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Comparison of echocardiographic and catheterization data among rheumatic heart disease patients requiring surgery.


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Research Project


The objective of this study to compare the parameters measured by 2DE-CDI like LVEDV, LVSEV, SV, EF, PA pressure, valve areas and severity of regurgitation of both mitral and aortic valves. This is a retrospective study involving 68 patients who had both 2DE-CDI and CC done for prior to corrective surgery. There are 46 males and 22 females with ages ranging from 18 to 67 (mean-43 yrs.) Forty four (65%) had CC done to assess CAD, 21 (31%) to assess well stress, 16 (24%) to assess AVA, 9 (13%) to assess MVA and 5 (7%) to confirm the severity of MR and AR respectively. Thirty one are in sinus rhythm (Group I) and 37 are in atrial fibrillation (Group II). There are no significant differences in all the parameters obtained in both 2DE-CDI and CC whether in sinus or in atrial fibrillation except for the PA pressure (PAP) measured on 2DE-CDI by acceleration time (AT). The PAP obtained using the TR velocity differed insignificantly with CC (x-67 vs 71, p-.20) compared to that taken using AT (x-56 vs 62, p-.05). In conclusion, there is a good correlation of most of the parameters obtained by both 2DE-CDI and cc except for the PAP using AT. Finally, there seems to be no additional data obtained from CC rheumatic heart disease patients after 2DE-CDI that may affect decisions prior to sending them to interventions except for the assessment of concomitant CAD.



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Philippine Heart Center Medical Library PHC.R.029.94 Fulltext

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