Assessment of mitral valve reserve capacity before and after percutaneous balloon valvuloplasty with isoproterenol stress echocardiography
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Assessment of mitral valve reserve capacity before and after percutaneous balloon valvuloplasty with isoproterenol stress echocardiography
Assessment of mitral valve reserve capacity before and after percutaneous balloon valvuloplasty with isoproterenol stress echocardiography
解放军医学杂志(英文版)2002年第3期 页码:196-201
Affiliations:
1. Department of Cardiology
2. Second Affiliated Hospital
3. Sun Yat-sen University
4. ,Guangzhou,510282
5. Zhujiang Hospital
6. First Military Medical University
Author bio:
Funds:
DOI:
中图分类号:R541.2
纸质出版:2002
Accepted:
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Assessment of mitral valve reserve capacity before and after percutaneous balloon valvuloplasty with isoproterenol stress echocardiography[J]. 解放军医学杂志(英文版), 2002,(3):196-201.
[1]刘品明,傅向阳,吕俊豪,吴群,杨福庆.Assessment of mitral valve reserve capacity before and after percutaneous balloon valvuloplasty with isoproterenol stress echocardiography[J].Journal of Medical Colleges of PLA,2002(03):196-201.
Assessment of mitral valve reserve capacity before and after percutaneous balloon valvuloplasty with isoproterenol stress echocardiography[J]. 解放军医学杂志(英文版), 2002,(3):196-201.DOI:
[1]刘品明,傅向阳,吕俊豪,吴群,杨福庆.Assessment of mitral valve reserve capacity before and after percutaneous balloon valvuloplasty with isoproterenol stress echocardiography[J].Journal of Medical Colleges of PLA,2002(03):196-201.DOI:
Assessment of mitral valve reserve capacity before and after percutaneous balloon valvuloplasty with isoproterenol stress echocardiography
摘要
Abstract
<正> Objective: To explore whether successful valvuloplasty increases mitral valve reserve capacity in patients with mitral stenosis. Methods: Thirty-eight patients with pure rheumatic mitral stenosis underwent isoproterenol stress echocardiography before and after successful percutaneous balloon valvuloplasty. The mitral valve area (by direct planimetry of two-dimensional echocardiography)
mean transmitral pressure gradient (by continuous-wave Doppler echocardiography)
and cardiac output (by M-mode echocardiography) were measured at rest and under isoproterenol infusion to achieve heart rate of different stages. Results:Between the measurements before and after valvuloplasty
significant differences were observed in the mitral valve area (0. 91±0. 28 vs 1. 87±0. 23 cm2
P<0. 01)
mean transmitral pressure gradient (12. 5±6. 3 vs 3. 9±1. 9 mmHg
P<0. 01) and cardiac output (3. 93±1. 44 vs 4. 73±1. 01 L/min
P<0. 05) at rest. Before valvuloplasty
the mean transmitral pressure gradient increased signi
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