Muhammad Abdur Rauf, Noman Khan, Nida Mehmood, Adnan Memood Gul, Mohammad Hafizullah.
Short term clinical outcomes after percutaneous mitral commissurotomy for mitral stenosis.
Pak Heart J Jan ;50(3):139-44.

Objective: To determine the frequency of short term clinical outcomes of percutaneous transvenous mitral commissurotomy for mitral stenosis among patients having wilkin score of < 12. Methodology: This study was conducted at Lady Reading Hospital, Peshawar form January to October, 2014. It was a cross sectional descriptive study and sampling method was consecutive. Patients having mitral stenosis were included and followed for 3 months after PTMC. Patient were selected from cardiology outpatient department and subjected to echo-cardiography to know the exact Wilkin's score. Result: Out of total 175 patients 56 (32%) were males. The mean age of the patients was 22.69+-7.93 years. Mean BMI of patients was 21.07+-3.95. Mean Wilkin's score was 6.69+-1.99 ranging from 3-11. Improvement in mitral valve area, pulmonary artery pressure, mitral valve gradient and left atrial volume were found in 148 (84.6%), 170 (97.1%), 175(100%) and 170(97.1%) respectively. While worsening in mitral regurgitation was 47(26.9%). Conclusion: PTMC is a safe and effective procedure with good short-term outcomes like improvement in mitral valve area, pulmonary artery pressure, mitral valve gradient and left atrial volume and not worsening mitral regurgitations in patients of mitral stenosis having Wilkin's score < 12.

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