Value of exercise echocardiography in rheumatic mitral stenosis with and without significant mitral regurgitation.
Eli I Lev, Alex Sagie, Mordehay Vaturi, Noga Sela, Alexander Battler, Yaron Shapira
Echocardiographic Unit and Valvular Clinic, Cardiology Department, Rabin Medical Center, affiliated with the Sackler School of Medicine, Tel-Aviv University, Petah-Tikva, Israel.
The American journal of cardiology 2004 Apr 15Patients with rheumatic mitral valve disease (n = 48) underwent treadmill stress echocardiography and were classified as those with mitral stenosis (n = 24) or those with mitral regurgitation with mild mitral stenosis (n = 24). Despite marked differences in mitral valve area (1.1 +/- 0.3 vs 2.1 +/- 0.6 cm(2), respectively; p <0.0001), systolic tricuspid gradients were similar both at rest (37 +/- 11 vs 37 +/- 13 mm Hg) and at peak exercise (60 +/- 16 vs 55 +/- 13 mm Hg, respectively). Following stress echocardiography, an invasive procedure or modification of medical treatment was performed or recommended in 51% of the study patients.
Citation
Eli I Lev, Alex Sagie, Mordehay Vaturi, Noga Sela, Alexander Battler, Yaron Shapira. Value of exercise echocardiography in rheumatic mitral stenosis with and without significant mitral regurgitation. The American journal of cardiology. 2004 Apr 15;93(8):1060-3
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PMID: 15081460
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