Sinus rhythm in rheumatic mitral stenosis after balloon mitral valvotomy: Is it feasible?

Ashwal A. Jayaram, Anand N. Shukla, Saurin Shah, Vidya Nayak, Sridevi Prabhu, Umesh Pai

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: Atrial Fibrillation (AF) is largely present in patients with rheumatic valvular disease, leading to hospitalizations. Aim: We aimed to study the restoration and maintenance of Sinus Rhythm (SR) in rheumatic patients with Mitral Stenosis (MS) and AF after Balloon Mitral Valvotomy (BMV) and evaluated the factors which affect the maintenance of SR. Materials and Methods: A total of 50 patients who underwent BMV at U. N. Mehta Institute of Cardiology and Research Centre from 2010 November to 2013 January were included in the study. Subsequently, all patients were treated with amiodarone and electrical cardioversion was applied in patients in whom itwas necessary. The patients were followed for six months for conversion and maintenance of SR. results: Total 34 (68%) patients reverted to SR. Twelve patients reverted to SR with amiodarone and 22 patients with electrical cardioversion and amiodarone. Out of the total, 29 patients and 26 patients remained in SR at the end of follow-up at 3 months and 6 months respectively. conclusion: Smaller Left Atrial (LA) size and greater Mitral Valve Area (MVA) are the chief predictors of restoration and maintenance of SR. Combining BMV with an aggressive anti-arrhythmic strategy offers the best prospect of rhythm control.

Original languageEnglish
Pages (from-to)OC01-OC05
JournalJournal of Clinical and Diagnostic Research
Volume11
Issue number2
DOIs
Publication statusPublished - 01-02-2017

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Balloon Valvuloplasty
Mitral Valve Stenosis
Balloons
Amiodarone
Restoration
Cardiology
Anti-Arrhythmia Agents
Maintenance
Electric Countershock
Atrial Fibrillation
Rheumatic Diseases
Mitral Valve
Hospitalization

All Science Journal Classification (ASJC) codes

  • Clinical Biochemistry

Cite this

Jayaram, Ashwal A. ; Shukla, Anand N. ; Shah, Saurin ; Nayak, Vidya ; Prabhu, Sridevi ; Pai, Umesh. / Sinus rhythm in rheumatic mitral stenosis after balloon mitral valvotomy : Is it feasible?. In: Journal of Clinical and Diagnostic Research. 2017 ; Vol. 11, No. 2. pp. OC01-OC05.
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abstract = "Introduction: Atrial Fibrillation (AF) is largely present in patients with rheumatic valvular disease, leading to hospitalizations. Aim: We aimed to study the restoration and maintenance of Sinus Rhythm (SR) in rheumatic patients with Mitral Stenosis (MS) and AF after Balloon Mitral Valvotomy (BMV) and evaluated the factors which affect the maintenance of SR. Materials and Methods: A total of 50 patients who underwent BMV at U. N. Mehta Institute of Cardiology and Research Centre from 2010 November to 2013 January were included in the study. Subsequently, all patients were treated with amiodarone and electrical cardioversion was applied in patients in whom itwas necessary. The patients were followed for six months for conversion and maintenance of SR. results: Total 34 (68{\%}) patients reverted to SR. Twelve patients reverted to SR with amiodarone and 22 patients with electrical cardioversion and amiodarone. Out of the total, 29 patients and 26 patients remained in SR at the end of follow-up at 3 months and 6 months respectively. conclusion: Smaller Left Atrial (LA) size and greater Mitral Valve Area (MVA) are the chief predictors of restoration and maintenance of SR. Combining BMV with an aggressive anti-arrhythmic strategy offers the best prospect of rhythm control.",
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Sinus rhythm in rheumatic mitral stenosis after balloon mitral valvotomy : Is it feasible? / Jayaram, Ashwal A.; Shukla, Anand N.; Shah, Saurin; Nayak, Vidya; Prabhu, Sridevi; Pai, Umesh.

In: Journal of Clinical and Diagnostic Research, Vol. 11, No. 2, 01.02.2017, p. OC01-OC05.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Sinus rhythm in rheumatic mitral stenosis after balloon mitral valvotomy

T2 - Is it feasible?

AU - Jayaram, Ashwal A.

AU - Shukla, Anand N.

AU - Shah, Saurin

AU - Nayak, Vidya

AU - Prabhu, Sridevi

AU - Pai, Umesh

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N2 - Introduction: Atrial Fibrillation (AF) is largely present in patients with rheumatic valvular disease, leading to hospitalizations. Aim: We aimed to study the restoration and maintenance of Sinus Rhythm (SR) in rheumatic patients with Mitral Stenosis (MS) and AF after Balloon Mitral Valvotomy (BMV) and evaluated the factors which affect the maintenance of SR. Materials and Methods: A total of 50 patients who underwent BMV at U. N. Mehta Institute of Cardiology and Research Centre from 2010 November to 2013 January were included in the study. Subsequently, all patients were treated with amiodarone and electrical cardioversion was applied in patients in whom itwas necessary. The patients were followed for six months for conversion and maintenance of SR. results: Total 34 (68%) patients reverted to SR. Twelve patients reverted to SR with amiodarone and 22 patients with electrical cardioversion and amiodarone. Out of the total, 29 patients and 26 patients remained in SR at the end of follow-up at 3 months and 6 months respectively. conclusion: Smaller Left Atrial (LA) size and greater Mitral Valve Area (MVA) are the chief predictors of restoration and maintenance of SR. Combining BMV with an aggressive anti-arrhythmic strategy offers the best prospect of rhythm control.

AB - Introduction: Atrial Fibrillation (AF) is largely present in patients with rheumatic valvular disease, leading to hospitalizations. Aim: We aimed to study the restoration and maintenance of Sinus Rhythm (SR) in rheumatic patients with Mitral Stenosis (MS) and AF after Balloon Mitral Valvotomy (BMV) and evaluated the factors which affect the maintenance of SR. Materials and Methods: A total of 50 patients who underwent BMV at U. N. Mehta Institute of Cardiology and Research Centre from 2010 November to 2013 January were included in the study. Subsequently, all patients were treated with amiodarone and electrical cardioversion was applied in patients in whom itwas necessary. The patients were followed for six months for conversion and maintenance of SR. results: Total 34 (68%) patients reverted to SR. Twelve patients reverted to SR with amiodarone and 22 patients with electrical cardioversion and amiodarone. Out of the total, 29 patients and 26 patients remained in SR at the end of follow-up at 3 months and 6 months respectively. conclusion: Smaller Left Atrial (LA) size and greater Mitral Valve Area (MVA) are the chief predictors of restoration and maintenance of SR. Combining BMV with an aggressive anti-arrhythmic strategy offers the best prospect of rhythm control.

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