Article Type
Original Study
Subject Area
Cardiology
Abstract
Background: Many patients with long-standing mitral stenosis (MS) experience pulmonary hypertension (PH), which can eventually result in right heart failure. Several studies investigated the RV function changes in MS patients in the perioperative periods but focused on balloon mitral valvotomy (BMV). So our study aimed to assess the RV changes in severe MS patients planned for surgical mitral valve replacement (MVR).
Methods: A case-control study was carried out on severe MS patients planned for surgical MVR being unfit for BMV were subjected to conventional MS indices, RV Fractional area change (FAC), lateral tricuspid annular plane systolic excursion (TAPSE), RV global longitudinal strain (RVGLS) and RV free were assessed. Sixty cases were compared with sixty controls before surgery, one week post-surgery, and after 3 months.
Results: Baseline RV-GLS and free strain were lower in cases in comparison to the control group, there was a drop in mean values of TAPSE, RV s, FAC, RV GLS and free wall at 24h, then after 3 months follow up there was a significant improvement.
Conclusions:
MS patients had impaired RV systolic function before MVR. There was a sharp deterioration in RV function one week post-surgery then RV systolic function recovered to some extent but was still far away from the control group.
IRB Number
HAH00030
Keywords
Right ventricular function; Severe mitral stenosis; Speckle tracking echocardiography
Recommended Citation
Youssuf, Alaa Ramadan; Morsy, Mohammad; Afifi, Ibrahim; Mansour, Mohamed; and Seddik, Eman H
(2024)
"The Value of Right Ventricular Systolic Function Assessment by 2D Speckle Tracking Echocardiography in Severe MS,"
Journal of Medicine in Scientific Research: Vol. 7:
Iss.
3, Article 10.
DOI: https://doi.org/10.59299/2537-0928.1396
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