{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:03:00Z","timestamp":1704326580650},"reference-count":29,"publisher":"Akademiai Kiado Zrt.","issue":"2","license":[{"start":{"date-parts":[[2016,6,30]],"date-time":"2016-06-30T00:00:00Z","timestamp":1467244800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["Interventional Medicine and Applied Science"],"published-print":{"date-parts":[[2016,6,30]]},"abstract":"\n Background and objectives<\/jats:title>\n Although the regression of pulmonary hypertension (PH) in mitral stenosis (MS) has been studied over varying periods postintervention, corresponding studies on the cardiac chamber alterations after surgery are very limited. We sought to determine the degree of reversal of these and the clinical status in connection with that of pulmonary artery pressures (PAPs) in the early and late postoperative periods.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The preoperative, early, and 1-year postoperative data \u2013 functional class (FC), cardiothoracic ratio (CTR) in chest X-ray (CXR), and echocardiographically left atrium (LA), right atrium (RA), right ventricle (RV), left ventricle (LV), and pulmonary artery (PA) dimensions, PAP, tricuspid regurgitation (TR) \u2013 of 50 patients who had mitral valve replacement (MVR) for MS with PH were retrospectively analyzed for correlations with PAP (Pearson\u2019s), and their change (t<\/jats:italic>-test), in relation to that in PAP. PH group-based [Group (Gp)-I PAP \u226460\u00a0mmHg, Gp-II PAP >60\u00a0mmHg] analysis highlighted the differences.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n All parameters significantly correlated with the baseline PAP (p<\/jats:italic>\u2009<\u20090.05), except LA (r<\/jats:italic>\u2009=\u20090.081, p<\/jats:italic>\u2009=\u20090.577). Postoperatively, there was significant reduction in all parameters (p<\/jats:italic>\u2009<\u20090.001) and increase in LV (p<\/jats:italic>\u2009<\u20090.003). The PAP regression was 39.42%; with the decrease in CTR, LA, and RA related to it, the early changes being significant (p<\/jats:italic>\u2009<\u20090.01). The RV and PA showed lesser reduction (8.61% and 9.42%), late reduction being more conspicuous. The changes were greater and significant in Gp-II (especially PAP, RV, and PA). At 1\u00a0year, PAP normalized in only 19 (38%). Residual PH and chamber enlargement prevailed more in Gp-II.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This study emphasizes the importance of the baseline PAP in MS to which was proportionate the functional disability and the cardiac chamber alterations (except LA). Their postoperative improvement accompanying the PAP regression differed in degree and time frame relative to PAP. The higher pressure group showed greater regression, but greater prevalence of residual abnormalities, suggesting that the pathologic changes in them might take longer to resolve, necessitating further evaluation.<\/jats:p>\n <\/jats:sec>","DOI":"10.1556\/1646.8.2016.2.1","type":"journal-article","created":{"date-parts":[[2016,7,1]],"date-time":"2016-07-01T07:12:17Z","timestamp":1467357137000},"page":"49-59","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Reversal of abnormal cardiac parameters following mitral valve replacement for severe mitral stenosis in relation to pulmonary artery pressure: A retrospective study of noninvasive parameters \u2013 Early and late pattern"],"prefix":"10.1556","volume":"8","author":[{"given":"Usha T.","family":"Parvathy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh","family":"Rajan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander Georgevich","family":"Faybushevich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"B1","series-title":"J Coll Physicians Surg Pak","first-page":"81","article-title":"Determinants of decrease in pulmonary hypertension following percutaneous transvenous mitral commissurotomy","volume":"19","author":"Noor\n A","year":"2009","unstructured":"Noor\n A\n \n , \n \n Saghir\n T\n \n , \n \n Zaman\n KS\n \n : Determinants of decrease in pulmonary hypertension following percutaneous transvenous mitral commissurotomy. J Coll Physicians Surg Pak19, 81\u201385 (2009)"},{"key":"B2","series-title":"J Cardiothorac Vasc Anesth","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1053\/j.jvca.2009.01.011","article-title":"Evaluation and comparison of early hemodynamic changes after elective mitral valve replacement in patients with severe and mild pulmonary arterial hypertension","volume":"23","author":"Tempe\n