Evaluation of physical parameters in mitral valve stenosis by using Doppler Ultrasound

Salman Dawood, Numan

	Evaluation of physical parameters in mitral valve stenosis by using Doppler Ultrasound
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 25, Issue 1, 2012, Pages 56-60
Author
Numan Salman dawood
Abstract
Background: Mitral valve stenosis is a condition in which the hearts mitral valve is narrowed (stenosis), This narrowing blocks the valve from opening properly obstructing blood flow through the heart and the rest of the body and this causes changes in physical parameters (resistance and conductance). Aim of the study: To assess the changes in the physical parameters in mitral valve stenosis disease in different gender and age by using Doppler ultrasound. Methods : The examination of patients at the Division of Echo - at the Iraqi Center for Heart Disease in Medical City for surgery specialist - Baghdad - Iraq, during(February2009 till November2010). The current study included fifty eight cases containing (27 males and 31 females) ages ranging between (16- 82) and is divided between 29 people from healthy people (I) which contain (13 males and 16 females) ages ranging between (16- 82) and a standard deviation of 22.6. Twenty nine of patients with mitral valve stenosis were divided into group (II) contains (6 males and 8 females) ages ranging between (28-76) and the standard deviation of 17.8, group (III) contains (5 males and 4 females) ages ranging between (40-71) and the standard deviation of 16.1 and group (IV) contain (3 male and 3 female) ages ranging between (56-72) and the standard deviation of 17.9. Studying changes developments in physical factors resulting from mitral valve stenosis and depending on these factors were calculated to change the resistance and conductivity and studying the relationship of the change in area and the change of physical factors. Results: The flow rate and area of mitral valve was significantly less in group IV than other groups, but pressure gradient, max velocity, pressure half time, max pressure were higher and more significantly in group IV. Resistance is significantly increases and it is higher in group IV compared with other groups. Conductance is higher in group I but more significant in group II. Conclusion: There is a strong correlation between the pressure half time and area of mitral valve. Resistance was significantly increased and it is higher in sever mitral stenosis. Conductance is high in mild mitral stenosis. The increase in mitral pressure gradient is frequently compensated by a decreased conductance. Age was highly influential but sex exerts less influence to change the physical parameters. Key word: Mitral valve stenosis, Area, Resistance, Conductance, Doppler US.
Keywords
Mitral valve stenosis; area; Resistance; Conductance; Doppler US

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