Utility of stress Doppler echocardiography in patients undergoing percutaneous mitral balloon valvotomy

被引：26

作者：

Aviles, RJ ^{[1
]}

Nishimura, RA ^{[1
]}

Pellikka, PA ^{[1
]}

Andreen, KM ^{[1
]}

Holmes, DR ^{[1
]}

机构：

[1] Mayo Clin & Mayo Fdn, Div Cardiovasc Dis & Internal Med, Rochester, MN 55905 USA

来源：

JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY | 2001年 / 14卷 / 07期

关键词：

D O I：

10.1067/mje.2001.112585

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A subset of patients with mitral stenosis have symptoms out of proportion to the resting hemodynamics, Exercise Doppler echocardiography Is a useful diagnostic modality to determine which patients are limited by their valve obstruction and would therefore benefit from percutaneous mitral balloon valvotomy. We analyzed 11 patients who showed a peak exercise mean mitral gradient that doubled from baseline or a final gradient of > 15 mm Hg. The mean mitral gradient increased from 7 +/- 2 nun Hg at rest to 19 +/- 6 mm Hg (P < .001) with exercise, All patients reported improvement in symptoms of at least 1 functional class after valvotomy.

引用

页码：676 / 681

页数：6

共 15 条

[1] PREDICTION OF SUCCESSFUL OUTCOME IN 130 PATIENTS UNDERGOING PERCUTANEOUS BALLOON MITRAL VALVOTOMY [J].

ABASCAL, VM ;

WILKINS, GT ;

OSHEA, JP ;

CHOONG, CY ;

PALACIOS, IF ;

THOMAS, JD ;

ROSAS, E ;

NEWELL, JB ;

BLOCK, PC ;

WEYMAN, AE .

CIRCULATION, 1990, 82 (02) :448-456

[2] THE LESSONS OF HISTORY AS REFLECTED IN THE PULMONARY CAPILLARY WEDGE PRESSURE [J].

ALPERT, JS .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1989, 13 (04) :830-831

[3] CAN AN ECHOCARDIOGRAPHIC SCORE PREDICT WHO WILL BENEFIT CLINICALLY FROM BALLOON DILATION OF THE MITRAL-VALVE [J].

BANNING, AP ;

JONES, RA ;

IKRAM, S ;

LEWIS, NP ;

HALL, RJC .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 1995, 51 (03) :285-292

[4] ACC/AHA guidelines for the management of patients with valvular heart disease - A report of the American College of Cardiology American Heart Association Task Force on practice guidelines (Committee on Management of Patients with Valvular Heart Disease) [J].

Bonow, RO ;

Carabello, B ;

De Leon, AC ;

Edmunds, LH ;

Fedderly, BJ ;

Freed, MD ;

Gaasch, WH ;

Mckay, CR ;

Nishimura, RA ;

O'Gara, PT ;

O'Rourke, RA ;

Rahimtoola, SH .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1998, 32 (05) :1486-1582

[5] Echocardiographic assessment of commissural calcium: A simple predictor of outcome after percutaneous mitral balloon valvotomy [J].

Cannan, CR ;

Nishimura, RA ;

Reeder, GS ;

Ilstrup, DR ;

Larson, DR ;

Holmes, DR ;

Tajik, AJ .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (01) :175-180

[6] HYDRAULIC FORMULA FOR CALCULATION OF THE AREA OF THE STENOTIC MITRAL VALVE, OTHER CARDIAC VALVES, AND CENTRAL CIRCULATORY SHUNTS .1. [J].

GORLIN, R ;

GORLIN, SG .

AMERICAN HEART JOURNAL, 1951, 41 (01) :1-29

[7]

HATLE L, 1978, BRIT HEART J, V40, P131

[8]

HOLEN J, 1976, ACTA MED SCAND, V199, P455

[9] EFFECTS OF EXERCISE ON TRANSMITRAL GRADIENT AND PULMONARY-ARTERY PRESSURE IN PATIENTS WITH MITRAL-STENOSIS OR A PROSTHETIC MITRAL-VALVE - A DOPPLER ECHOCARDIOGRAPHIC STUDY [J].

LEAVITT, JI ;

COATS, MH ;

FALK, RH .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 17 (07) :1520-1526

[10] ACCURATE MEASUREMENT OF THE TRANSMITRAL GRADIENT IN PATIENTS WITH MITRAL-STENOSIS - A SIMULTANEOUS CATHETERIZATION AND DOPPLER-ECHOCARDIOGRAPHIC STUDY [J].

NISHIMURA, RA ;

RIHAL, CS ;

TAJIK, AJ ;

HOLMES, DR .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1994, 24 (01) :152-158

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