Poor outcome following percutaneous balloon mitral valvotomy in patients with atrial fibrillation
Introduction: Atrial fibrillation (AF) is the most common arrhythmia in patients with mitral stenosis (MS) and it may increase complications and decreases success rates of percutaneous balloon mitral valvotomy (PBMV). This study aimed to investigate the short and long term results of PBMV in patient...
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| Format: | Article |
| Language: | English |
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Tabriz University of Medical Sciences
2016-09-01
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| Series: | Journal of Cardiovascular and Thoracic Research |
| Subjects: | |
| Online Access: | http://jcvtr.tbzmed.ac.ir/PDF/JCVTR-8-126.pdf |
| _version_ | 1819058329442320384 |
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| author | Naser Aslanabadi Samad Ghaffari Naser Khezerlouy Aghdam Masoumeh Ahmadzade Babak Kazemi Babak Nasiri Ahmad Separham Bahram Sohrabi Mohamadreza Taban Arash Aslanabadi |
| author_facet | Naser Aslanabadi Samad Ghaffari Naser Khezerlouy Aghdam Masoumeh Ahmadzade Babak Kazemi Babak Nasiri Ahmad Separham Bahram Sohrabi Mohamadreza Taban Arash Aslanabadi |
| author_sort | Naser Aslanabadi |
| collection | DOAJ |
| description | Introduction: Atrial fibrillation (AF) is the most common arrhythmia in patients with mitral stenosis (MS) and it may increase complications and decreases success rates of percutaneous balloon mitral valvotomy (PBMV). This study aimed to investigate the short and long term results of PBMV in patients with AF compared to sinus rhythm (SR).
Methods: In this cross sectional study, 1000 patients with MS who had undergone PBMV between 1999 and 2013 were enrolled including 585 and 415 patients with AF and SR respectively. Patients were followed for a mean of 7.27 ± 3.16 years. Clinical, echocardiographic and hemodynamic data were collected. Procedure success, in-hospital and long-term outcome were evaluated.
Results: Patients with AF were older and had greater symptoms, mitral regurgitation, mitral echocardiographic score, and mitral pressure gradient before PBMV. PBMV success rate were significantly lower in AF group (P < 0.001). In-hospital complications, including severe mitral regurgitation, emergency mitral valve surgery, peripheral embolism and long-term complications, including mortality, re-valvotomy, mitral replacement surgery and peripheral embolism/stroke were significantly higher in patients with AF.
Conclusion: AF leads to worse in-hospital and long-term outcome and lower PBMV success rate. Repeated assessment and early decision to PBMV in patients with MS to reduce AF and AF related complication seems necessary. |
| first_indexed | 2024-12-21T13:53:28Z |
| format | Article |
| id | doaj.art-5470256dff4f494f872ea6895a93be10 |
| institution | Directory Open Access Journal |
| issn | 2008-5117 2008-6830 |
| language | English |
| last_indexed | 2024-12-21T13:53:28Z |
| publishDate | 2016-09-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Cardiovascular and Thoracic Research |
| spelling | doaj.art-5470256dff4f494f872ea6895a93be102022-12-21T19:01:38ZengTabriz University of Medical SciencesJournal of Cardiovascular and Thoracic Research2008-51172008-68302016-09-018312613110.15171/jcvtr.2016.26JCVTR_1907_20160531194939Poor outcome following percutaneous balloon mitral valvotomy in patients with atrial fibrillationNaser Aslanabadi0Samad Ghaffari1Naser Khezerlouy Aghdam2Masoumeh Ahmadzade3Babak Kazemi4Babak Nasiri5Ahmad Separham6Bahram Sohrabi7Mohamadreza Taban8Arash Aslanabadi9Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranIntroduction: Atrial fibrillation (AF) is the most common arrhythmia in patients with mitral stenosis (MS) and it may increase complications and decreases success rates of percutaneous balloon mitral valvotomy (PBMV). This study aimed to investigate the short and long term results of PBMV in patients with AF compared to sinus rhythm (SR). Methods: In this cross sectional study, 1000 patients with MS who had undergone PBMV between 1999 and 2013 were enrolled including 585 and 415 patients with AF and SR respectively. Patients were followed for a mean of 7.27 ± 3.16 years. Clinical, echocardiographic and hemodynamic data were collected. Procedure success, in-hospital and long-term outcome were evaluated. Results: Patients with AF were older and had greater symptoms, mitral regurgitation, mitral echocardiographic score, and mitral pressure gradient before PBMV. PBMV success rate were significantly lower in AF group (P < 0.001). In-hospital complications, including severe mitral regurgitation, emergency mitral valve surgery, peripheral embolism and long-term complications, including mortality, re-valvotomy, mitral replacement surgery and peripheral embolism/stroke were significantly higher in patients with AF. Conclusion: AF leads to worse in-hospital and long-term outcome and lower PBMV success rate. Repeated assessment and early decision to PBMV in patients with MS to reduce AF and AF related complication seems necessary.http://jcvtr.tbzmed.ac.ir/PDF/JCVTR-8-126.pdfMitral StenosisBalloon Mtral ValvotomyAtrial Fibrillation |
| spellingShingle | Naser Aslanabadi Samad Ghaffari Naser Khezerlouy Aghdam Masoumeh Ahmadzade Babak Kazemi Babak Nasiri Ahmad Separham Bahram Sohrabi Mohamadreza Taban Arash Aslanabadi Poor outcome following percutaneous balloon mitral valvotomy in patients with atrial fibrillation Journal of Cardiovascular and Thoracic Research Mitral Stenosis Balloon Mtral Valvotomy Atrial Fibrillation |
| title | Poor outcome following percutaneous balloon mitral valvotomy in patients with atrial fibrillation |
| title_full | Poor outcome following percutaneous balloon mitral valvotomy in patients with atrial fibrillation |
| title_fullStr | Poor outcome following percutaneous balloon mitral valvotomy in patients with atrial fibrillation |
| title_full_unstemmed | Poor outcome following percutaneous balloon mitral valvotomy in patients with atrial fibrillation |
| title_short | Poor outcome following percutaneous balloon mitral valvotomy in patients with atrial fibrillation |
| title_sort | poor outcome following percutaneous balloon mitral valvotomy in patients with atrial fibrillation |
| topic | Mitral Stenosis Balloon Mtral Valvotomy Atrial Fibrillation |
| url | http://jcvtr.tbzmed.ac.ir/PDF/JCVTR-8-126.pdf |
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