{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:21:26Z","timestamp":1777663286893,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:00:00Z","timestamp":1770508800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:00:00Z","timestamp":1770508800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rheumatic heart disease (RHD) remains a significant health burden, particularly in low\u2010 and middle\u2010income countries, with rheumatic mitral stenosis (MS) contributing substantially to cardiovascular morbidity and mortality. Percutaneous transvenous mitral commissurotomy (PTMC) is an effective treatment for symptomatic MS, yet its long\u2010term impact on atrial electromechanical properties remains underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a prospective observational study involving 53 patients (mean age 33.3\u2009\u00b1\u20096.44\u2009years) who underwent successful PTMC for severe MS. Patients were followed up for a mean duration of 5.34\u2009\u00b1\u20090.55\u2009years post\u2010procedure. Atrial electromechanical parameters, including P\u2010wave dispersion (PWD) and atrial electromechanical delay (AEMD), were assessed using electrocardiography and tissue Doppler echocardiography at baseline, 1\u2009year, 3\u2009years, and 5\u2009years post\u2010PTMC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>PTMC resulted in significant improvements in mitral valve area and gradients immediately post\u2010procedure, which were sustained over the long term. AEMD showed statistically significant improvement at mean 3\u2009years and 5.3\u2009years post\u2010PTMC, indicating enhanced electromechanical function. Conversely, PWD demonstrated gradual and significant improvement at intermediate follow\u2010up, with stabilization after 3\u2009years. Patients who developed atrial fibrillation (AF) or restenosis during follow\u2010up exhibited higher baseline values, suggesting a potential predictive role for these parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our study demonstrates that PTMC leads to sustained improvements in atrial electromechanical function indices over long\u2010term follow\u2010up. AEMD and PWD serve as valuable markers for assessing atrial remodeling post\u2010PTMC, with implications for predicting AF and restenosis risk in patients with rheumatic MS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anec.70140","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T07:35:26Z","timestamp":1770622526000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Long\u2010Term Effect of Percutaneous Transvenous Mitral Commissurotomy on Atrial Electromechanical Delay and P\u2010Wave Dispersion in Patients With Severe Mitral Stenosis"],"prefix":"10.1111","volume":"31","author":[{"given":"Jahangir Rashid","family":"Beig","sequence":"first","affiliation":[{"name":"Department of Cardiology Government Medical College  Srinagar Jammu and Kashmir India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8113-5382","authenticated-orcid":false,"given":"Wasim","family":"Rashid","sequence":"additional","affiliation":[{"name":"Department of Cardiology Government Medical College  Srinagar Jammu and Kashmir India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devinder","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Cardiology, SKIMS  Srinagar Jammu and Kashmir India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inaamul","family":"Haq","sequence":"additional","affiliation":[{"name":"Department of SPM Government Medical College  Srinagar Jammu and Kashmir India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khawar Khan","family":"Achakzai","sequence":"additional","affiliation":[{"name":"Department of Cardiology Government Medical College  Srinagar Jammu and Kashmir India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalid Mohiuddin","family":"Mir","sequence":"additional","affiliation":[{"name":"Department of Cardiology Government Medical College  Srinagar Jammu and Kashmir India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bashir A.","family":"Naiku","sequence":"additional","affiliation":[{"name":"Department of Cardiology Government Medical College  Srinagar Jammu and Kashmir India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nisar A.","family":"Tramboo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, SKIMS  Srinagar Jammu and Kashmir India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,8]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.4022\/jafib.2124"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihj.2015.10.375"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.20162"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00059-012-3672-3"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.5603\/CJ.2012.0089"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2000.tb06761.x"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(98)70030-4"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2022.09.050"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2004.03.079"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(77)80209-9"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.8258"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2004.057570"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2005.03.022"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(98)70354-0"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2004.08.029"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2005.01.015"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gheart.2016.12.001"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelectrocard.2010.02.013"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ipej.2016.10.002"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2003.08.026"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70310-9"},{"key":"e_1_2_13_23_1","first-page":"359","article-title":"Changes in P\u2010Wave After Percutaneous Mitral Valvuloplasty in Patients With Mitral Stenosis and Left Atrial Enlargement","volume":"87","author":"Tarastchuk J. 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