التفاصيل البيبلوغرافية
| العنوان: |
Comparative Study on Clinical and Echocardiographic Findings in Ischemic Heart Disease Patients with or without Mitral Annular Calcification in a Tertiary Hospital. |
| المؤلفون: |
Hoda MD; Dr Md Durul Hoda, Assistant Professor, Department of Cardiology, Shaheed Tazuddin Ahmad Medical College, Gazipur, Bangladesh; E-mail: durulhoda10@yahoo.com., Hossain ME, Ahmed CM, Banerjee SK, Paul GK, Fatema N |
| المصدر: |
Mymensingh medical journal : MMJ [Mymensingh Med J] 2024 Jul; Vol. 33 (3), pp. 750-757. |
| نوع المنشور: |
Journal Article; Observational Study; Comparative Study |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: Mymensingh Medical College Country of Publication: Bangladesh NLM ID: 9601799 Publication Model: Print Cited Medium: Internet ISSN: 2408-8757 (Electronic) Linking ISSN: 10224742 NLM ISO Abbreviation: Mymensingh Med J Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: Mymensingh, Bangladesh : Mymensingh Medical College, |
| مواضيع طبية MeSH: |
Myocardial Ischemia*/diagnostic imaging , Calcinosis*/diagnostic imaging , Echocardiography*/methods , Mitral Valve*/diagnostic imaging , Mitral Valve*/pathology , Tertiary Care Centers*, Humans ; Male ; Female ; Middle Aged ; Case-Control Studies ; Prospective Studies ; Heart Valve Diseases/diagnostic imaging ; Heart Valve Diseases/complications ; Aged ; Adult |
| مستخلص: |
The presence of bright resonance of more than 1 mm or more cusps of the aortic valve, mitral valve or mitral annulus is termed as cardiac valve calcification. If an intense echo producing structure located at the junction of the atrioventricular groove and posterior mitral valve leaflet on Echocardiography that is Mitral annular calcification (MAC). This study was conducted to observe the association of MAC with clinical and echocardiographic findings of ischemic heart disease (IHD) and the role of trans-thoracic echocardiography to detect MAC which is a marker IHD. In this prospective, observational, case-control study, total of 100 IHD patients, 50 patients with MAC were assigned as case group and 50 patients without MAC were control group after fulfilling inclusion criteria. All the detailed history, clinical examination and relevant investigation reports of each patient were recorded in pre designed data collection sheet. MAC was detected with transthorasic echocardiography. Analysis was done to observe the association and correlation of MAC with clinical findings of IHD. Mean age of the case control was 55.16±10.73 years and control was 49.80±8.84 years. MAC was noted highest about 56.0% in between age 45 to 60 years. Eighty two percent (82.0%) of cases and 84.0% of controls were male, 18.0% of cases and 16.0% of controls were female. BMI among the MAC group 2.0% were underweight, 72.0% normal, 24.0% over weight and 2.0% were obese and among non MAC controls group 10.0% were underweight, 68.0% normal, 20.0% over weight and 2.0% were obese. Clinically among cases 14(28.0%) had Stable angina, 8(16.0%) had UA, 3(6.0%) had Non STEMI, 2(4.0%) had AMI, 2(4.0%) had Recent myocardial infarction and 21(42.0%) had OMI. Diabetes mellitus was significantly higher in the case groups (p=0.006). Significant p-value was noted in hyper-triyglyceridemia and low HDL in case group than control. Echocardiographic studies showed 52.0% of cases and 32.0% of controls had regional wall motion abnormality (RWMA). Transthorasic echocardiographically detected MAC is an independent predictor of Ischemic heart disease. The low cost, portable and radiation free nature of the ultrasound approach make MAC an attractive parameter in the ongoing search for IHD. |
| تواريخ الأحداث: |
Date Created: 20240630 Date Completed: 20240630 Latest Revision: 20240726 |
| رمز التحديث: |
20240726 |
| PMID: |
38944717 |
| قاعدة البيانات: |
MEDLINE |
