Effects of exercise on transmitral gradient and pulmonary artery pressure in patients with mitral stenosis or a prosthetic mitral valve: a Doppler echocardiographic study
JI Leavitt,
MH Coats,
and
RH Falk
Department of Medicine, Boston City Hospital, Massachusetts 02118.
Doppler echocardiography was used to determine changes in transmitral gradient and pulmonary artery pressure after exercise in 12 patients with mitral stenosis and 11 patients with a prosthetic mitral valve. The mean transmitral gradient in the mitral stenosis group was 9 +/- 7 mm Hg at rest and increased to 17 +/- 8 mm Hg after exercise. In patients with a prosthetic mitral valve, exercise resulted in an increase in mean transmitral gradient from 5 +/- 2 to 8 +/- 3 mm Hg. Calculated pulmonary artery systolic pressure increased with exercise from 41 +/- 19 to 70 +/- 32 mm Hg in the mitral stenosis group and from 28 +/- 8 to 39 +/- 15 mm Hg in patients with a prosthetic valve. Exercise Doppler echocardiographic evaluation of changes in transmitral gradient and pulmonary artery systolic pressure was found to be technically simple and an important addition to the noninvasive evaluation of patients with mitral valve disease.
This article has been cited by other articles:
|
|
|
|
 
A. Grimaldi, I. Olivotto, F. Figini, F. Pappalardo, E. Capritti, E. Ammirati, F. Maisano, S. Benussi, A. Fumero, A. Castiglioni, et al.
Dynamic assessment of 'valvular reserve capacity' in patients with rheumatic mitral stenosis
Eur Heart J Cardiovasc Imaging,
December 5, 2011;
(2011)
jer269v1.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. De Bonis, M. Taramasso, A. Grimaldi, F. Maisano, M. C. Calabrese, A. Verzini, D. Ferrara, and O. Alfieri
The GeoForm annuloplasty ring for the surgical treatment of functional mitral regurgitation in advanced dilated cardiomyopathy
Eur J Cardiothorac Surg,
August 1, 2011;
40(2):
488 - 495.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. P. Morise
Exercise Testing in Nonatherosclerotic Heart Disease: Hypertrophic Cardiomyopathy, Valvular Heart Disease, and Arrhythmias
Circulation,
January 18, 2011;
123(2):
216 - 225.
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Stuber, C. Sartori, M. Schwab, P.-Y. Jayet, S. F. Rimoldi, S. Garcin, S. Thalmann, H. Spielvogel, C. S. Salmon, M. Villena, et al.
Exaggerated Pulmonary Hypertension During Mild Exercise in Chronic Mountain Sickness
Chest,
February 1, 2010;
137(2):
388 - 392.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Vahanian, B. Iung, L. Pierard, R. Dion, and J. Pepper
CHAPTER 21 Valvular Heart Disease
ESC Textbook of Cardiovascular Medicine,
January 1, 2009;
2(1):
med-9780199566990-chapter - med-9780199566990-chapter.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
2006 WRITING COMMITTEE MEMBERS, R. O. Bonow, B. A. Carabello, K. Chatterjee, A. C. de Leon Jr, D. P. Faxon, M. D. Freed, W. H. Gaasch, B. W. Lytle, R. A. Nishimura, et al.
2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons
Circulation,
October 7, 2008;
118(15):
e523 - e661.
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. O. Bonow, B. A. Carabello, K. Chatterjee, A. C. de Leon Jr, D. P. Faxon, M. D. Freed, W. H. Gaasch, B. W. Lytle, R. A. Nishimura, P. T. O'Gara, et al.
2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease) Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons
J. Am. Coll. Cardiol.,
September 23, 2008;
52(13):
e1 - e142.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Magne, M. Senechal, P. Mathieu, J. G. Dumesnil, F. Dagenais, and P. Pibarot
Restrictive Annuloplasty for Ischemic Mitral Regurgitation May Induce Functional Mitral Stenosis
J. Am. Coll. Cardiol.,
April 29, 2008;
51(17):
1692 - 1701.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B.-K. Lam, V. Chan, P. Hendry, M. Ruel, R. Masters, P. Bedard, B. Goldstein, F. Rubens, and T. Mesana
The impact of patient-prosthesis mismatch on late outcomes after mitral valve replacement
J. Thorac. Cardiovasc. Surg.,
June 1, 2007;
133(6):
1464 - 1473.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Magne, P. Mathieu, J. G. Dumesnil, D. Tanne, F. Dagenais, D. Doyle, and P. Pibarot
Impact of Prosthesis-Patient Mismatch on Survival After Mitral Valve Replacement
Circulation,
March 20, 2007;
115(11):
1417 - 1425.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. O. Bonow, B. A. Carabello, K. Chatterjee, A. C. de Leon Jr, D. P. Faxon, M. D. Freed, W. H. Gaasch, B. W. Lytle, R. A. Nishimura, P. T. O'Gara, et al.
ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease) Developed in Collaboration With the Society of Cardiovascular Anesthesiologists Endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons
J. Am. Coll. Cardiol.,
August 1, 2006;
48(3):
e1 - e148.
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. O. Bonow, B. A. Carabello, K. Chatterjee, A. C. de Leon Jr, D. P. Faxon, M. D. Freed, W. H. Gaasch, B. W. Lytle, R. A. Nishimura, P. T. O'Gara, et al.
ACC/AHA 2006 Practice Guidelines for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease) Developed in Collaboration With the Society of Cardiovascular Anesthesiologists Endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons
J. Am. Coll. Cardiol.,
August 1, 2006;
48(3):
598 - 675.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Li, J. G. Dumesnil, P. Mathieu, and P. Pibarot
Impact of valve prosthesis-patient mismatch on pulmonary arterial pressure after mitral valve replacement
J. Am. Coll. Cardiol.,
April 5, 2005;
45(7):
1034 - 1040.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. Reis, M. S. Motta, M. M. Barbosa, W. A. Esteves, S. F. Souza, and E. A. Bocchi
Dobutamine stress echocardiography for noninvasive assessment and risk stratification of patients with rheumatic mitral stenosis
J. Am. Coll. Cardiol.,
February 4, 2004;
43(3):
393 - 401.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. BUSCH, P. BARTSCH, D. PAPPERT, E. GRUNIG, W. HILDEBRANDT, H. ELSER, K. J. FALKE, and E. R. SWENSON
Hypoxia Decreases Exhaled Nitric Oxide in Mountaineers Susceptible to High-Altitude Pulmonary Edema
Am. J. Respir. Crit. Care Med.,
February 1, 2001;
163(2):
368 - 373.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
E. Schwammenthal, Z. Vered, O. Agranat, E. Kaplinsky, B. Rabinowitz, and M. S. Feinberg
Impact of Atrioventricular Compliance on Pulmonary Artery Pressure in Mitral Stenosis : An Exercise Echocardiographic Study
Circulation,
November 7, 2000;
102(19):
2378 - 2384.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. Grunig, D. Mereles, W. Hildebrandt, E. R. Swenson, W. Kubler, H. Kuecherer, and P. Bartsch
Stress Doppler echocardiography for identification of susceptibility to high altitude pulmonary edema
J. Am. Coll. Cardiol.,
March 15, 2000;
35(4):
980 - 987.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
