Different characteristics, clinical outcomes, and left atrial reverse remodeling in patients with mitral stenosis maintaining sinus rhythm for at least 10 years after successful percutaneous mitral valvuloplasty

In Jeong Cho; Soo Jin Kim; Donghee Han; Darae Kim; Chi Young Shim; Geu Ru Hong; Hyuk Jae Chang

doi:10.1159/000486708

Different characteristics, clinical outcomes, and left atrial reverse remodeling in patients with mitral stenosis maintaining sinus rhythm for at least 10 years after successful percutaneous mitral valvuloplasty

In Jeong Cho, Soo Jin Kim, Donghee Han, Darae Kim, Chi Young Shim, Geu Ru Hong, Hyuk Jae Chang

Department of Internal Medicine

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Background: We aimed to investigate the characteristics and echocardiographic changes in patients with severe mitral stenosis (MS) who maintained sinus rhythm (SR) for at least 10 years after successful percutaneous mitral balloon valvuloplasty (PMV). Methods: We retrospectively reviewed 107 patients who had successful PMV and follow-up echocardiography for at least 10 years without mitral valve surgery. Preprocedural, immediate postprocedural (PMV), and long-term follow-up echocardiography (at least 10 years after PMV) data were reviewed. Results: The mean follow-up time after PMV was 15 ± 4 years for SR patients (n = 50) and 16 ± 4 years (p = 0.172) for atrial fibrillation (AF) patients (n = 57). The left atrial diameter was significantly decreased in SR patients in the follow-up echocardiography images compared to its pre-PMV value (46.7 ± 6.3 vs. 43.3 ± 6.2 mm, respectively), whereas it was significantly increased in patients with AF (53.9 ± 7.1 vs. 58.1 ± 8.7 mm). In multivariate analysis, preprocedural AF (odds ratio [OR] 14.50, p = 0.001) and LA diameter ≥50 mm (OR 8.81, p < 0.001) were independently associated with increased risk for the presence of AF after successful PMV. Conclusion: Very long-term maintenance of SR after successful PMV was associated with preprocedural SR and LA diameter < 50 mm.

Original language	English
Pages (from-to)	14-20
Number of pages	7
Journal	Cardiology (Switzerland)
Volume	140
Issue number	1
DOIs	https://doi.org/10.1159/000486708
State	Published - 1 Jun 2018

Bibliographical note

Funding Information:
This research was supported by the Leading Foreign Research Institute Recruitment Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT (No. 2012027176).

Publisher Copyright:
© 2018 S. Karger AG, Basel. All rights reserved.

Keywords

Cardiac rhythm
Mitral stenosis
Percutaneous mitral valvuloplasty

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10.1159/000486708

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Cho, I. J., Kim, S. J., Han, D., Kim, D., Shim, C. Y., Hong, G. R., & Chang, H. J. (2018). Different characteristics, clinical outcomes, and left atrial reverse remodeling in patients with mitral stenosis maintaining sinus rhythm for at least 10 years after successful percutaneous mitral valvuloplasty. Cardiology (Switzerland), 140(1), 14-20. https://doi.org/10.1159/000486708

@article{b809ef615808403fb3776da43d626a26,

title = "Different characteristics, clinical outcomes, and left atrial reverse remodeling in patients with mitral stenosis maintaining sinus rhythm for at least 10 years after successful percutaneous mitral valvuloplasty",

abstract = "Background: We aimed to investigate the characteristics and echocardiographic changes in patients with severe mitral stenosis (MS) who maintained sinus rhythm (SR) for at least 10 years after successful percutaneous mitral balloon valvuloplasty (PMV). Methods: We retrospectively reviewed 107 patients who had successful PMV and follow-up echocardiography for at least 10 years without mitral valve surgery. Preprocedural, immediate postprocedural (PMV), and long-term follow-up echocardiography (at least 10 years after PMV) data were reviewed. Results: The mean follow-up time after PMV was 15 ± 4 years for SR patients (n = 50) and 16 ± 4 years (p = 0.172) for atrial fibrillation (AF) patients (n = 57). The left atrial diameter was significantly decreased in SR patients in the follow-up echocardiography images compared to its pre-PMV value (46.7 ± 6.3 vs. 43.3 ± 6.2 mm, respectively), whereas it was significantly increased in patients with AF (53.9 ± 7.1 vs. 58.1 ± 8.7 mm). In multivariate analysis, preprocedural AF (odds ratio [OR] 14.50, p = 0.001) and LA diameter ≥50 mm (OR 8.81, p < 0.001) were independently associated with increased risk for the presence of AF after successful PMV. Conclusion: Very long-term maintenance of SR after successful PMV was associated with preprocedural SR and LA diameter < 50 mm.",

