The effects of successful percutaneous mitral balloon valvuloplasty on acute and intermediate term aortic stiffness

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dc.contributor.authorİnci, Sinan
dc.contributor.authorNar, Gökay
dc.contributor.authorErol, Mustafa Kemal
dc.contributor.authorDemirelli, Selami
dc.contributor.authorDuman, Hakan
dc.contributor.authorSerdar, Serkan
dc.contributor.authorErol, Fatih
dc.date.accessioned13.07.201910:50:10
dc.date.accessioned2019-07-16T08:22:06Z
dc.date.available13.07.201910:50:10
dc.date.available2019-07-16T08:22:06Z
dc.date.issued2015
dc.departmentTıp Fakültesi
dc.descriptionPubMed ID: 25345485
dc.description.abstractAim The aim of this study was to evaluate the effects of percutaneous mitral balloon valvuloplasty (PMBV) on short- and intermediate-term aortic stiffness in patients with mitral stenosis. Materials and Methods This prospective study included 56 patients with critical mitral stenosis in normal sinus rhythm (68% female; mean age: 42 ± 11 years) and 37 healthy controls. Aortic stiffness was measured using transthoracic echocardiography before PMBV, and 24-48 hours and 1 year post procedure. Results Aortic strain and distensibility were significantly higher in the patients with mitral stenosis, both after PMBV and 1 year post procedure, whereas the aortic stiffness index (ASI) was significantly lower. There was also a significant decrease in mitral mean gradient (MMG) and systolic pulmonary artery pressure (sPAP) after PMBV, based on echocardiography and catheterization. Mitral valve area (MVA) significantly increased after PMBV. There was a significant correlation between change in ?MVA and ?MMG and aortic elastic properties. There was a significantly negative correlation between the ?MVA and ?? aortic stiffness (r = -0.62, P < 0.001), and a significantly positive correlation between ?MMG and ?ASI (r = 0.60, P < 0.001). Conclusion Mitral valve stenosis was associated with impaired aortic stiffness and following PMBV, aortic stiffness decreased during both the acute period and the intermediate period. © 2014, Wiley Periodicals, Inc.
dc.identifier.doi10.1111/echo.12799
dc.identifier.endpage818en_US
dc.identifier.issn0742-2822
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ3
dc.identifier.startpage813en_US
dc.identifier.urihttps://dx.doi.org/10.1111/echo.12799
dc.identifier.urihttps://hdl.handle.net/20.500.12451/2465
dc.identifier.volume32en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBlackwell Publishing
dc.relation.ispartofEchocardiography
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectMitral Stenosis
dc.subjectPercutaneous Intervention
dc.subjectTransthoracic Echocardiography
dc.titleThe effects of successful percutaneous mitral balloon valvuloplasty on acute and intermediate term aortic stiffness
dc.typeArticle

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