Frequency, cause and effect on operative outcome of depressed left ventricular ejection fraction in mitral stenosis

Richard W. Snyder, Richard A. Lange, John E. Willard, D. Brent Glamann, Charles Landau, Brian H. Negus, L. David Hillis

Research output: Contribution to journalArticlepeer-review

Abstract

To assess the incidence, pathophysiology and influence on operative outcome of a depressed left ventricular (LV) ejection fraction (EF) in patients with mitral stenosis (MS), demographic, hemodynamic and cineangiographic data on 72 patients (16 men, 56 women, aged 19 to 75 years) with isolated MS were reviewed. 0f the 45 who had mitral commissurotomy or replacement, operative course and functional class before and after surgery were assessed. Of the 72 patients, 21(29%) had an LVEF 50.50. These 21 were similar to the 51 with an LVEF >0.50 in age, gender, heart rate, intracardiac pressures, transvalvular gradient and valve area, but they had larger LV end-diastolic (79 ± 19 [mean ± SD] vs 59 ± 15 ml/m2, p 2, p .0.50.

Original languageEnglish (US)
Pages (from-to)65-69
Number of pages5
JournalThe American Journal of Cardiology
Volume73
Issue number1
DOIs
StatePublished - Jan 1 1994
Externally publishedYes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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