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Evaluation of left ventricular systolic function with pulsed wave tissue Doppler in rheumatic mitral stenosis.
[acute rheumatic fever]
Mitral
stenosis
(
MS
)
is
still
the
most
common
complication
of
acute
rheumatic
fever
in
Turkey
.
Rheumatic
carditis
affects
not
only
cardiac
valves
but
also
myocardium
.
In
this
study
,
we
aimed
to
evaluate
the
subclinical
left
ventricular
(
LV
)
systolic
dysfunction
and
contraction
of
short
and
long
axial
circumferential
and
longitudinal
fibers
by
pulsed
wave
tissue
Doppler
in
rheumatic
MS
patients
who
have
preserved
LV
systolic
function
in
2
D
echocardiography
.
Fifteen
severe
,
20
moderate
rheumatic
MS
patients
hospitalized
for
mitral
balloon
valvuloplasty
,
and
15
patients
who
had
normal
echocardiographic
findings
were
included
in
the
study
.
After
routine
conventional
transthoracic
echocardiographic
examination
,
LV
myocardial
systolic
velocities
were
evaluated
with
pulsed
wave
tissue
Doppler
in
the
short
and
long
axis
with
simultaneous
electrocardiographic
monitoring
.
Long
axis
first
systolic
velocity
(
SW
1
)
of
mild
-
moderate
and
severe
MS
was
much
lower
than
normal
group
(
10
.
7
±
2
.
3
in
normal
group
vs
.
7
.
9
±
1
.
3
in
mild
-
moderate
MS
group
vs
.
6
.
2
±
1
.
4
in
severe
MS
group
,
p
<
0
.
001
)
.
Long
axis
Q-SW
1
duration
was
longer
in
mild
-
moderate
MS
group
(
145
±
32
in
normal
group
vs
.
199
±
43
in
mild
-
moderate
MS
group
,
p
=
0
.
001
)
.
Short
axis
Q-SW
2
duration
was
longer
in
normal
group
compared
to
mild
-
moderate
and
severe
MS
groups
(
298
±
41
in
normal
group
vs
.
245
±
37
in
mild
-
moderate
MS
group
vs
.
234
±
26
in
severe
MS
group
,
p
<
0
.
001
)
.
Significant
correlation
between
mitral
valve
area
and
SW
1
,
Q-SW
1
was
determined
(
p
=
0
.
01
)
.
Even
if
LV
functions
are
normal
with
conventional
2
D
echocardiography
,
subclinical
systolic
dysfunction
exists
in
MS
.
Also
,
there
is
a
dyssynchrony
between
contraction
of
longitudinal
and
circumferential
myofibrils
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated