PMID- 23548392
OWN - NLM
STAT- MEDLINE
DCOM- 20130805
LR  - 20170310
IS  - 0022-9040 (Print)
IS  - 0022-9040 (Linking)
VI  - 53
IP  - 2
DP  - 2013
TI  - [Mitral regurgitation and coronary stenosis in postmyocardial infarction 
      patients].
PG  - 55-60
AB  - The results of investigations devoted to relationship of mitral regurgitation 
      (MR) and scars are contradictive, data on relationship of MR and localization of 
      coronary lesions are few. Purpose. To determinate relationship of moderate or 
      severe MR to localization of coronary stenosis in postmyocardial infarction 
      patients. Methods. There were 1167 patients with no MR and 403 patients with 
      moderate or severe MR. Results. Patients with MR had more severe New York Heart 
      Association (NYHA) functional class (III-IV) (35.5 vs. 11.2%). Echocardiographic 
      indices of left atrial dimension (23.5+/-2.9 vs. 20.3+/-2.1 mm/m) and extent of 
      left ventricular (LV) wall motion abnormalities (32.8+/-14.9 vs. 23.6+/-12.7%) 
      were higher in patients with MR as well as reduced LV systolic function (LV 
      ejection fraction <50% - 63.7 vs. 25.6%) and LV dilatation (63.3 vs. 19.9%, 
      all p<0.001). Rates of multivessel coronary artery involvement (three or more 
      arteries) (27.5 vs. 18.3%, p=0.001), lesions in left main coronary artery (7.2 
      vs. 1.1%), circumflex (36.2 vs. 26.7), and right coronary artery (57.3 vs. 44.9%) 
      were higher in patients with MR (all p<0.001). According to results of 
      multivariate analysis MR was independently associated with LV dilatation, NYHA 
      class of congestive heart failure, index of left atrial size, and extent of LV 
      wall motion abnormalities. Moderate or severe chronic MR was not related to 
      localization of coronary stenosis in these patients.
FAU - Iaroslavskaia, E I
AU  - Iaroslavskaia EI
FAU - Kuznetsov, V A
AU  - Kuznetsov VA
FAU - Pushkarev, G S
AU  - Pushkarev GS
FAU - Krinochkin, D V
AU  - Krinochkin DV
FAU - Zyrianov, I P
AU  - Zyrianov IP
FAU - Kolunin, G V
AU  - Kolunin GV
LA  - rus
PT  - English Abstract
PT  - Journal Article
PL  - Russia (Federation)
TA  - Kardiologiia
JT  - Kardiologiia
JID - 0376351
SB  - IM
MH  - Adult
MH  - *Coronary Angiography/methods/statistics & numerical data
MH  - *Coronary Stenosis/complications/diagnosis
MH  - Echocardiography/methods
MH  - Female
MH  - *Heart Atria/pathology/physiopathology
MH  - Heart Failure/etiology/physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Mitral Valve Insufficiency/etiology/physiopathology
MH  - Multivariate Analysis
MH  - Myocardial Infarction/*complications/epidemiology
MH  - Registries
MH  - Risk Factors
MH  - Severity of Illness Index
MH  - Statistics as Topic
MH  - *Ventricular Function, Left
EDAT- 2013/04/04 06:00
MHDA- 2013/08/06 06:00
CRDT- 2013/04/04 06:00
PHST- 2013/04/04 06:00 [entrez]
PHST- 2013/04/04 06:00 [pubmed]
PHST- 2013/08/06 06:00 [medline]
PST - ppublish
SO  - Kardiologiia. 2013;53(2):55-60.