Transesophageal Echocardiograph Findings in Patients with Cardiovascular Disorders at Al-Thawrah General Hospital, Sana’a, Yemen
ABSTRACT Objectives: To determine the frequency distribution of different cardiovascular disorders and to describe their associated morphological abnormalities by transesophageal echocardiography among patients referred to the Transesophageal Echocardiography Laboratory of Al-Thawrah General Hospi...
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| Format: | Article |
| Language: | English |
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University of Science and Technology, Yemen
2015-12-01
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| Series: | Yemeni Journal for Medical Sciences |
| Subjects: | |
| Online Access: | https://journals.ust.edu/index.php/yjms/article/view/524 |
| _version_ | 1818547115022876672 |
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| author | Noor-Aldeen Al-Jaber Ahmed A. K. Thabet Manal Al-Hakeem Manae Al-Arashi Abdulhakim Sharaf Essam Al-Safadi |
| author_facet | Noor-Aldeen Al-Jaber Ahmed A. K. Thabet Manal Al-Hakeem Manae Al-Arashi Abdulhakim Sharaf Essam Al-Safadi |
| author_sort | Noor-Aldeen Al-Jaber |
| collection | DOAJ |
| description | ABSTRACT
Objectives: To determine the frequency distribution of different cardiovascular disorders and to describe their associated morphological abnormalities by transesophageal echocardiography among patients referred to the Transesophageal Echocardiography Laboratory of Al-Thawrah General Hospital, Sana’a, in the period 2009– 2011.
Methods: This was a retrospective descriptive study of 856 patients with suspected cardiovascular disorders and referred for transesophageal echocardiography over a two-year period. Data about patients’ sex, their refer- ral site and transesophageal echocardiography findings were collected and analyzed according to the type of cardiovascular disorders, valvular affections and lesions, complications and recommended treatments.
Results: Of the 856 patients, 63.4% were females and 36.6% were males. The majority of patients diagnosed by transesophageal echocardiography (82.4%) were referred from outpatient departments. Rheumatic heart dis- ease was the most frequent cardiovascular disorder (87.1%), followed by tricuspid valve lesions (62.8%), of which 54% (329/606) were tricuspid regurgitation and 62.6% (114/182) were aortic valve regurgitation. Re- garding the type of valvular lesions detected, mitral valve disease was the most frequent, being found in 69.2% (214/309) of patients. Regarding the severity of valvular lesions, 73.1% (19/26) of mitral valve stenosis cases were severe while 83.3% (35/62) of aortic stenosis cases were mild. Moderate pulmonary hypertension was seen mostly secondary to rheumatic heart disease. The majority of cardiovascular disorder patients (33.6%; 284/844) were recommended for balloon mitral valvotomy. Mitral valve surgery was the most frequently per- formed surgical intervention for affected valves of patients with cardiovascular disorders; being used for the treatment of 31.4% (80/255) of valvular lesions.
