{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:22:48Z","timestamp":1777526568024,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2015,7,28]],"date-time":"2015-07-28T00:00:00Z","timestamp":1438041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Balloon mitral valvotomy is a standard therapeutic modality for managing rheumatic mitral stenosis. Data on intermediate outcomes of this procedure are limited. Thus we investigated the intermediate outcome after balloon mitral valvotomy performed at a large tertiary center in India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Case records and follow-up data of 2330 patients who underwent valvotomy from June 1999 to December 2005 were retrieved from the hospital information system and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median age of the patients was 32\u2009\u00b1\u200911 years, 1363 were female including 36 who were pregnant, and 379 were in atrial fibrillation. Follow-up ranged from 1 to 14 years (mean 4.5 years, median 4.0 years). The procedural success rate was 93%. Atrial fibrillation, higher functional class, and worse valve morphology were independent predictors of a poor procedural outcome. Patients with sinus rhythm had better event-free survival (10.43 years, 95% confidence interval: 10.1\u201310.7) compared to those with atrial fibrillation (8.17 years, 95% confidence interval: 7.5\u20138.8). Patients who achieved a valve area &gt;1.75\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      had a better event-free survival (11.7 years, 95% confidence interval: 11.4\u201312.0) than those with a valve area of 1.5\u20131.74\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      (9.3 years, 95% confidence interval: 9.0\u20139.7). On multivariate analysis, higher functional class, worse valve morphology, and new significant mitral regurgitation were predictors of a poor outcome. Achieved mitral valve area &gt;1.75\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      was an independent predictor of a good outcome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Patients with sinus rhythm, less gross valve deformity, and a post-balloon mitral valvotomy area &gt;1.75\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      had better intermediate outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0218492315598240","type":"journal-article","created":{"date-parts":[[2015,7,29]],"date-time":"2015-07-29T20:09:41Z","timestamp":1438200581000},"page":"923-930","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Intermediate outcomes of rheumatic mitral stenosis post-balloon mitral valvotomy"],"prefix":"10.1177","volume":"23","author":[{"given":"Jugal","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Cardiology, Sanjay Gandhi PGIMS, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pravin K","family":"Goel","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sanjay Gandhi PGIMS, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chandra Mani","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Sanjay Gandhi PGIMS, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashish","family":"Awasthi","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Sanjay Gandhi PGIMS, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aditya","family":"Kapoor","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sanjay Gandhi PGIMS, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satyendra","family":"Tewari","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sanjay Gandhi PGIMS, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naveen","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sanjay Gandhi PGIMS, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudeep","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sanjay Gandhi PGIMS, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roopali","family":"Khanna","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sanjay Gandhi PGIMS, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,7,28]]},"reference":[{"key":"bibr1-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198512123132405"},{"key":"bibr2-0218492315598240","doi-asserted-by":"crossref","unstructured":"Multicenter experience with balloon mitral commissurotomy: NHLBI balloon valvuloplasty registry report on immediate and 30-day follow-up results. Circulation1992;85:448\u2013461.","DOI":"10.1161\/01.CIR.85.2.448"},{"key":"bibr3-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(92)90661-E"},{"key":"bibr4-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0304(199605)38:1<9::AID-CCD3>3.0.CO;2-E"},{"key":"bibr5-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(96)00350-6"},{"key":"bibr6-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.99.25.3272"},{"key":"bibr7-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.99.12.1580"},{"key":"bibr8-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2001.118470"},{"key":"bibr9-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000012143.27196.F4"},{"key":"bibr10-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1177\/0218492309349258"},{"key":"bibr11-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.94.9.2124"},{"key":"bibr12-0218492315598240","first-page":"229","volume-title":"Cardiac Surgery. State of the Art Reviews","volume":"5","author":"Palacios IF","year":"1991"},{"key":"bibr13-0218492315598240","first-page":"42","volume":"2","author":"Hogan K","year":"1994","journal-title":"Cathet Cardiovasc Diagn"},{"key":"bibr14-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(93)90118-S"},{"key":"bibr15-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199211053271901"},{"key":"bibr16-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199410133311501"},{"key":"bibr17-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.97.3.245"},{"key":"bibr18-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)60788-6"},{"key":"bibr19-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(91)90701-A"},{"key":"bibr20-0218492315598240","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(92)90172-J"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492315598240","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0218492315598240","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492315598240","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:30:19Z","timestamp":1777393819000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0218492315598240"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,28]]},"references-count":20,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1177\/0218492315598240"],"URL":"https:\/\/doi.org\/10.1177\/0218492315598240","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7,28]]}}}