Research Article

DOI: 10.15562/ism.v12i1.888

Rheumatic mitral stenosis based on Wilkins score and echo score revisited for patients undergoing balloon mitral valvuloplasty

Prayoga Setiawan , Ni Made Ayu Wulan Sari, Luh Oliva Saraswati Suastika, Ida Bagus Rangga Wibhuti

Prayoga Setiawan
Department of Cardiology and Vascular Medicine, Universitas Udayana /Sanglah General Hospital, Bali, Indonesia. Email: prayogasetiawan1989@gmail.com

Ni Made Ayu Wulan Sari
Department of Cardiology and Vascular Medicine, Universitas Udayana /Sanglah General Hospital, Bali, Indonesia

Luh Oliva Saraswati Suastika
Department of Cardiology and Vascular Medicine, Universitas Udayana /Sanglah General Hospital, Bali, Indonesia

Ida Bagus Rangga Wibhuti
Department of Cardiology and Vascular Medicine, Universitas Udayana /Sanglah General Hospital, Bali, Indonesia
Online First: April 01, 2021 | Cite this Article
​
Setiawan, P., Sari, N., Suastika, L., Wibhuti, I. 2021. Rheumatic mitral stenosis based on Wilkins score and echo score revisited for patients undergoing balloon mitral valvuloplasty. Intisari Sains Medis 12(1): 117-121. DOI:10.15562/ism.v12i1.888


Background: An important factor for obtaining good results with good clinical outcomes from BMV procedure in rheumatic mitral stenosis is selecting the right candidate. This study aimed to determine rheumatic mitral stenosis characteristics based on conventional scoring system and echo score revisited for patients undergoing balloon mitral valvuloplasty.

Method: This was a retrospective descriptive study with a cross-sectional approach. The study was conducted at the Department of Cardiology and Vascular Medicine, Sanglah Hospital Denpasar. Data were collected between January 1, 2019 and December 31, 2019 from registry and medical records.

Result: Both groups had the same median age, which is 43 years old. The majority of research subjects were female, namely 16 people or 94.4%. There were no subjects from the failed group who had low echo score revisited. A total of 3 subjects (100.0%) with Wilkins score of 7 and high echo score revisited categorized as failed because of occurrence of significant mitral regurgitation post-procedure. In the successful group with Wilkins score of 8, there were no subjects who had a low echo score revisited value. In subjects with a Wilkins score of 8 and high echo score revisited value, 3 subjects categorized as failed and 1 subject obtained significant mitral regurgitation post-procedure.

Conclusion: Patients with a low Wilkins score, but a high echo score revisited had a higher procedure failure rate.

References

Lu LX, Hong L, Fang J, Chen LL. Effectiveness of Percutaneous Balloon Mitral Valvuloplasty for Rheumatic Mitral Stenosis with Mild to Severe Mitral Regurgitation. BioMed Research International. 2016;Article ID 3298343:1-4.

Nobuyoshi M, Arita T, Shirai S, Hamasaki N, Yokoi H, Iwabuchi M, Yasumoto H, Nosaka H. Percutaneous Balloon Mitral Valvuloplasty. Circulation. 2009;119:e211-e219.

Soesanto AM. Selection of Balloon Mitral Valvuloplasty Candidate in Rheumatic Mitral Stenosis. J Kardiol Indones. 2013;34:48-54.

Ramondo A, Napodano M, Fraccaro C, Razzolini R, Tarantini G, Iliceto S. Relation of Patient Age to Outcome of Percutaneous Mitral Valvuloplasty. Am J Cardiol. 2006;98:1493-1500.

Mohaved MR, Kashani MA, Kasravi B, Saito Y. Increased Prevalence of Mitral Stenosis in Women. J Am Soc Echocardiogr. 2006;19:911-13.

Iung B, Leenhardt A, Extramiana F. Management of atrial fibrillation in patients with rheumatic mitral stenosis. Heart. 2018;104:1062-1068.

Widowati DR, Yuniadi Y, Hersunarti N. Long-Term Clinical Outcome Of Balloon Mitral Valvuloplasty Based On Echocardiographic And Catheterization Criteria. J Kardiol Indones. 2010;31:28-38.

Cho IJ, Jeong H, Chol JY, Lee SE, Chang HJ. Prognostic Implications of the Left Atrial Volume Index in Patients with Progressive Mitral Stenosis. J Cardiovasc Imaging. 2019;27(2):122–133.

Kang MK, Joung B, Shim CY, Cho IJ, Yang WI, Moon J, Jang Y, Chung N, Chang BC, Ha JW. Post-operative left atrial volume index is a predictor of the occurrence of permanent atrial fibrillation after mitral valve surgery in patients who undergo mitral valve surgery. Cardiovasc Ultrasound. 2018;16:5-11.

Bonow RO, Carabello BA, Chatterjee K, de Leon AC, Faxon DP, Freed MD, Gaasch WH, dkk. 2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease. J Am Coll Cardiol. 2008;52;e1-e142.

Kim MJ, Song JK, Song JM, Kang DH, Kim YH, Lee CW, dkk. Long Term Outcomes of Significant Mitral Regurgitation After Percutaneous Mitral Valvuloplasty. Circulation. 2006;114:2815-22.

Manolis AS. Transseptal Access to the Left Atrium: Tips and Tricks to Keep it Safe. Curr Cardiol Rev. 2017;13(4):305–318.

Nunes MCP, Tan TC, Elmariah S, da Lago R, Margey R, Cruz-Gonzalez I, Zheng H, Handschumacher MD, Ingglessis I, Palacios IF, Weyman AE, Hung J. The Echo Score Revisited: Impact of Incorporating Commissural Morphology and Leaflet Displacement to the Prediction of Outcome for Patients Undergoing Percutaneous Mitral Valvuloplasty. Circulation. 2014;129:886–895.


No Supplementary Material available for this article.
Article Views      : 490
PDF Downloads : 351