Sinus Rhythm in Rheumatic Mitral Stenosis after Balloon Mitral Valvotomy: Is it Feasible?Correspondence Address :
Dr. Ashwal A. Jayaram,
Department of Cardiology, Kasturba Medical College, Manipal University, Manipal,
Udupi district-576104, Karnataka, India.
Introduction: Atrial Fibrillation (AF) is largely present in patients with rheumatic valvular disease, leading to hospitalizations.
Aim: We aimed to study the restoration and maintenance of Sinus Rhythm (SR) in rheumatic patients with Mitral Stenosis (MS) and AF after Balloon Mitral Valvotomy (BMV) and evaluated the factors which affect the maintenance of SR.
Materials and Methods: A total of 50 patients who underwent BMV at U. N. Mehta Institute of Cardiology and Research Centre from 2010 November to 2013 January were included in the study. Subsequently, all patients were treated with amiodarone and electrical cardioversion was applied in patients in whom it was necessary. The patients were followed for six months for conversion and maintenance of SR.
Results: Total 34 (68%) patients reverted to SR. Twelve patients reverted to SR with amiodarone and 22 patients with electrical cardioversion and amiodarone. Out of the total, 29 patients and 26 patients remained in SR at the end of follow-up at 3 months and 6 months respectively.
Conclusion: Smaller Left Atrial (LA) size and greater Mitral Valve Area (MVA) are the chief predictors of restoration and maintenance of SR. Combining BMV with an aggressive anti-arrhythmic strategy offers the best prospect of rhythm control.
Amiodarone, Atrial fibrillation, Rheumatic heart disease
Ashwal A Jayaram, Anand N Shukla, Saurin Shah, Vidya Nayak, Sridevi Prabhu, Umesh Pai. SINUS RHYTHM IN RHEUMATIC MITRAL STENOSIS AFTER BALLOON MITRAL VALVOTOMY: IS IT FEASIBLE?. Journal of Clinical and Diagnostic Research [serial online] 2017 February [cited: 2017 Jan 17 ]; 11:OC01-OC05. Available from
Date of Submission: Feb 08, 2016
Date of Peer Review: Apr 21, 2016
Date of Acceptance: Apr 23, 2016
Date of Publishing: Feb 01, 2017
Financial OR OTHER COMPETING INTERESTS: None.
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