TY - JOUR
T1 - Mitral stenosis with high left ventricular diastolic pressure
AU - Traill, T. A.
AU - St. John Sutton, M. G.
AU - Gibson, D. G.
PY - 1979
Y1 - 1979
N2 - 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.
AB - 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.
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U2 - 10.1136/hrt.41.4.405
DO - 10.1136/hrt.41.4.405
M3 - Article
C2 - 465208
AN - SCOPUS:0018755924
SN - 0007-0769
VL - 41
SP - 405
EP - 411
JO - British heart journal
JF - British heart journal
IS - 4
ER -