PMID- 23124930
OWN - NLM
STAT- MEDLINE
DCOM- 20130426
LR  - 20211021
IS  - 1932-8737 (Electronic)
IS  - 0160-9289 (Print)
IS  - 0160-9289 (Linking)
VI  - 35
IP  - 12
DP  - 2012 Dec
TI  - Immediate and long-term results following balloon mitral valvotomy in patients 
      with atrial fibrillation.
PG  - E35-9
LID - 10.1002/clc.22068 [doi]
AB  - BACKGROUND: The purpose of this study was to examine the influence of atrial 
      fibrillation (AF) on the immediate and long-term outcome of patients undergoing 
      balloon mitral valvotomy (BMV). HYPOTHESIS: Patients with atrial fibrillation 
      fair poorly after balloon mitral valvotomy. METHODS: There were a total of 818 
      consecutive patients who underwent elective BMV in this institute from 1997 to 
      2003, with either double-lumen or triple-lumen BMV catheters included in the 
      study. Of them, 95 were with AF. The clinical, echocardiographic, and hemodynamic 
      data of these patients were compared with those of 723 patients in normal sinus 
      rhythm (NSR). Immediate procedural results and long-term events were compared 
      between the 2 study groups. RESULTS: Patients with AF were older (39.9 +/- 9.9 
      years vs 29.4 +/- 10.1, P < 0.001) and presented more frequently with New York 
      Heart Association (NYHA) class III-IV (53.7% vs 32.9%, P < 0.001), 
      echocardiographic score >8 (47.4% vs 24.9%, P < 0.001), and with history of 
      previous surgical commissurotomy (33.7% vs 11.5%, P < 0.001). In patients with 
      AF, BMV resulted in inferior immediate and long-term outcomes, as reflected in a 
      lesser post-BMV mitral valve area (1.3 +/- 0.4 vs 1.6 +/- 0.4 cm(2), P = 0.032) and 
      higher event rate on follow-up. CONCLUSIONS: Patients with AF were older, sicker, 
      and had advanced rheumatic mitral valve disease. They had a higher incidence of 
      stroke, new onset heart failure, and need for reinterventions on long-term 
      follow-up. These patients need intense and more frequent follow-up.
CI  - (c) 2012 Wiley Periodicals, Inc.
FAU - Nair, Krishna Kumar Mohanan
AU  - Nair KK
AD  - Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and 
      Technology, Trivandrum, Kerala, India.
FAU - Pillai, Harikrishnan Sivadasan
AU  - Pillai HS
FAU - Thajudeen, Anees
AU  - Thajudeen A
FAU - Krishnamoorthy, Kavassery Mahadevan
AU  - Krishnamoorthy KM
FAU - Sivasubramonian, Sivasankaran
AU  - Sivasubramonian S
FAU - Namboodiri, Narayanan
AU  - Namboodiri N
FAU - Sasidharan, Bijulal
AU  - Sasidharan B
FAU - Ganapathy, Sanjay
AU  - Ganapathy S
FAU - Varaparambil, Ajitkumar
AU  - Varaparambil A
FAU - Titus, Thomas
AU  - Titus T
FAU - Tharakan, Jaganmohan
AU  - Tharakan J
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20121102
PL  - United States
TA  - Clin Cardiol
JT  - Clinical cardiology
JID - 7903272
SB  - IM
CIN - Clin Cardiol. 2013 Jun;36(6):363-4. PMID: 23553933
CIN - Clin Cardiol. 2013 Jun;36(6):363. PMID: 23657936
MH  - Adult
MH  - Atrial Fibrillation/physiopathology/*surgery
MH  - *Balloon Valvuloplasty
MH  - Echocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Hemodynamics
MH  - Humans
MH  - Male
MH  - Mitral Valve/*surgery
MH  - Retrospective Studies
MH  - Time Factors
PMC - PMC6652338
EDAT- 2012/11/06 06:00
MHDA- 2013/04/27 06:00
PMCR- 2012/11/02
CRDT- 2012/11/06 06:00
PHST- 2012/08/29 00:00 [received]
PHST- 2012/09/28 00:00 [accepted]
PHST- 2012/11/06 06:00 [entrez]
PHST- 2012/11/06 06:00 [pubmed]
PHST- 2013/04/27 06:00 [medline]
PHST- 2012/11/02 00:00 [pmc-release]
AID - CLC22068 [pii]
AID - 10.1002/clc.22068 [doi]
PST - ppublish
SO  - Clin Cardiol. 2012 Dec;35(12):E35-9. doi: 10.1002/clc.22068. Epub 2012 Nov 2.