PMID- 25556906
OWN - NLM
STAT- MEDLINE
DCOM- 20160613
LR  - 20161125
IS  - 1540-8175 (Electronic)
IS  - 0742-2822 (Linking)
VI  - 32
IP  - 9
DP  - 2015 Sep
TI  - Novel Echocardiographic Indices as Predictors of Immediate Recurrence after 
      Undersized Ring Annuloplasty for Ischemic Mitral Regurgitation.
PG  - 1339-46
LID - 10.1111/echo.12879 [doi]
AB  - BACKGROUND AND AIM: Ischemic mitral regurgitation (IMR) is among the most serious 
      complications of myocardial infarction which doubles the late mortality; mainly 
      treated by undersizing ring annuloplasty. To find some preoperative 
      echocardiographic indices that predict immediate failure of mitral valve 
      annuloplasty (MVA), we designed the present study with more focusing on some 
      novel parameters. METHOD: Transthoracic echocardiography (TTE) indices of 
      consecutive patients referred with 3+ or 4+ IMR were registered 24 hours before 
      surgery. Thirty days later, a second TTE was performed. According to the results, 
      the patients were categorized as the "successful" group (with 1+ or less mitral 
      regurgitation) and the "unsuccessful" group (with 2+ or higher MR). Preoperative 
      TTE indices were compared among the two groups using suitable statistical tests. 
      RESULTS: Of the total of 126 cases, 68 had successful and 58 had unsuccessful 
      MVA. Statistically significant differences were found between the two groups for 
      left ventricular ejection fraction (LVEF) (P = 0.007), left ventricular end 
      systolic volume (LVESV) (P = 0.044), and basal-interpapillary muscle distance 
      (IPMD) diastolic-to-systolic ratio (DSR) (P = 0.008). Receiver Operating 
      Characteristic analysis demonstrated 37.5%, 3.85 cm(3) , and 1.25, as the best 
      cutoff points for LVEF (P = 0.03, sensitivity: 81%, specificity: 69%), LVESV (P = 
      0.023, sensitivity: 83%, specificity: 57%), and basal-IPMD DSR (P = 0.001, 
      sensitivity: 100%, specificity: 95%), respectively. CONCLUSION: Among all TTE 
      indices, LVEF, LVESV, and basal-IPMD DSR were helpful to differentiate between 
      the successful and unsuccessful MVA results. We believe the basal-IPMD DSR as a 
      novel index could be targeted in the future studies.
CI  - (c) 2015, Wiley Periodicals, Inc.
FAU - Hajsadeghi, Shokoufeh
AU  - Hajsadeghi S
AD  - Department of Cardiology, Rasoul-e-Akram Hospital, Iran University of Medical 
      Sciences, Tehran, Iran.
FAU - Samiee, Niloufar
AU  - Samiee N
AD  - Department of Cardiology, Shahid Rajaee Heart Hospital, Iran University of 
      Medical Sciences, Tehran, Iran.
FAU - Hosseini, Seyyed Saied
AU  - Hosseini SS
AD  - Department of Cardiac Surgery, Heart Valve Research Center, Shahid Rajaee Heart 
      Hospital, Iran University of Medical Sciences, Tehran, Iran.
FAU - Hassanzadeh, Morteza
AU  - Hassanzadeh M
AD  - Department of Internal Medicine, Rasoul-e-Akram Hospital, Iran University of 
      Medical Sciences, Tehran, Iran.
FAU - Kerman, Scott Reza Jafarian
AU  - Kerman SR
AD  - Department of Cardiology, Student Scientific Research Center, Tehran University 
      of Medical Sciences, Tehran, Iran.
LA  - eng
PT  - Journal Article
DEP - 20150102
PL  - United States
TA  - Echocardiography
JT  - Echocardiography (Mount Kisco, N.Y.)
JID - 8511187
SB  - IM
MH  - Aged
MH  - Female
MH  - Follow-Up Studies
MH  - *Heart Valve Prosthesis Implantation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/diagnostic imaging/surgery
MH  - *Mitral Valve Annuloplasty
MH  - Mitral Valve Insufficiency/*diagnostic imaging/*surgery
MH  - Postoperative Complications/*diagnostic imaging
MH  - Recurrence
MH  - Treatment Outcome
MH  - Ultrasonography
OTO - NOTNLM
OT  - echocardiography
OT  - immediate recurrence
OT  - ischemic mitral regurgitation
OT  - ring annuloplasty
EDAT- 2015/01/06 06:00
MHDA- 2016/06/14 06:00
CRDT- 2015/01/06 06:00
PHST- 2015/01/06 06:00 [entrez]
PHST- 2015/01/06 06:00 [pubmed]
PHST- 2016/06/14 06:00 [medline]
AID - 10.1111/echo.12879 [doi]
PST - ppublish
SO  - Echocardiography. 2015 Sep;32(9):1339-46. doi: 10.1111/echo.12879. Epub 2015 Jan 
      2.