Areeba Riaz, Majid Kaleem, Hassan Abbas.
Frequency of different complications of mitral stenosis.
J Cardiovascular Dis Jan ;13(3):81-4.

ABSTRACT: BACKGROUND: Mitral stenosis is the most common and potentially life threatening valvular heart disease. Several complications are encountered in patients with mitral stenosis. They all are life threatening and need proper diagnosis and medical or surgical management to reduce further morbidity and mortality. AIM AND OBJECTIVE: The objective of this study was to find frequency of different complications of mitral stenosis at Gulab Devi Chest Hospital, Lahore. MATERIALS AND METHODS: A total of 300 consecutive patients aged 14 to 70 years of either gender having mitral stenosis presented to Gulab Devi Chest Hospital, Lahore were included in the study. Purposive sampling technique was used to collect data and it included the history of the patients and clinical findings to study the complications of mitral stenosis. Patients with mitral stenosis under 13 years of age and those who were not diagnosed properly by clinical evaluation were excluded. Statistical package for social sciences (SPSS) version 19 was used for data entry and its analysis. Mean ± Standard Deviation was used to express quantitative data while qualitative data like gender and frequency of different complications of mitral stenosis were presented in frequency tables. One sample t-test was used to see the abnormal rise in pulmonary artery systolic pressure. RESULTS: Frequency of complications of mitral stenosis were found as Atrial Fibrillation (48.33%), Left Atrial Clot (25.67%), Systemic Thromboembolism (12%), Cerebrovascular Accidents (10%), Pulmonary Hypertension (92%), Right Heart Failure (29.67%), Pericardial Effusion (7.33%), Pleural Effusion (8.33%), Pulmonary Edema (10.67%), Tricuspid Regurgitation (95%), Respiratory Tract Infection (27.33%) and Infective Endocarditis (2.33%). Results of one sample test reveals that there is an abnormal rise in pulmonary artery systolic pressure in patients with mitral stenosis (p-value<0.0001). CONCLUSION: Atrial Fibrillation, Pulmonary Hypertension and Tricuspid Regurgitation were the most common complications of mitral stenosis. The onset of each of these complications usually results in explicit symptoms and physical manifestations. These symptoms allow the physician to evaluate and treat the complications appropriately. KEY WORDS: Rheumatic Heart Disease, Mitral Stenosis, Mitral Regurgitation, Complications, Atrial Fibrillation, Pulmonary Hypertension.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com