Mitral stenosis with high left ventricular diastolic pressure

T. A. Traill, M. G. St. John Sutton, D. G. Gibson

Research output: Contribution to journalArticle

Abstract

Three patients with mitral stenosis are described, in whom the haemodynamic findings at cardiac catheterisation were more suggestive of left ventricular myocardial disease, in that the left ventricular diastolic pressure was high and the mitral valve gradient small. However, their echocardiograms showed abnormal wall movement during diastole characteristic of severe inflow obstruction, with slow and protracted filling, and at operation mitral stenosis was confirmed. Left ventricular wall stress was estimated throughout the cardiac cycle in one patient, and the diastolic stress-strain relation shown to be abnormal. The effects of mitral stenosis on left ventricular function are complex, and are not explicable simply by reduction in size of the mitral orifice.

Original languageEnglish (US)
Pages (from-to)405-411
Number of pages7
JournalBritish heart journal
Volume41
Issue number4
DOIs
StatePublished - 1979

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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