0 33

Different Characteristics, Clinical Outcomes, and Left Atrial Reverse Remodeling in Patients with Mitral Stenosis Maintaining Sinus Rhythm for at Least 10 Years after Successful Percutaneous Mitral Valvuloplasty

Authors
 In-Jeong Cho  ;  Soo-Jin Kim  ;  Donghee Han  ;  Darae Kim  ;  Chi Young Shim  ;  Geu-Ru Hong  ;  Hyuk-Jae Chang 
Citation
 Cardiology, Vol.140(1) : 14-20, 2018 
Journal Title
 Cardiology 
ISSN
 0008-6312 
Issue Date
2018
Keywords
Cardiac rhythm ; Mitral stenosis ; Percutaneous mitral valvuloplasty
Abstract
BACKGROUND: We aimed to investigate the characteristics and echocardiographic changes in patients with severe mitral stenosis (MS) who maintained sinus rhythm (SR) for at least 10 years after successful percutaneous mitral balloon valvuloplasty (PMV). METHODS: We retrospectively reviewed 107 patients who had successful PMV and follow-up echocardiography for at least 10 years without mitral valve surgery. Preprocedural, immediate postprocedural (PMV), and long-term follow-up echocardiography (at least 10 years after PMV) data were reviewed. RESULTS: The mean follow-up time after PMV was 15 +/- 4 years for SR patients (n = 50) and 16 +/- 4 years (p = 0.172) for atrial fibrillation (AF) patients (n = 57). The left atrial diameter was significantly decreased in SR patients in the follow-up echocardiography images compared to its pre-PMV value (46.7 +/- 6.3 vs. 43.3 +/- 6.2 mm, respectively), whereas it was significantly increased in patients with AF (53.9 +/- 7.1 vs. 58.1 +/- 8.7 mm). In multivariate analysis, preprocedural AF (odds ratio [OR] 14.50, p = 0.001) and LA diameter >/=50 mm (OR 8.81, p < 0.001) were independently associated with increased risk for the presence of AF after successful PMV. CONCLUSION: Very long-term maintenance of SR after successful PMV was associated with preprocedural SR and LA diameter < 50 mm.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162486
Full Text
https://www.karger.com/Article/FullText/486708
DOI
10.1159/000486708
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
김다래(Kim, Da Rae)
심지영(Shim, Chi Young)
장혁재(Chang, Hyuck Jae) ORCID logo https://orcid.org/0000-0002-6139-7545
조인정(Cho, In Jeong)
한동희(Han, Donghee)
홍그루(Hong, Geu Ru)
Export
RIS (EndNote)
XLS (Excel)
XML
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse