Akyüz, Aydın Anadolu Hospital - Cardiology Clinic, Turkey , Tandoğan, İzzet Cumhuriyet University - School of Medicine - Department of Cardiology, Turkey

Rheumatic mitral valve area changes with valsalva maneuver

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Aim. Mitral stenosis, is still a problem of the world. Echocardiography is accepted as gold standard for the evaluation of mitral stenosis. We aimed to search influence of valsalva maneuver onto measurement of mitral valve area (MVA) by planimetry, oldest method. Methods. Sixty consecutive patients with mitral stenosis were enrolled. Valsalva maneuver was performed by patients and measurements were done. Results. Mean MVA at baseline was 1.5±0.4cm2 by planimetry, ranging between 1.3-2.1 cm2. In the overall group, Valsalva maneuver did not yield any change in MVA by planimetry. Considering other measurements, gradients, SPAP, velocities decreased up on Valsalva maneuver. Conclusion. Valsalva maneuver influences echocardiographic measures in patients with mitral stenosis, but not, planimetric valve area

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Mitral stenosis , mitral valve area , planimetry

Cumhuriyet Medical Journal

423