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  • Title: [Evaluation of right ventricular myocardial excursions in patients with mitral valve stenosis without pulmonary hypertension].
    Author: Iakovlev VF, Sandrikov VA, Kurdov MK, Tarichko IuV, Ivanov VA, Shevelev II, Solovova LE.
    Journal: Vestn Ross Akad Med Nauk; 1992; (3):17-21. PubMed ID: 1382752.
    Abstract:
    As many as 23 patients with mitral stenosis were examined intraoperatively, by evaluating of intracardiac hemodynamics and right ventricle myocardial excursions. Before mitral stenosis was corrected, 56% of patients had demonstrated myocardial excursion disorders. After the correction the number of patients with myocardial dysfunction halved. The transition of patients belonging to the group with abnormal myocardial excursions to the group with normal excursions depends on the scope of surgical intervention and pharmacological support. After the correction of mitral stenosis cardiogenic and pulmonogenic complications may mostly be seen in the patients' group showing abnormal myocardial excursions. It is concluded that the symptom of abnormal right ventricle myocardial excursions is of prognostic significance with respect to the development of complications in the early postoperative period.
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