Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results

Duman, Handan; Değirmenci, Hüsnü; Karakelleoğlu, Şule; BAKIRCI, EFTAL MURAT; Hamur, Hikmet; Erol, Mustafa Kemal; İNCİ, Sinan

Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results

Sinan İNCİ, (Atatürk Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Erzurum, Türkiye)

Mustafa Kemal EROL, (İstanbul Kemerburgaz Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, İstanbul, Türkiye)

Eftal Murat BAKIRCI, (Atatürk Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Erzurum, Türkiye)

Hikmet HAMUR, (Atatürk Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Erzurum, Türkiye)

Hüsnü DEĞİRMENCİ, (Atatürk Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Erzurum, Türkiye)

Hakan DUMAN, (Atatürk Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Erzurum, Türkiye)

Şule KARAKELLEOĞLU (Atatürk Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Erzurum, Türkiye)

The Anatolian Journal of Cardiology

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Yıl: 2015 Cilt: 15 Sayı: 4 Sayfa Aralığı: 289 - 296 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results

Öz:

Objective: To evaluate the short- and mid-term effects of percutaneous mitral balloon valvuloplasty (PMBV) on right ventricular functions inmitral stenosis.Methods: A prospective study was conducted in 61 patients who had mitral stenosis in normal sinus rhythm (68% female, age: 42±11-16 years).Right ventricular functions were measured before, immediately after, and at 3 months and 1 year after PMBV by conventional and tissueDoppler echocardiography imaging methods. Additionally, the patients were evaluated in two groups (PAP≥40 mm Hg, n: 46; PAP<40 mm Hg, n: 15) according to the systolic pulmonary artery that was measured by echocardiography prior to PMBV.Results: Post-PMBV mean gradient, pulmonary artery pressure (PAP), and left atrial size decreased significantly, and the mitral valve areaincreased significantly in both patient groups. This significance in pulmonary artery pressure was lost at 1 year. The significant post-PMBVincrease in tricuspid annular point systolic excursion (TAPSE), systolic velocity, early diastolic velocity, and peak myocardial velocity duringisovolumic contraction (IVV), indicating right ventricular functions, disappeared at 1 year. The significant post-PMBV decrease in myocar-dial performance index (MPI) and late diastolic velocity lost its significance at 1 year. No significant change was observed in myocardialacceleration during isovolumic contraction (IVA). The group with pulmonary hypertension demonstrated significance similar to the resultsof the overall group. Post-PMBV TAPSE, systolic velocity, early diastolic velocity, IVV, and IVA increased significantly, and this increase wasmaintained up to 1 year in the group without pulmonary hypertension. MPI and late diastolic velocity maintained their significantlydecreased values up to 1 year.Conclusion: The positive effect of PMBV on right ventricular function in the acute period decreases and even disappears in the mid-term inpatients developing pulmonary hypertension. Intervention in the patients prior to the development of hypertension is very important for theimprovement in right ventricular functions.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	İNCİ S, Erol M, BAKIRCI E, Hamur H, Değirmenci H, Duman H, Karakelleoğlu Ş (2015). Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results. , 289 - 296.
Chicago	İNCİ Sinan,Erol Mustafa Kemal,BAKIRCI EFTAL MURAT,Hamur Hikmet,Değirmenci Hüsnü,Duman Handan,Karakelleoğlu Şule Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results. (2015): 289 - 296.
MLA	İNCİ Sinan,Erol Mustafa Kemal,BAKIRCI EFTAL MURAT,Hamur Hikmet,Değirmenci Hüsnü,Duman Handan,Karakelleoğlu Şule Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results. , 2015, ss.289 - 296.
AMA	İNCİ S,Erol M,BAKIRCI E,Hamur H,Değirmenci H,Duman H,Karakelleoğlu Ş Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results. . 2015; 289 - 296.
Vancouver	İNCİ S,Erol M,BAKIRCI E,Hamur H,Değirmenci H,Duman H,Karakelleoğlu Ş Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results. . 2015; 289 - 296.
IEEE	İNCİ S,Erol M,BAKIRCI E,Hamur H,Değirmenci H,Duman H,Karakelleoğlu Ş "Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results." , ss.289 - 296, 2015.
ISNAD	İNCİ, Sinan vd. "Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results". (2015), 289-296.

APA	İNCİ S, Erol M, BAKIRCI E, Hamur H, Değirmenci H, Duman H, Karakelleoğlu Ş (2015). Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results. The Anatolian Journal of Cardiology, 15(4), 289 - 296.
Chicago	İNCİ Sinan,Erol Mustafa Kemal,BAKIRCI EFTAL MURAT,Hamur Hikmet,Değirmenci Hüsnü,Duman Handan,Karakelleoğlu Şule Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results. The Anatolian Journal of Cardiology 15, no.4 (2015): 289 - 296.
MLA	İNCİ Sinan,Erol Mustafa Kemal,BAKIRCI EFTAL MURAT,Hamur Hikmet,Değirmenci Hüsnü,Duman Handan,Karakelleoğlu Şule Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results. The Anatolian Journal of Cardiology, vol.15, no.4, 2015, ss.289 - 296.
AMA	İNCİ S,Erol M,BAKIRCI E,Hamur H,Değirmenci H,Duman H,Karakelleoğlu Ş Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results. The Anatolian Journal of Cardiology. 2015; 15(4): 289 - 296.
Vancouver	İNCİ S,Erol M,BAKIRCI E,Hamur H,Değirmenci H,Duman H,Karakelleoğlu Ş Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results. The Anatolian Journal of Cardiology. 2015; 15(4): 289 - 296.
IEEE	İNCİ S,Erol M,BAKIRCI E,Hamur H,Değirmenci H,Duman H,Karakelleoğlu Ş "Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results." The Anatolian Journal of Cardiology, 15, ss.289 - 296, 2015.
ISNAD	İNCİ, Sinan vd. "Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results". The Anatolian Journal of Cardiology 15/4 (2015), 289-296.