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You are here: Contents > 2016 > Volume 25 Number 1 January 2016 > MITRAL VALVE DISEASE > Impact of Chronic Rheumatic Valve Diseases on Large Vessels

Impact of Chronic Rheumatic Valve Diseases on Large Vessels

Gokhan Altunbas1, Murat Yuce1, Hasan O. Ozer1, Vedat Davutoglu1, Suleyman Ercan1, Nese Kizilkan2, Muhammet Bilici3

Departments of 1Cardiology, 2Anatomy and 3Internal Medicine, Gaziantep University School of Medicine, Gaziantep, Turkey

Background and aim of the study: Rheumatic valvular heart disease, which remains a common health problem in developing countries, has numerous consequences on the heart chambers and circulation. The study aim was to investigate the effects of chronic rheumatic valve disease on the diameters of the descending aorta (DA) and inferior vena cava (IVC).

Methods: A total of 88 patients with echocardiographically documented rheumatic valvular heart disease and 112 healthy controls were enrolled into the study. All patients underwent detailed echocardiographic examinations, while their height and body weight were recorded and adjusted to their body surface area.

Results: The most common involvement was mitral valve disease, followed by aortic valve

 

disease and tricuspid valve disease. The mean diameter of the DA (indexed to BSA) was 1.79 ± 0.49 cm for patients and 1.53 ± 0.41 for controls (p <0.001). The mean diameter of the IVC (indexed to BSA) was 1.69 ± 0.73 for patients and 1.38 ± 0.35 cm for controls (p <0.001). There was a significant positive correlation between mitral valve mean gradient and IVC diameter (p = 0.01, r = 0.18). There were also strong associations between the mitral valve area and the diameters of the DA (p = 0.001, r = -0.239) and IVC (p <0.001, r = -0.246).

Conclusion: Rheumatic valve disease, especially mitral stenosis, was closely related to remodeling of the great vessels.

The Journal of Heart Valve Disease 2016;25:51-54
Impact of Chronic Rheumatic Valve Diseases on Large Vessels

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