title: Value of exercise echocardiography in rheumatic mitral stenosis with and without significant mitral regurgitation.
abstract: 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.
authors.affiliation: Echocardiographic Unit and Valvular Clinic, Cardiology Department, Rabin Medical Center, affiliated with the Sackler School of Medicine, Tel-Aviv University, Petah-Tikva, Israel.
authors.forename: Eli I
authors.initials: EI
authors.lastname: Lev
authors.forename: Alex
authors.initials: A
authors.lastname: Sagie
authors.forename: Mordehay
authors.initials: M
authors.lastname: Vaturi
authors.forename: Noga
authors.initials: N
authors.lastname: Sela
authors.forename: Alexander
authors.initials: A
authors.lastname: Battler
authors.forename: Yaron
authors.initials: Y
authors.lastname: Shapira
mesh_terms: 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*