keywords = "Cardiac rhythm, Mitral stenosis, Percutaneous mitral valvuloplasty",

author = "Cho, {In Jeong} and Kim, {Soo Jin} and Donghee Han and Darae Kim and Shim, {Chi Young} and Hong, {Geu Ru} and Chang, {Hyuk Jae}",

note = "Funding Information: This research was supported by the Leading Foreign Research Institute Recruitment Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT (No. 2012027176). Publisher Copyright: {\textcopyright} 2018 S. Karger AG, Basel. All rights reserved.",

year = "2018",

month = jun,

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doi = "10.1159/000486708",

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Cho, IJ, Kim, SJ, Han, D, Kim, D, Shim, CY, Hong, GR & Chang, HJ 2018, 'Different characteristics, clinical outcomes, and left atrial reverse remodeling in patients with mitral stenosis maintaining sinus rhythm for at least 10 years after successful percutaneous mitral valvuloplasty', Cardiology (Switzerland), vol. 140, no. 1, pp. 14-20. https://doi.org/10.1159/000486708

Different characteristics, clinical outcomes, and left atrial reverse remodeling in patients with mitral stenosis maintaining sinus rhythm for at least 10 years after successful percutaneous mitral valvuloplasty. / Cho, In Jeong; Kim, Soo Jin; Han, Donghee et al.
In: Cardiology (Switzerland), Vol. 140, No. 1, 01.06.2018, p. 14-20.

Research output: Contribution to journal › Article › peer-review

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T1 - Different characteristics, clinical outcomes, and left atrial reverse remodeling in patients with mitral stenosis maintaining sinus rhythm for at least 10 years after successful percutaneous mitral valvuloplasty

AU - Cho, In Jeong

AU - Kim, Soo Jin

AU - Han, Donghee

AU - Kim, Darae

AU - Shim, Chi Young

AU - Hong, Geu Ru

AU - Chang, Hyuk Jae

N1 - Funding Information: This research was supported by the Leading Foreign Research Institute Recruitment Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT (No. 2012027176). Publisher Copyright: © 2018 S. Karger AG, Basel. All rights reserved.

PY - 2018/6/1

Y1 - 2018/6/1

N2 - Background: We aimed to investigate the characteristics and echocardiographic changes in patients with severe mitral stenosis (MS) who maintained sinus rhythm (SR) for at least 10 years after successful percutaneous mitral balloon valvuloplasty (PMV). Methods: We retrospectively reviewed 107 patients who had successful PMV and follow-up echocardiography for at least 10 years without mitral valve surgery. Preprocedural, immediate postprocedural (PMV), and long-term follow-up echocardiography (at least 10 years after PMV) data were reviewed. Results: The mean follow-up time after PMV was 15 ± 4 years for SR patients (n = 50) and 16 ± 4 years (p = 0.172) for atrial fibrillation (AF) patients (n = 57). The left atrial diameter was significantly decreased in SR patients in the follow-up echocardiography images compared to its pre-PMV value (46.7 ± 6.3 vs. 43.3 ± 6.2 mm, respectively), whereas it was significantly increased in patients with AF (53.9 ± 7.1 vs. 58.1 ± 8.7 mm). In multivariate analysis, preprocedural AF (odds ratio [OR] 14.50, p = 0.001) and LA diameter ≥50 mm (OR 8.81, p < 0.001) were independently associated with increased risk for the presence of AF after successful PMV. Conclusion: Very long-term maintenance of SR after successful PMV was associated with preprocedural SR and LA diameter < 50 mm.

AB - Background: We aimed to investigate the characteristics and echocardiographic changes in patients with severe mitral stenosis (MS) who maintained sinus rhythm (SR) for at least 10 years after successful percutaneous mitral balloon valvuloplasty (PMV). Methods: We retrospectively reviewed 107 patients who had successful PMV and follow-up echocardiography for at least 10 years without mitral valve surgery. Preprocedural, immediate postprocedural (PMV), and long-term follow-up echocardiography (at least 10 years after PMV) data were reviewed. Results: The mean follow-up time after PMV was 15 ± 4 years for SR patients (n = 50) and 16 ± 4 years (p = 0.172) for atrial fibrillation (AF) patients (n = 57). The left atrial diameter was significantly decreased in SR patients in the follow-up echocardiography images compared to its pre-PMV value (46.7 ± 6.3 vs. 43.3 ± 6.2 mm, respectively), whereas it was significantly increased in patients with AF (53.9 ± 7.1 vs. 58.1 ± 8.7 mm). In multivariate analysis, preprocedural AF (odds ratio [OR] 14.50, p = 0.001) and LA diameter ≥50 mm (OR 8.81, p < 0.001) were independently associated with increased risk for the presence of AF after successful PMV. Conclusion: Very long-term maintenance of SR after successful PMV was associated with preprocedural SR and LA diameter < 50 mm.

KW - Cardiac rhythm

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KW - Percutaneous mitral valvuloplasty

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