Non-rheumatic annular mitral stenosis: prevalence and characteristics

被引:37
作者
Akram, Mohammad Raza [1 ]
Chan, Tze [1 ]
McAuliffe, Susan [1 ]
Chenzbraun, Adrian [1 ]
机构
[1] Royal Liverpool Univ Hosp, Dept Cardiol, Liverpool L7 8XP, Merseyside, England
来源
EUROPEAN JOURNAL OF ECHOCARDIOGRAPHY | 2009年 / 10卷 / 01期
关键词
CORONARY-ARTERY-DISEASE; ECHOCARDIOGRAPHIC FEATURES; CALCIFICATION; CALCIUM; VALVE; ASSOCIATION; MANAGEMENT; HEART;
D O I
10.1093/ejechocard/jen179
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To define the prevalence and characteristics of non-rheumatic annular mitral stenosis (AMS) in a general population as compared with rheumatic mitral stenosis (RMS). Clinical and echocardiographical variables were assessed in 70 patients with mitral stenosis. AMS and RMS patients were age- and gender-matched for the comparison of echocardiographic variables. Thirteen patients (18.5%) had AMS. Arterial hypertension and hypercholesterolemia were more prevalent in AMS (77 vs. 36% and 75 vs. 27%, respectively, P < 0.05). Mitral annulus calcification severity score (2.2 vs. 1.3, P < 0.05) and left ventricular mass (276 +/- 73 vs. 209 +/- 57 g, P < 0.05) were significantly higher in AMS. Mitral valve area (MVA) was higher and mean gradient was lower (2.25 +/- 0.6 vs.1.9 +/- 0.6 cm(2), 4 +/- 1.2 vs. 5.6 +/- 3.5 mmHg, P = ns) in AMS. Pressure half-time (PHT) MVA and planimetry MVA had a better correlation in RMS than in AMS patients (r = 0.98 vs. 0.71, P < 0.05). AMS is more frequent than that is assumed and is associated with risk factors for coronary artery disease. AMS is generally mild and PHT may be less accurate for MVA calculation than in RMS.
引用
收藏
页码:103 / 105
页数:3
相关论文
共 22 条
  • [1] Abascal VM, 1996, AM J CARDIOL, V78, P1390
  • [2] Mitral annular calcium detected by transthoracic echocardiography is a marker for high prevalence and severity of coronary artery disease in patients undergoing coronary angiography
    Adler, Y
    Herz, I
    Vaturi, M
    Fusman, R
    Shohat-Zabarski, R
    Fink, N
    Porter, A
    Shapira, Y
    Assali, A
    Sagie, A
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1998, 82 (10) : 1183 - 1186
  • [3] Association between mitral annular calcium and aortic atheroma as detected by transesophageal echocardiographic study
    Adler, Y
    Shohat-Zabarski, R
    Vaturi, M
    Shapira, Y
    Ehrlich, S
    Jortner, R
    Assali, A
    Zonshin, A
    Sagie, A
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1998, 81 (06) : 784 - 786
  • [4] Clinical significance of calcification of the fibrous skeleton of the heart and aortosclerosis in community dwelling elderly. The Cardiovascular Health Study (CHS)
    Barasch, E
    Gottdiener, JS
    Larsen, EKM
    Chaves, PHM
    Newman, AB
    Manolio, TA
    [J]. AMERICAN HEART JOURNAL, 2006, 151 (01) : 39 - +
  • [5] MITRAL ANNULAR CALCIFICATION AND THE RISK OF STROKE IN AN ELDERLY COHORT
    BENJAMIN, EJ
    PLEHN, JF
    DAGOSTINO, RB
    BELANGER, AJ
    COMAI, K
    FULLER, DL
    WOLF, PA
    LEVY, D
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1992, 327 (06) : 374 - 379
  • [6] Modern management of mitral stenosis
    Carabello, BA
    [J]. CIRCULATION, 2005, 112 (03) : 432 - 437
  • [7] Extensive calcification of the mitral valve anulus: Pathology and surgical management
    Carpentier, AF
    Pellerin, M
    Fuzellier, JF
    Relland, JYM
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1996, 111 (04) : 718 - 730
  • [8] CARPENTIER AF, 1996, CARDIOVASC SURG, V111, P729
  • [9] ECHOCARDIOGRAPHIC FEATURES OF MITRAL ANNULUS CALCIFICATION
    DASHKOFF, N
    KARACUSCHANSKY, M
    COME, PC
    FORTUIN, NJ
    [J]. AMERICAN HEART JOURNAL, 1977, 94 (05) : 585 - 592
  • [10] CLINICAL MANIFESTATIONS OF MITRAL ANNULUS CALCIFICATION, WITH EMPHASIS ON ITS ECHOCARDIOGRAPHIC FEATURES
    DCRUZ, IA
    COHEN, HC
    PRABHU, R
    BISLA, V
    GLICK, G
    [J]. AMERICAN HEART JOURNAL, 1977, 94 (03) : 367 - 377