The evaluation of mitral valve stenosis: Comparison of transthoracic echocardiography and cardiac magnetic resonance

Funda Helvacioglu, Ozlem Yildirimturk, Cihan Duran, Selen Yurdakul, Yelda Tayyareci, Onur Levent Ulusoy, Saide Aytekin

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Aims Echocardiographic assessment of patients with mitral valve stenosis (MS) requires a detailed evaluation of mitral valve anatomy, mitral valve area (MVA), and pressure gradient and presence concomitant valve diseases. Our aim was to evaluate planimetric MVA and transmitral flow velocities using cardiac magnetic resonance (CMR) in patients with isolated MS and to compare with transthoracic echocardiography (TTE) to determine the reliability. Methods and results Thirty-one patients (mean age 50.4 ± 10.2, 90.3% women) with isolated MS who were in a normal sinus rhythm were included in the study. Patients with ejection fraction <50%, atrial fibrillation, moderate-to-severe mitral valve insufficiency, moderate-to-severe stenosis and insufficiency of other valves, and previous commissurotomy and valvulotomy were excluded. Planimetric MVA and diastolic velocities were measured with TTE and CMR.There were strong correlations between measurements of planimetric MVA and transmitral diastolic velocities (P < 0.0001). Assessment of Bland-Altman analysis revealed strong agreement on measuring planimetric MVA with values-0.018 cm 2 (SD = 0.98 cm2) and the limits of agreement were-0.131 to 0.094. Conclusion CMR is a reliable method in patients with MS for diagnosis and follow-up.

Original languageEnglish (US)
Pages (from-to)164-169
Number of pages6
JournalEuropean Heart Journal Cardiovascular Imaging
Volume15
Issue number2
DOIs
StatePublished - Feb 1 2014
Externally publishedYes

Fingerprint

Mitral Valve Stenosis
Mitral Valve
Echocardiography
Magnetic Resonance Spectroscopy
Mitral Valve Insufficiency
Atrial Fibrillation
Anatomy
Pathologic Constriction
Pressure

Keywords

  • Cardiac magnetic resonance
  • Echocardiography
  • Mitral valve stenosis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

The evaluation of mitral valve stenosis : Comparison of transthoracic echocardiography and cardiac magnetic resonance. / Helvacioglu, Funda; Yildirimturk, Ozlem; Duran, Cihan; Yurdakul, Selen; Tayyareci, Yelda; Ulusoy, Onur Levent; Aytekin, Saide.

In: European Heart Journal Cardiovascular Imaging, Vol. 15, No. 2, 01.02.2014, p. 164-169.

Research output: Contribution to journalArticle

Helvacioglu, Funda ; Yildirimturk, Ozlem ; Duran, Cihan ; Yurdakul, Selen ; Tayyareci, Yelda ; Ulusoy, Onur Levent ; Aytekin, Saide. / The evaluation of mitral valve stenosis : Comparison of transthoracic echocardiography and cardiac magnetic resonance. In: European Heart Journal Cardiovascular Imaging. 2014 ; Vol. 15, No. 2. pp. 164-169.
@article{99bb47e73c204077b8f0cd7dd64691c5,
title = "The evaluation of mitral valve stenosis: Comparison of transthoracic echocardiography and cardiac magnetic resonance",
abstract = "Aims Echocardiographic assessment of patients with mitral valve stenosis (MS) requires a detailed evaluation of mitral valve anatomy, mitral valve area (MVA), and pressure gradient and presence concomitant valve diseases. Our aim was to evaluate planimetric MVA and transmitral flow velocities using cardiac magnetic resonance (CMR) in patients with isolated MS and to compare with transthoracic echocardiography (TTE) to determine the reliability. Methods and results Thirty-one patients (mean age 50.4 ± 10.2, 90.3{\%} women) with isolated MS who were in a normal sinus rhythm were included in the study. Patients with ejection fraction <50{\%}, atrial fibrillation, moderate-to-severe mitral valve insufficiency, moderate-to-severe stenosis and insufficiency of other valves, and previous commissurotomy and valvulotomy were excluded. Planimetric MVA and diastolic velocities were measured with TTE and CMR.There were strong correlations between measurements of planimetric MVA and transmitral diastolic velocities (P < 0.0001). Assessment of Bland-Altman analysis revealed strong agreement on measuring planimetric MVA with values-0.018 cm 2 (SD = 0.98 cm2) and the limits of agreement were-0.131 to 0.094. Conclusion CMR is a reliable method in patients with MS for diagnosis and follow-up.",
keywords = "Cardiac magnetic resonance, Echocardiography, Mitral valve stenosis",
author = "Funda Helvacioglu and Ozlem Yildirimturk and Cihan Duran and Selen Yurdakul and Yelda Tayyareci and Ulusoy, {Onur Levent} and Saide Aytekin",
year = "2014",
month = "2",
day = "1",
doi = "10.1093/ehjci/jet087",
language = "English (US)",
volume = "15",
pages = "164--169",
journal = "European Heart Journal Cardiovascular Imaging",
issn = "2047-2404",
publisher = "Oxford University Press",
number = "2",

