Value of exercise echocardiography in rheumatic mitral stenosis with and without significant mitral regurgitation.
Patients with rheumatic mitral valve disease (n = 48) underwent treadmill stress echocardiography and were classified as those with mitral stenosis (n = 24) or those with mitral regurgitation with mild mitral stenosis (n = 24). Despite marked differences in mitral valve area (1.1 +/- 0.3 vs 2.1 +/- 0.6 cm(2), respectively; p <0.0001), systolic tricuspid gradients were similar both at rest (37 +/- 11 vs 37 +/- 13 mm Hg) and at peak exercise (60 +/- 16 vs 55 +/- 13 mm Hg, respectively). Following stress echocardiography, an invasive procedure or modification of medical treatment was performed or recommended in 51% of the study patients.
Lev
Eli I
EI
Echocardiographic Unit and Valvular Clinic, Cardiology Department, Rabin Medical Center, affiliated with the Sackler School of Medicine, Tel-Aviv University, Petah-Tikva, Israel.
Sagie
Alex
A
Vaturi
Mordehay
M
Sela
Noga
N
Battler
Alexander
A
Shapira
Yaron
Y
D015150:Echocardiography, Doppler; D005080:Exercise Test; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications*; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging*; D012214:Rheumatic Heart Disease / Q000000981:diagnostic imaging*