DK","year":"2009","unstructured":"Tempe\n DK\n \n , \n \n Hasija\n S\n \n , \n \n Datt\n V\n \n , \n \n Tomar\n AS\n \n , \n \n Virmani\n S\n \n , \n \n Banerjee\n A\n \n , \n \n Pande\n B\n \n : Evaluation and comparison of early hemodynamic changes after elective mitral valve replacement in patients with severe and mild pulmonary arterial hypertension. J Cardiothorac Vasc Anesth23, 298\u2013305 (2009)10.1053\/j.jvca.2009.01.011"},{"key":"B3","series-title":"J Thorac Cardiovasc Surg","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1016\/S0022-5223(19)38358-8","article-title":"The early course of pulmonary artery hypertension in patients undergoing mitral valve replacement with cardioplegic arrest","volume":"88","author":"Foltz\n B","year":"1984","unstructured":"Foltz\n B\n \n , \n \n Hessel\n EA\n 2nd\n \n , \n \n Ivey\n TD\n \n : The early course of pulmonary artery hypertension in patients undergoing mitral valve replacement with cardioplegic arrest. 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Iranian Cardiovascular Res J3, 206\u2013212 (2009)"},{"key":"B12","series-title":"Am J Roentgenol","doi-asserted-by":"publisher","first-page":"693","DOI":"10.2214\/ajr.113.4.693","article-title":"Roentgen interpretation of postoperative changes (clinical and hemodynamic) in pure mitral stenosis","volume":"113","author":"Seningen\n RP","year":"1971","unstructured":"Seningen\n RP\n \n , \n \n Chen\n JT\n \n , \n \n Peter\n RH\n \n , \n \n Morris\n JJ\n \n , \n \n Lester\n RG\n \n : Roentgen interpretation of postoperative changes (clinical and hemodynamic) in pure mitral stenosis. Am J Roentgenol113, 693\u2013702 (1971)10.2214\/ajr.113.4.693"},{"key":"B13","series-title":"Br J Radiol","doi-asserted-by":"publisher","first-page":"724","DOI":"10.1259\/0007-1285-40-478-724","article-title":"Changes in the appearance of the chest radiograph after a repair or replacement operation on the mitral valve","volume":"40","author":"Gotsman\n MS","year":"1967","unstructured":"Gotsman\n MS\n \n , \n \n Beck\n W\n \n , \n \n Barnard\n CN\n \n , \n \n Schrire\n V\n \n : Changes in the appearance of the chest radiograph after a repair or replacement operation on the mitral valve. Br J Radiol40, 724\u2013739 (1967)10.1259\/0007-1285-40-478-724"},{"key":"B14","series-title":"J Kardiol Indones","first-page":"107","article-title":"Persistent pulmonary hypertension after balloon mitral valvuloplasty","volume":"29","author":"Siaahan\n IH","year":"2008","unstructured":"Siaahan\n IH\n \n , \n \n Kasim\n M\n \n , \n \n Soesanto\n AM\n \n , \n \n Harimurti\n GM\n \n : Persistent pulmonary hypertension after balloon mitral valvuloplasty. 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Klin med(Mosk)78, 28\u201332 (2000)"},{"key":"B17","series-title":"Singapore Med J","first-page":"680","article-title":"The age-specific clinical and anatomic profile of mitral stenosis","volume":"50","author":"Ramakrishnan\n CD","year":"2009","unstructured":"Ramakrishnan\n CD\n \n , \n \n Khader\n SA\n \n , \n \n George\n R\n \n , \n \n Jayaprakash\n VL\n \n , \n \n Sudhayakumar\n N\n \n , \n \n Jayaprakash\n K\n \n , \n \n Pappachan\n JM\n \n : The age-specific clinical and anatomic profile of mitral stenosis. Singapore Med J50, 680\u2013685 (2009)"},{"key":"B18","series-title":"Br Heart J","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1136\/hrt.15.4.393","article-title":"The clinical and radiological assessment of the pulmonary arterial pressure in mitral stenosis","volume":"15","author":"Davies\n LG","year":"1953","unstructured":"Davies\n LG\n \n , \n \n Goodwin\n JF\n \n , \n \n Steiner\n RE\n \n , \n \n Van Leuven\n BD\n \n : The clinical and radiological assessment of the pulmonary arterial pressure in mitral stenosis. Br Heart J15, 393\u2013400 (1953)10.1136\/hrt.15.4.393"},{"key":"B19","series-title":"Circulation","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1161\/01.CIR.35.2.373","article-title":"Correlation of hemodynamic data and pulmonary angiography in mitral stenosis","volume":"35","author":"Sidd\n JJ","year":"1967","unstructured":"Sidd\n JJ\n \n , \n \n Dervan\n RA\n \n , \n \n Leeland\n OS\n Jr\n \n , \n \n Sasahara\n AA\n \n : Correlation of hemodynamic data and pulmonary angiography in mitral stenosis. Circulation35, 373\u2013380 (1967)10.1161\/01.CIR.35.2.373"},{"key":"B20","series-title":"Eur Resp J","doi-asserted-by":"publisher","first-page":"1314","DOI":"10.1183\/09031936.02.00068002","article-title":"Hemodynamic evaluation of pulmonary