DIAGNOSTIC AND THERAPETIC VARIABLES MITRAL STENOSIS IN MALES AND FEMALES

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ASLANABADI N.; JAMSHIDI P.; GHAFARI S.; AYATOLLAHI Z.; KAZEMI B.; JAVADZADEGAN H.

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Journal: Journal of Kermanshah University of Medical Sciences Year:2006 | Volume:10 | Issue:4 (31) Page(s): 311-319

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Title

DIAGNOSTIC AND THERAPETIC VARIABLES MITRAL STENOSIS IN MALES AND FEMALES

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Keywords

MITRAL STENOSISQ3

SEXQ3

BALLOON MITRAL VALVOTOMYQ3

Abstract

Introduction: The purpose of this study is to determine the clinical, echocardiographical and homodynamic variables observationally and prospectively and to determine the reaction to the results of the therapy with BMV (Balloon Mitral Valvotomy) considering its side effects in patients with MITRAL STENOSIS and comparison of them in both SEXes. Materials and Methods: This study was done in 4 years on 300 patients suffering from MITRAL STENOSIS (moderate or severe) who were admitted in Madani Heart Hospital for BMV. In all these patients Transthorasic and Transesophayeal echocardiography, cardiac catheterization befor and after BMV were performed. Selective or nonselective coronary angiography in most of the cases was performed. The differences of the variables in both SEXes were compared.Results: 300 patients, 218 females (72.5%) and 82 males (27.5%) with the average age of (38.7±1.4) that is, 13-72 years old were studied. In males incidence rate of CAD was higher, (P: 0.002). Mitral Valve Surface Area (MVSA) was less (P=0.0025) and the morphology or the valve score was not suitable for BMV (P<0.0001). Females tend to present more symptoms of heart failure at FC III-IV Level and diuretic use in them is more than males (P=0.058 and P=0.053 respectively). From the point of view of hemodynamic variables and the results and side effects of BMV and other clinical and echocardiographic variables no significant differences between two SEXes were observed.Conclusion: The incidence of MITRAL STENOSIS in females was higher than males. Males with less valve surface area and unsuitable morphology and more intcnsie valve involvement in comparison with females with more valve surface area (VSA) and better morphology for BMV tend to show less clinical heart failure symptoms. TR in females was more than males. These findings reveal the fact that pathophysiological stenosis of mitral valve and the changes between the two SEXes were different and the SEX variable in determining the treatment strategy of this problem should be considered.

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APA: Copy

ASLANABADI, N., JAMSHIDI, P., GHAFARI, S., AYATOLLAHI, Z., KAZEMI, B., & JAVADZADEGAN, H.. (2006). DIAGNOSTIC AND THERAPETIC VARIABLES MITRAL STENOSIS IN MALES AND FEMALES. JOURNAL OF KERMANSHAH UNIVERSITY OF MEDICAL SCIENCES (BEHBOOD), 10(4 (31)), 311-319. SID. https://sid.ir/paper/20699/en

Vancouver: Copy

ASLANABADI N., JAMSHIDI P., GHAFARI S., AYATOLLAHI Z., KAZEMI B., JAVADZADEGAN H.. DIAGNOSTIC AND THERAPETIC VARIABLES MITRAL STENOSIS IN MALES AND FEMALES. JOURNAL OF KERMANSHAH UNIVERSITY OF MEDICAL SCIENCES (BEHBOOD)[Internet]. 2006;10(4 (31)):311-319. Available from: https://sid.ir/paper/20699/en

IEEE: Copy

N. ASLANABADI, P. JAMSHIDI, S. GHAFARI, Z. AYATOLLAHI, B. KAZEMI, and H. JAVADZADEGAN, “DIAGNOSTIC AND THERAPETIC VARIABLES MITRAL STENOSIS IN MALES AND FEMALES,” JOURNAL OF KERMANSHAH UNIVERSITY OF MEDICAL SCIENCES (BEHBOOD), vol. 10, no. 4 (31), pp. 311–319, 2006, [Online]. Available: https://sid.ir/paper/20699/en

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