PMID- 26329959
OWN - NLM
STAT- MEDLINE
DCOM- 20151030
LR  - 20181202
IS  - 1022-4742 (Print)
IS  - 1022-4742 (Linking)
VI  - 24
IP  - 3
DP  - 2015 Jul
TI  - Immediate Clinical and Echocardiographic Outcome of Percutaneous Transvenous 
      Mitral Commissurotomy for Patients of Mitral Stenosis with Atrial Fibrillation.
PG  - 585-91
AB  - Rheumatic fever and rheumatic heart disease continue to be the major health 
      problem in all developing countries including Bangladesh. Rheumatic mitral 
      stenosis is a very common problem in our population having an incidence of 54 
      percent among rheumatic heart disease with a female preponderance of 2:1. 
      Percutaneous balloon mitral commissurotomy is appealing because the mechanism of 
      valve dilation closely parallels the mechanism of surgical mitral commissurotomy. 
      The technique of balloon mitral commissurotomy has evolved rapidly, with 
      improvements in balloons, guide wires, and the application of double-balloon 
      techniques. There is controversy that whether the presence of AF has a direct 
      negative effect on the immediate or long-term outcome after PTMC in mitral 
      stenosis patients. The purpose of this study was to see the effect of atrial 
      fibrillation (AF) on the immediate clinical and echocardiographic outcome of 
      patients undergoing Percutaneous Transvenous Mitral Commissurotomy (PTMC). The 
      immediate procedural and in-hospital clinical outcome after PTMC of 264 patients 
      with AF were prospectively collected and compared with those of 288 patients in 
      normal sinus rhythm (NSR) with mitral stenosis admitted in National Institute of 
      Cardiovascular Diseases, Dhaka and Al-Helal Heart Institute, Mirpur, Dhaka, 
      Bangladesh. Patients with AF were older than patients with normal sinus rhythm 
      (53 +/- 11 vs. 33 +/- 12 years; p<0.0001) and presented more frequently with New York 
      Heart Association (NYHA) class III-IV (78.3% vs. 58.5%; p<0.0001), 
      echocardiographic score >8 (38.9% vs. 22.7%; p<0.0001), calcified valves under 
      fluoroscopy (22.2% vs.12.4%, p<0.0001) and with history of previous surgical 
      commissurotomy (21.7% vs. 10.5%; p<0.0001). In patients with AF, PTMC resulted in 
      worse outcomes, as reflected in a smaller post-PTMC mitral valve area (1.6+/-0.4 
      vs. 2.1 +/- 0.8 cm(2); p<0.0001). Patients with atrial fibrillation have a worse 
      immediate clinical and echocardiographic outcome after PTMC.
FAU - Rahman, M T
AU  - Rahman MT
AD  - Dr Md Toufiqur Rahman, Associate Professor, Department of Cardiology, National 
      Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh.
FAU - Rahman, M M
AU  - Rahman MM
FAU - Islam, M M
AU  - Islam MM
FAU - Khan, M R
AU  - Khan MR
FAU - Haque, S A
AU  - Haque SA
FAU - Chowdhury, A W
AU  - Chowdhury AW
FAU - Majumder, A S
AU  - Majumder AS
FAU - Rahman, A
AU  - Rahman A
FAU - Islam, Q I
AU  - Islam QI
LA  - eng
PT  - Journal Article
PL  - Bangladesh
TA  - Mymensingh Med J
JT  - Mymensingh medical journal : MMJ
JID - 9601799
SB  - IM
MH  - Adult
MH  - Atrial Fibrillation/complications/diagnostic imaging/*therapy
MH  - Bangladesh
MH  - Echocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Mitral Valve Stenosis/complications/diagnostic imaging/*therapy
MH  - Percutaneous Coronary Intervention/methods
MH  - Prospective Studies
MH  - *Rheumatic Heart Disease
MH  - Treatment Outcome
EDAT- 2015/09/04 06:00
MHDA- 2015/10/31 06:00
CRDT- 2015/09/03 06:00
PHST- 2015/09/03 06:00 [entrez]
PHST- 2015/09/04 06:00 [pubmed]
PHST- 2015/10/31 06:00 [medline]
PST - ppublish
SO  - Mymensingh Med J. 2015 Jul;24(3):585-91.