Cardiac Auscultation Versus Two-dimensional Trans thoracic Echocardiography in Native Aortic and Mitral Valve diseases in Erbil City
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 7
Abstract
Background: Echocardiography is use for diagnosis and assessment of valvular heart disease as there are many valve diseases that are silent on clinical auscultation. Objective: To identify the sensitivity of auscultation in patients with mitral and aortic valve diseases in comparison with Doppler echocardiography. Materials and methods: An observational study was done on 950 patients were attended echocardiography department of Erbil cardiac center between May 2015 and February 2016, only 300 patients fulfils the criteria of the study were included in the study. Patients from the age of 15 years and above were randomly selected. Cardiac auscultation of mitral and aortic precordial areas was done by 2 experience cardiologists. Then patients were examined thoroughly by transthoracic echocardiography for underlying valve lesion. Results: From total 189 MR lesions detected by echocardiography in 94 (49.7%) lesions no murmur was detected, from 36 MS lesions in 12 (33.3%) lesions no murmur was detected, from 86 AR lesions in 50 (58.1%) lesions and from total 40 AS lesions in 5 (12.5%) lesions the murmur were not detected clinically with a significant P value (p value=0.001), (p value=0.001), (p value=0.001), (p value=0.001) respectively. Significant association of inaudible murmurs with mild valve lesions on echocardiography (p value=0.001) and with echocardiographic systolic dysfunction (p value=0.001).Sensitivity of auscultation in mitral and aortic valve diseases was 55.7% and 48.4% respectively. Conclusions: Many valve diseases which were diagnosed by echocardiography could be silent clinically
Authors and Affiliations
Aree Nadhem A. Daham
Keywords
Related Articles
- EP ID EP213849
- DOI -
- Views 83
- Downloads 0
Group A Beta Hemolytic Streptococcal Sore Throat in Children – A Descriptive Epidemiological Study
Background: Sore throat is one among the common complaints in any pediatric healthcare, viruses being the major causative organism. Nevertheless, Group A streptococcal pharyngitis accounts for up to 37% cases in children...
Carotid Intima Media Thickness Measurements in Nigerian Pre-dialysis CKD Patients
Background: Cardiovascular disease complications are the commonest causes of mortality in patients with Chronic Kidney Disease (CKD). Carotid intima-media thickness (CIMT) measurements provide information on arterial wal...
Primary Renal Leiomyosarcoma: A Case Report
Primary sarcomas of kidney are rare tumors, which comprise 0.8% of all renal tumors. Leiomyosarcoma account for 50-60% of kidney sarcomas; followed by liposarcomas in 10-15% of cases1 . They usually occur in the right ki...
Cytopathological Analysis of Body Fluids in Conventional Smear Method versus Cell Block Method for Diagnostic Evaluation
Introduction: The cytological analysis of serous effusions helps in diagnostic, therapeutic and prognostic implications. The accurate identification of cells as either malignant or reactive mesothelial cells is a diagnos...
Incidence of puberty Menorrhagia - A Case Study in Dhaka, Bangladesh
Introduction: This study aims to evaluate the incidence, clinical presentation, etiological factors and treatment outcomes of the patients suffering from puberty menorrhagia. Methods: 30 patients with puberty menorrhagia...