Clinical and Echocardiographic Predictor of Atrial Fibrillation in Patient with Rheumatic Mitral Valve Disease
Medhat Mohammed Ashmawy
Cardiovascular medicine Department, Faculty of Medicine, Tanta University, Egypt.
Ehab Abdellatif El-Gendy
Cardiovascular medicine Department, Faculty of Medicine, Tanta University, Egypt.
Amany Mohamed Allaithy
Cardiovascular medicine Department, Faculty of Medicine, Tanta University, Egypt.
Ahmed E. I. Abu Zarad
Faculty of Medicine - Al-Azher University, Egypt.
*Author to whom correspondence should be addressed.
Abstract
Background: Rheumatic fever principally influences kids in developing states, particularly where deficiency is common. Atrial fibrosis is a mutual characteristic of clinical atrial fibrillation (AF) and is accompanying with AF in a diversity of experiment sittings,
Aim and Objectives: The current work aimed to assess whether there are any clinical or echo-cardiographic parameters that expect the existence of AF among cases with rheumatic mitral valve disorder (RMVD),
Subjects and Methods: The current study was a comparative cross-sectional was conducted on 100 RMVD cases at cardio-vascular medicine department Tanta university hospitals within 6-mths starting from September 2019. Cases have been allocated into 2 groups: Group-I: 50 cases with sinus rhythm. Group-II: 50 cases with AF,
Results: A significant change was found among study groups regarding Fibrosis characteristics, There is a highly significant difference between the three different types regarding mitral valve area (MVA), LA-diameter, LA volume, LA-diameter/BSA and LA volume index, Age, area of mitral valve, LA-diameter and LA volume were found to be significant predictors for AF,
Conclusion: Echo-cardiography factors could recognize cases at higher danger of advancing AF among RMVD cases who may benefit from preventive measures.
Keywords: Atrial fibrillation, Atrial fibrosis, echocardiographic, mitral valve disorder, Rheumatic fever