Evaluation of Right Ventricular Functions before and after Balloon Mitral Valvuloplasty Using 2D-Speckle Tracking Echocardiography
El Mokadem, M., Boshra, H., Samy, A., Adly, A. (2025). Evaluation of Right Ventricular Functions before and after Balloon Mitral Valvuloplasty Using 2D-Speckle Tracking Echocardiography. EKB Journal Management System, 6(2), 90-102. doi: 10.21608/ejmr.2025.327168.1712
Mostafa El Mokadem; Hesham Boshra; Andrew Samy; Abeer Adly. "Evaluation of Right Ventricular Functions before and after Balloon Mitral Valvuloplasty Using 2D-Speckle Tracking Echocardiography". EKB Journal Management System, 6, 2, 2025, 90-102. doi: 10.21608/ejmr.2025.327168.1712
El Mokadem, M., Boshra, H., Samy, A., Adly, A. (2025). 'Evaluation of Right Ventricular Functions before and after Balloon Mitral Valvuloplasty Using 2D-Speckle Tracking Echocardiography', EKB Journal Management System, 6(2), pp. 90-102. doi: 10.21608/ejmr.2025.327168.1712
El Mokadem, M., Boshra, H., Samy, A., Adly, A. Evaluation of Right Ventricular Functions before and after Balloon Mitral Valvuloplasty Using 2D-Speckle Tracking Echocardiography. EKB Journal Management System, 2025; 6(2): 90-102. doi: 10.21608/ejmr.2025.327168.1712

Evaluation of Right Ventricular Functions before and after Balloon Mitral Valvuloplasty Using 2D-Speckle Tracking Echocardiography

Egyptian Journal of Medical Research
Volume 6, Issue 2, April 2025, Page 90-102  XML PDF (782.96 K)
Document Type: Original Article
DOI: 10.21608/ejmr.2025.327168.1712
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Authors
Mostafa El Mokadem1; Hesham Boshra2; Andrew Samy email 3; Abeer Adly2
1Department of Cardiology, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.
2Department of Cardiology, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt
3Department of Cardiology, National Heart institute, Cairo, Egypt
Abstract
Background: Right ventricular (RV) functional assessment is challenging due to its complex anatomy. Evaluation of right ventricular functions using speckle tracking method looks to be a promising method compared with conventional echocardiographic measures.  Objective The aim of our work was to evaluate right ventricular functions using 2D speckle tracking echocardiography in patients with isolated severe mitral stenosis (MS) before and one month after Balloon mitral valvuloplasty (BMV). Methods: Our study was conducted on 60 patients with isolated severe MS eligible for (BMV) and 30 healthy control group. All patients were evaluated by conventional and 2D speckle tracking echocardiography before and one month after Balloon mitral valvuloplasty. Results: The mean mitral valve area (MVA) was significantly increased after BMV (p<0.001), there was significant improvement of conventional RV measures after BMV but all measures before and after BMV were within normal range. There was significant improvement of all RV strain measures after BMV. Multivariate linear regression analysis showed that RV free wall /mid wall strain were significant independent predictors for improvement of Pulmonary artery systolic Pressure after BMV. Conclusion: RV strain can be a reliable method for assessment of subtle RV dysfunction and also for assessment of improved RV functions after BMV.
Keywords
Right ventricular; Strain; mitral stenosis; balloon mitral; echocardiography
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