PMID- 2258203 OWN - NLM STAT- MEDLINE DCOM- 19910131 LR - 20161123 IS - 0019-4832 (Print) IS - 0019-4832 (Linking) VI - 42 IP - 3 DP - 1990 May-Jun TI - Systolic time intervals in rheumatic mitral stenosis. PG - 181-3 AB - Thirty two patients with pure mitral stenosis and twenty normal subjects were studied by M-Mode Echocardiography and systolic time intervals. Preejection period (PEP) was increased in 62 percent of patients in New York Heart Association (NYHA) Class III and IV, compared to 42.9 percent of cases in NYHA class I and II. Left ventricular ejection time (LVET) was abbreviated in 87.5 percent cases in NYHA class III and IV, and in 58.3 percent of cases in NYHA class I and II. PEP/LVET ratio was significantly increased (p less than 0.01) in mitral stenosis (0.42) compared to normal subjects (0.33) while calculated left ventricular ejection fraction (EF) was significantly lower (p less than 0.01) in mitral stenosis (60%) compared to normal subjects (71.55%). It is hypothesized that a rigid "mitral complex" immobilises the posterobasal area of the left ventricle in mitral stenosis thereby impairing left ventricular contraction. FAU - Sharma, T C AU - Sharma TC AD - Department of Medicine and Cardiology, Civil Hospital, Ahmedabad. FAU - Dave, S H AU - Dave SH FAU - Bhagat, G R AU - Bhagat GR FAU - Patel, T K AU - Patel TK LA - eng PT - Journal Article PL - India TA - Indian Heart J JT - Indian heart journal JID - 0374675 SB - IM MH - Adult MH - Echocardiography MH - Female MH - Humans MH - Male MH - Mitral Valve Stenosis/diagnostic imaging/etiology/*physiopathology MH - Rheumatic Heart Disease/*complications MH - Stroke Volume MH - *Systole EDAT- 1990/05/01 00:00 MHDA- 1990/05/01 00:01 CRDT- 1990/05/01 00:00 PHST- 1990/05/01 00:00 [pubmed] PHST- 1990/05/01 00:01 [medline] PHST- 1990/05/01 00:00 [entrez] PST - ppublish SO - Indian Heart J. 1990 May-Jun;42(3):181-3.