Why the study?
Does successful BMV based on echocardiographic criteria improve long-term clinical outcomes compared to catheterization criteria in patients with mitral stenosis?
Does successful BMV based on echocardiographic criteria improve long-term clinical outcomes compared to catheterization criteria in patients with mitral stenosis?
Long-term functional and quality of life outcomes do not significantly differ whether balloon mitral valvuloplasty success is defined by echocardiographic or catheterization criteria.
No difference in functional capacity or QoL by success criteria; leaves open optimal definition for mitral stenosis BMV prognosis.
Background. Balloon Mitral Valvuloplasty (BMV) can provides effectively the mechanical obstruction relief in mitral stenosis. Achieving a successful BMV based on echocardiographic criteria potentially increase mitral regur-gitation complication. In addition, long-term clinical outcome of a successful BMV based on catheterization criteria has not been widely elaborated. This study aims to compare the long-term clinical outcome of BMV based on the echocardiographic criteria and the catheterization criteria. Methods. A cross sectional study was conducted in mitral stenosis patients after BMV procedure. Patients was divided into 2 groups based on suc-cessful echocardiographic criteria (MVA = 1,5 cm 2vs MVA < 1,5 cm2). The long-term clinical outcome was evaluated using 6 minute walk test and SF-36 questionnaire. Results. Twenty two female patients were fulfilling study criteria with aged 38,8 12,0 years and 63,6% in atrial fibrillation. The characteristic between two groups were not significantly different. Six minute walk test results was not significantly different between two groups (6,6 0,8 vs 7,31,0 p = 0,103). SF-36 physical components summary was not significantly different between two groups (43,07,5% vs 42,16,7 p = 0,770). Also, SF-36 mental components summary was not significantly different between two groups (50,75,9 vs 53,98,9 p = 0,338). Conclusion. There was no significantly different of long-term clinical out-come between the echocardiographic criteria of successful BMV and the catheterization criteria of successful BMV.
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Widowati et al. (2013) studied this question.
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