Conclusions: Transesophageal echocardiography revealed that rheumatic heart disease is the most frequent cardiovascular disorder among Yemeni patients and poses a major health problem. In addition, a high propor- tion of patients with cardiovascular disorders have valvular lesions of the mild degree that require surgical in- tervention. |
| first_indexed | 2024-12-12T08:02:22Z |
| format | Article |
| id | doaj.art-4ed7ffcf9bb74d62a9c2a037aedaba53 |
| institution | Directory Open Access Journal |
| issn | 2227-9601 2227-961X |
| language | English |
| last_indexed | 2024-12-12T08:02:22Z |
| publishDate | 2015-12-01 |
| publisher | University of Science and Technology, Yemen |
| record_format | Article |
| series | Yemeni Journal for Medical Sciences |
| spelling | doaj.art-4ed7ffcf9bb74d62a9c2a037aedaba532022-12-22T00:32:05ZengUniversity of Science and Technology, YemenYemeni Journal for Medical Sciences2227-96012227-961X2015-12-019161310.20428/YJMS.9.1.2486Transesophageal Echocardiograph Findings in Patients with Cardiovascular Disorders at Al-Thawrah General Hospital, Sana’a, YemenNoor-Aldeen Al-JaberAhmed A. K. ThabetManal Al-HakeemManae Al-ArashiAbdulhakim SharafEssam Al-SafadiABSTRACT Objectives: To determine the frequency distribution of different cardiovascular disorders and to describe their associated morphological abnormalities by transesophageal echocardiography among patients referred to the Transesophageal Echocardiography Laboratory of Al-Thawrah General Hospital, Sana’a, in the period 2009– 2011. Methods: This was a retrospective descriptive study of 856 patients with suspected cardiovascular disorders and referred for transesophageal echocardiography over a two-year period. Data about patients’ sex, their refer- ral site and transesophageal echocardiography findings were collected and analyzed according to the type of cardiovascular disorders, valvular affections and lesions, complications and recommended treatments. Results: Of the 856 patients, 63.4% were females and 36.6% were males. The majority of patients diagnosed by transesophageal echocardiography (82.4%) were referred from outpatient departments. Rheumatic heart dis- ease was the most frequent cardiovascular disorder (87.1%), followed by tricuspid valve lesions (62.8%), of which 54% (329/606) were tricuspid regurgitation and 62.6% (114/182) were aortic valve regurgitation. Re- garding the type of valvular lesions detected, mitral valve disease was the most frequent, being found in 69.2% (214/309) of patients. Regarding the severity of valvular lesions, 73.1% (19/26) of mitral valve stenosis cases were severe while 83.3% (35/62) of aortic stenosis cases were mild. Moderate pulmonary hypertension was seen mostly secondary to rheumatic heart disease. The majority of cardiovascular disorder patients (33.6%; 284/844) were recommended for balloon mitral valvotomy. Mitral valve surgery was the most frequently per- formed surgical intervention for affected valves of patients with cardiovascular disorders; being used for the treatment of 31.4% (80/255) of valvular lesions. Conclusions: Transesophageal echocardiography revealed that rheumatic heart disease is the most frequent cardiovascular disorder among Yemeni patients and poses a major health problem. In addition, a high propor- tion of patients with cardiovascular disorders have valvular lesions of the mild degree that require surgical in- tervention.https://journals.ust.edu/index.php/yjms/article/view/524transesophageal echocardiographycardiovascular disorderrheumatic heart diseasevalvular lesionyemen |
| spellingShingle | Noor-Aldeen Al-Jaber Ahmed A. K. Thabet Manal Al-Hakeem Manae Al-Arashi Abdulhakim Sharaf Essam Al-Safadi Transesophageal Echocardiograph Findings in Patients with Cardiovascular Disorders at Al-Thawrah General Hospital, Sana’a, Yemen Yemeni Journal for Medical Sciences transesophageal echocardiography cardiovascular disorder rheumatic heart disease valvular lesion yemen |
| title | Transesophageal Echocardiograph Findings in Patients with Cardiovascular Disorders at Al-Thawrah General Hospital, Sana’a, Yemen |
| title_full | Transesophageal Echocardiograph Findings in Patients with Cardiovascular Disorders at Al-Thawrah General Hospital, Sana’a, Yemen |
| title_fullStr | Transesophageal Echocardiograph Findings in Patients with Cardiovascular Disorders at Al-Thawrah General Hospital, Sana’a, Yemen |
| title_full_unstemmed | Transesophageal Echocardiograph Findings in Patients with Cardiovascular Disorders at Al-Thawrah General Hospital, Sana’a, Yemen |
| title_short | Transesophageal Echocardiograph Findings in Patients with Cardiovascular Disorders at Al-Thawrah General Hospital, Sana’a, Yemen |
| title_sort | transesophageal echocardiograph findings in patients with cardiovascular disorders at al thawrah general hospital sana a yemen |
| topic | transesophageal echocardiography cardiovascular disorder rheumatic heart disease valvular lesion yemen |
| url | https://journals.ust.edu/index.php/yjms/article/view/524 |
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