Pulmonary hypertension before and after balloon mitral Valvuloplasty
Journal Title: International Journal of Medical Research and Review - Year 2017, Vol 5, Issue 3
Abstract
Objective: To testify effectiveness of BMV in mitral stenosis to resolve pulmonary hypertension. Material and Method: The study was conducted at N.R.S Medical College and Hospital over 18 months with 39 patients of severe mitral stenosis with pulmonary hypertension. They were followed up at 48hours, 1 month and 6 month after BMV. Result: 20.51% patients had mild, 41.02% patients had moderate and 38.46% patients had severe pulmonary hypertension before BMV. Mean mitral valve area before and after BMV were 0.89±0.11cm and 1.89±0.21cm respectively. Mean transmitral gradient was 15.43±2.3mm 0f Hg before and 7. 86±2.25 mm of Hg after BMV. On 3rd day, before discharge PASP became normal in 1 patient in mild group although improvement was not statistically significant (p=0.234) but statistically significant improvement of PSBP was seen in both moderate and severe groups (p=0.001). At 1m follow up PASP came down to normal in 3 patients of mild group (p=0.106). 5 of moderate and 1 patient of severe groups also improved to have PSBP ˂25 mm of Hg, the finding was statistically significant in both groups (p=0.001). The improvement in all three groups at final check up at 6m was statistically significant (p=0.001). 5 patients in each mild and moderate and 2 in severe group were found to have normal PASP. Conclusion: In spite of significant risk, BMV is worth doing in patients with pulmonary hypertension due to mitral stenosis as there is not only dramatic relief of PH of cardiac causes but also improvement of PH due to pulmonary pathology to some extent.
Authors and Affiliations
Indrajit Mandal
Keywords
Related Articles
- EP ID EP271081
- DOI 10.17511/ijmrr. 2017.i03.11
- Views 120
- Downloads 0
Fate of laparoscopic morcellation post-FDA warning: a literature review
In laparoscopy, tissue extraction might require morcellation for larger intra-abdominal specimens, especially in gynecological patients. specimen, the specimen needs to be reduced. The Food and Drug Administration (FDA)...
Clinical Study of Pancytopenia
Introduction: Pancytopenia is a common and alarming condition encountered by clinicians. We had studied the clinical presentation, laboratory investigations and various etiologies of Pancytopenia. Material and Methods:...
Alcohol Withdrawal Syndrome
Alcohol withdrawal syndrome is a cluster of symptoms occurring when someone detoxes from alcohol. Alcohol dependence is one of the commonest psychiatric disorders, second only to major depression.
Uterine Lipoleiomyoma
Uterine fibroids or leiomyomas are benign tumors of the uterine smooth muscle. A rare form of these tumors is uterine lipoleiomyoma - benign tumor consisting of a mixture of adipocytes and smooth muscle cells. Lipoleiomy...
Study of sternalis muscle in north Indian population- a cadaveric study
Background: Sternalis is anatomic variant of anterior thoracic region generally encountered on routine dissection, imaging procedures or surgeries. Although here is sufficient text available regarding presence and extent...