Cardiac Auscultation Versus Two-dimensional Trans thoracic Echocardiography in Native Aortic and Mitral Valve diseases in Erbil City
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 7
Abstract
Background: Echocardiography is use for diagnosis and assessment of valvular heart disease as there are many valve diseases that are silent on clinical auscultation. Objective: To identify the sensitivity of auscultation in patients with mitral and aortic valve diseases in comparison with Doppler echocardiography. Materials and methods: An observational study was done on 950 patients were attended echocardiography department of Erbil cardiac center between May 2015 and February 2016, only 300 patients fulfils the criteria of the study were included in the study. Patients from the age of 15 years and above were randomly selected. Cardiac auscultation of mitral and aortic precordial areas was done by 2 experience cardiologists. Then patients were examined thoroughly by transthoracic echocardiography for underlying valve lesion. Results: From total 189 MR lesions detected by echocardiography in 94 (49.7%) lesions no murmur was detected, from 36 MS lesions in 12 (33.3%) lesions no murmur was detected, from 86 AR lesions in 50 (58.1%) lesions and from total 40 AS lesions in 5 (12.5%) lesions the murmur were not detected clinically with a significant P value (p value=0.001), (p value=0.001), (p value=0.001), (p value=0.001) respectively. Significant association of inaudible murmurs with mild valve lesions on echocardiography (p value=0.001) and with echocardiographic systolic dysfunction (p value=0.001).Sensitivity of auscultation in mitral and aortic valve diseases was 55.7% and 48.4% respectively. Conclusions: Many valve diseases which were diagnosed by echocardiography could be silent clinically
Authors and Affiliations
Aree Nadhem A. Daham
Keywords
Related Articles
- EP ID EP213849
- DOI -
- Views 57
- Downloads 0
Diagnostic Accuracy of FNAC in Evaluation of Breast Lumps
Background and objectives: This study was conducted to compare the diagnostic accuracy of fine needle aspiration cytology (FNAC)in differentiating the benign and malignant lesions of palpable breast lump with histopathol...
Thyroid Status in Patients with Menstrual Abnormalities: A Prospective Study
Introduction: Menstrual abnormalities are one of the common causes of consultations in obstetrics and gynecology outpatient department. Abnormalities of thyroid function has been found to be associated with various menst...
Study of expression and correlation of vascular endothelial growth factor with grading and staging of breast carcinoma
Breast cancer is the most frequent malignancy in women all over the world, resulting in death in one forth of the cases. To date, many efforts are being performed to identify prognostic factors and their relevant therape...
Hyponatremia in Critically ILL Patients: Assessment f Incidence, Etiology, Clinical Manifestations and Outcomes in ICU Setting
Hyponatremia is a common electrolyte disturbance occurring in critically ill patients. Mild hyponatremia (serum sodium, <135 mmol per liter) occurs in 15 to 22% of these patients and in approximately 7% of ambulatory pat...
A Comprehensive Study of Cervical Lymphadenopathy with special reference to FNAC as a diagnostic Criteria
Cervical lymphadenopathy is a common clinical problem. This study was carried out in 50 cases without any consideration to age, FNAC was used to evaluate these patients, biopsy was done only in doubtful cases, in patient...