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November 7, 2000Circulation

Impact of Atrioventricular Compliance on Pulmonary Artery Pressure in Mitral Stenosis

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Key result

Net atrioventricular compliance strongly correlated with exercise pulmonary artery pressure (r=-0.85) in patients with mitral stenosis, with lower compliance linked to worse symptoms (P<0.025).

Why the study?

Does net atrioventricular compliance correlate with pulmonary artery pressure during exercise in patients with mitral stenosis?

Population

20 patients with mitral stenosis

Design

Cross-sectional

Authors

ESEhud SchwammenthalGeneral / Preventive / LipidsZVZvi VeredCardiac ImagingOAOren AgranatTel Aviv University

Discussion

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Implication

May inform symptom assessment beyond valve area in mitral stenosis; hypothesis-generating for compliance-targeted interventions.

Study Design

Type

Observational (n=20)

Structured PICO

Does net atrioventricular compliance correlate with pulmonary artery pressure during exercise in patients with mitral stenosis?

P
Population
20 patients with mitral stenosis
I
Intervention
Doppler echocardiography and stress echocardiography to assess net atrioventricular compliance (C(n))
O
Outcome
Systolic pulmonary artery pressure (PAP) at rest and during exercisesurrogate

Main Result

Effect estimate: r=-0.85

Net atrioventricular compliance is a key physiological determinant of pulmonary artery pressure in mitral stenosis, explaining why some patients develop severe pulmonary hypertension and symptoms during exercise despite a relatively large mitral valve area.

Cite This Study

Schwammenthal et al. (2000) conducted an observational in Mitral stenosis (n=20). Assessment of net atrioventricular compliance (C(n)) was evaluated on Correlation between net AV compliance and exercise pulmonary artery pressure (r=-0.85). Net atrioventricular compliance strongly correlated with exercise pulmonary artery pressure (r=-0.85) in patients with mitral stenosis, with lower compliance linked to worse symptoms (P<0.025).

synapsesocial.com/papers/6a1552bc79ff98d0de4e7177https://doi.org/10.1161/01.cir.102.19.2378
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effects of exercise on transmitral gradient and pulmonary artery pressure in patients with mitral stenosis or a prosthetic mitral valve: A doppler echocardiographic study1991 · 143 citations
  2. 2Value and limitations of Doppler echocardiography in the quantification of stenotic mitral valve area: comparison of the pressure half-time and the continuity equation methods.1988 · 251 citations
  3. 3Validation of the proximal flow convergence method. Calculation of orifice area in patients with mitral stenosis.1993 · 131 citations
  4. 4Pericardial adaptation in severe chronic pulmonary hypertension. An intraoperative transesophageal echocardiographic study.1992 · 41 citations
  5. 5Inaccuracy of mitral pressure half-time immediately after percutaneous mitral valvotomy. Dependence on transmitral gradient and left atrial and ventricular compliance.1988 · 281 citations