hypertension","volume":"20","author":"Chemla\n D","year":"2002","unstructured":"Chemla\n D\n \n , \n \n Castelain\n V\n \n , \n \n Herve\n P\n \n , \n \n Lecarpentier\n Y\n \n , \n \n Brimioulle\n S\n \n : Hemodynamic evaluation of pulmonary hypertension. Eur Resp J20, 1314\u20131331 (2002)10.1183\/09031936.02.00068002"},{"key":"B21","series-title":"Ztschr Kreislauf-forsch","first-page":"930","article-title":"Die Bedentung der Kerleyschen B-linien als Roentgen morphologisches kriterium einer pulmonalen Hypertronie bei Mitralvitien","volume":"53","author":"Thomas\n G","year":"1964","unstructured":"Thomas\n G\n \n , \n \n Trenckmann\n H\n \n : Die Bedentung der Kerleyschen B-linien als Roentgen morphologisches kriterium einer pulmonalen Hypertronie bei Mitralvitien. Ztschr Kreislauf-forsch53, 930\u2013942 (1964)"},{"key":"B22","series-title":"Circulation","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1161\/01.CIR.35.4S1.I-63","article-title":"Conservative management of tricuspid regurgitation in patients undergoing mitral valve replacement","volume":"35","author":"Braunwald\n NS","year":"1967","unstructured":"Braunwald\n NS\n \n , \n \n Ross\n J\n Jr\n \n , \n \n Morrow\n AG\n \n : Conservative management of tricuspid regurgitation in patients undergoing mitral valve replacement. 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Am Heart J145, 371\u2013376 (2003)10.1067\/mhj.2003.19"},{"key":"B26","series-title":"J Thorac Cardiovasc Surg","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1016\/S0022-5223(94)70300-0","article-title":"Significant tricuspid regurgitation does not resolve after percutaneous balloon mitral valvotomy","volume":"108","author":"Sagie\n A","year":"1994","unstructured":"Sagie\n A\n \n , \n \n Schwammenthal\n E\n \n , \n \n Palacios\n IF\n \n , \n \n King\n ME\n \n , \n \n Leavitt\n M\n \n , \n \n Freitas\n N\n \n , \n \n Weyman\n AE\n \n , \n \n Levine\n RA\n \n : Significant tricuspid regurgitation does not resolve after percutaneous balloon mitral valvotomy. J Thorac Cardiovasc Surg108, 727\u2013735 (1994)10.1016\/S0022-5223(94)70300-0"},{"key":"B27","series-title":"J Tehran Univ Heart Centre","first-page":"132","article-title":"Tricuspid regurgitation improvement in relation to amount of pulmonary artery pressure reduction","volume":"5","author":"Zoroufian\n A","year":"2010","unstructured":"Zoroufian\n A\n \n , \n \n Sahebjam\n M\n \n , \n \n Eslami\n B\n \n , \n \n Lotfi-Tokaldani\n M\n \n , \n \n Sheikhfathollahi\n M\n \n , \n \n Kassaian\n SE\n \n : Tricuspid regurgitation improvement in relation to amount of pulmonary artery pressure reduction. J Tehran Univ Heart Centre5, 132\u2013136 (2010)"},{"key":"B28","series-title":"Ann Thorac Cardiovasc Surg","first-page":"417","article-title":"Functional tricuspid regurgitation in rheumatic heart disease surgical options","volume":"16","author":"Naqshband\n MS","year":"2010","unstructured":"Naqshband\n MS\n \n , \n \n Abid\n AR\n \n , \n \n Akhtar\n RP\n \n , \n \n Waheed\n A\n \n , \n \n Khan\n JS\n \n : Functional tricuspid regurgitation in rheumatic heart disease surgical options. Ann Thorac Cardiovasc Surg16, 417\u2013425 (2010)"},{"key":"B29","series-title":"Ter Arkh","first-page":"58","article-title":"Course of pulmonary hypertension in patients operated for rheumatic mitral heart disease (Article in Russian)","volume":"72","author":"Privalova\n EV","year":"2000","unstructured":"Privalova\n EV\n \n , \n \n Cherepenin\n LP\n \n , \n \n Ershov\n VI\n \n , \n \n Baloian\n GM\n \n , \n \n Buravikhina\n TA\n \n , \n \n Ermakov\n AI\n \n , \n \n Ivanov\n AS\n \n : Course of pulmonary hypertension in patients operated for rheumatic mitral heart disease (Article in Russian). Ter Arkh72, 58\u201362 (2000)"}],"container-title":["Interventional Medicine and Applied Science"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/1646\/8\/2\/article-p49.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1646\/8\/2\/article-p49.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1646\/8\/2\/article-p49.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T16:27:52Z","timestamp":1704299272000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1646\/8\/2\/article-p49.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,30]]},"references-count":29,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.1556\/1646.8.2016.2.1","relation":{},"ISSN":["2061-1617","2061-5094"],"issn-type":[{"value":"2061-1617","type":"print"},{"value":"2061-5094","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6,30]]}}}