsalva manevrasının en eski yöntem olan planimetrik kapak alanı ölçümüne etkisini araştırmayı amaçladık. Yöntem. Mitral darlığı olan 60 ardışık hasta çalışmaya dahil edildi. Hastalara valsalva yaptırıldı ve ölçümler yapıldı. Bulgular. Ortalama kapak alanı başlangıçta planimetrik olarak 1,5±0,4cm2 idi ve 1,3-2,1 cm2 arasında değişiyordu. Tüm grupta, valsalva manevrası planimetrik kapak alanında bir değişikliğe yol açmadı, ancak, diğer ölçümler, gradientler, sistolik pulmoner arter basıncı, velositeler azaldı. Sonuç. Mitral darlığı hastalarında valsalva manevrası ekokardiyografik ölçümleri değiştirir, ancak planimetrik kapak alanı değişmez.
Anahtar sözcükler: Mitral darlığı, mitral kapak alanı, planimetri
Keywords
References
- Fieldman T. Rheumatic heart disease. Curr Opin Cardiol 1996; 11: 126-30.
- Mehlman DJ. Doppler and two-dimensional echocardiographic assessment of mitral stenosis. Echocardiography 1986; 3: 109-18.
- Messika-Zeitoun D, Iung B, Brochet E, Himbert D, Serfaty JM, Laissy JP, Vahanian A. Evaluation of mitral stenosis in 2008. Arch Cardiovasc Dis 2008; 101: 653-63.
- Levin AB. A simple test of cardiac function based upon the heart rate changes induced by the Valsalva maneuver. Am J Cardiol 1966; 18: 90-9.
- Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, Picard MH, Roman MJ, Seward J, Shanewise J, Solomon S, Spencer KT, St John Sutton M, Stewart W; American Society of Echocardiography's Nomenclature and Standards Committee; Task Force on Chamber Quantification; American College of Cardiology Echocardiography Committee; American Heart Association; European Association of Echocardiography, European Society of Cardiology. Recommendations for chamber quantification. Eur J Echocardiogr 2006; 7: 79-108.
- Feigenbaum H. Acquired valvular heart disease. In: Feigenbaum H, editor. Echocardiography. 5 th ed. Philadelphia: Lea and Febiger 1994; pp: 239.
- Nichol PM, Gilbert BW, Kisslo JA. Two-dimensional echocardiographic assessment of mitral stenosis. Circulation 1977; 55: 120-8.
- Rivera JM, Vandervoort PM, Mele D, Siu S, Morris E, Weyman AE, Thomas JD. Quantification of tricuspid regurgitation by means of the proximal flow convergence method: a clinical study. Am Heart J 1994; 127: 1354-62.
Details
Primary Language
English
Subjects
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Journal Section
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Publication Date
September 15, 2011
Submission Date
September 15, 2011
Acceptance Date
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Published in Issue
Year 2011 Volume: 33 Number: 4