Why the study?
The study investigated the early impact of percutaneous mitral balloon valvuloplasty on right ventricular systolic function in patients with clinically significant mitral stenosis using two-dimensional speckle tracking echocardiography.
Does percutaneous mitral balloon valvuloplasty improve right ventricular free wall longitudinal strain and strain rate in patients with clinically significant mitral stenosis?
Does percutaneous mitral balloon valvuloplasty improve right ventricular free wall longitudinal strain and strain rate in patients with clinically significant mitral stenosis?
Acute RV changes after PMBV in MS remain uncertain in small series; hypothesis-generating and should not yet change practice.
Objectives: In this study, the early impact of percutaneous mitral balloon valvuloplasty (PMBV) on right ventricular (RV) systolic function in patients with clinically significant mitral stenosis (MS) was investigated using two-dimensional speckle tracking echocardiography (2D-STE). Methods: Twenty patients were included in the study. RV free wall longitudinal strain and strain rate measurements were performed on all patients 24 h before the procedure in addition to conventional echocardiographic examination. The same parameters were evaluated in the same patients after 24–48 h of the procedure. Results: No significant change was observed in RV free wall apical, mid, basal longitudinal, global RV free wall strain and strain rate values after the procedure when pre-procedure and post-procedure 2D-STE values were compared. Conclusion: In the present study, no significant change was detected in the early deformation parameters obtained from the RV free wall in MS patients who underwent PMBV.
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Gürkan et al. (2025) studied this question.
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