}

TY - JOUR

T1 - The evaluation of mitral valve stenosis

T2 - Comparison of transthoracic echocardiography and cardiac magnetic resonance

AU - Helvacioglu, Funda

AU - Yildirimturk, Ozlem

AU - Duran, Cihan

AU - Yurdakul, Selen

AU - Tayyareci, Yelda

AU - Ulusoy, Onur Levent

AU - Aytekin, Saide

PY - 2014/2/1

Y1 - 2014/2/1

N2 - Aims Echocardiographic assessment of patients with mitral valve stenosis (MS) requires a detailed evaluation of mitral valve anatomy, mitral valve area (MVA), and pressure gradient and presence concomitant valve diseases. Our aim was to evaluate planimetric MVA and transmitral flow velocities using cardiac magnetic resonance (CMR) in patients with isolated MS and to compare with transthoracic echocardiography (TTE) to determine the reliability. Methods and results Thirty-one patients (mean age 50.4 ± 10.2, 90.3% women) with isolated MS who were in a normal sinus rhythm were included in the study. Patients with ejection fraction <50%, atrial fibrillation, moderate-to-severe mitral valve insufficiency, moderate-to-severe stenosis and insufficiency of other valves, and previous commissurotomy and valvulotomy were excluded. Planimetric MVA and diastolic velocities were measured with TTE and CMR.There were strong correlations between measurements of planimetric MVA and transmitral diastolic velocities (P < 0.0001). Assessment of Bland-Altman analysis revealed strong agreement on measuring planimetric MVA with values-0.018 cm 2 (SD = 0.98 cm2) and the limits of agreement were-0.131 to 0.094. Conclusion CMR is a reliable method in patients with MS for diagnosis and follow-up.

AB - Aims Echocardiographic assessment of patients with mitral valve stenosis (MS) requires a detailed evaluation of mitral valve anatomy, mitral valve area (MVA), and pressure gradient and presence concomitant valve diseases. Our aim was to evaluate planimetric MVA and transmitral flow velocities using cardiac magnetic resonance (CMR) in patients with isolated MS and to compare with transthoracic echocardiography (TTE) to determine the reliability. Methods and results Thirty-one patients (mean age 50.4 ± 10.2, 90.3% women) with isolated MS who were in a normal sinus rhythm were included in the study. Patients with ejection fraction <50%, atrial fibrillation, moderate-to-severe mitral valve insufficiency, moderate-to-severe stenosis and insufficiency of other valves, and previous commissurotomy and valvulotomy were excluded. Planimetric MVA and diastolic velocities were measured with TTE and CMR.There were strong correlations between measurements of planimetric MVA and transmitral diastolic velocities (P < 0.0001). Assessment of Bland-Altman analysis revealed strong agreement on measuring planimetric MVA with values-0.018 cm 2 (SD = 0.98 cm2) and the limits of agreement were-0.131 to 0.094. Conclusion CMR is a reliable method in patients with MS for diagnosis and follow-up.

KW - Cardiac magnetic resonance

KW - Echocardiography

KW - Mitral valve stenosis

UR - http://www.scopus.com/inward/record.url?scp=84892916821&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892916821&partnerID=8YFLogxK

U2 - 10.1093/ehjci/jet087

DO - 10.1093/ehjci/jet087

M3 - Article

C2 - 24026945

AN - SCOPUS:84892916821

VL - 15

SP - 164

EP - 169

JO - European Heart Journal Cardiovascular Imaging

JF - European Heart Journal Cardiovascular Imaging

SN - 2047-2404

IS - 2

ER -