Transesophageal Echocardiograph Findings in Patients with Cardiovascular Disorders at Al-Thawrah General Hospital , Sana ’ a , Yemen

Content Provider	Semantic Scholar
Author	Al-Jaber, Nouradden Al-Hakeem, Manal Manae Al-Arashi Sharaf, A. Al-Safadi, Essam
Copyright Year	2016
Abstract	Objectives: To determine the frequency distribution of different cardiovascular disorders and to describe their associated morphological abnormalities by transesophageal echocardiography among patients referred to the Transesophageal Echocardiography Laboratory of Al-Thawrah General Hospital, Sana’a, in the period 2009– 2011. Methods: This was a retrospective descriptive study of 856 patients with suspected cardiovascular disorders and referred for transesophageal echocardiography over a two-year period. Data about patients’ sex, their referral site and transesophageal echocardiography findings were collected and analyzed according to the type of cardiovascular disorders, valvular affections and lesions, complications and recommended treatments. Results: Of the 856 patients, 63.4% were females and 36.6% were males. The majority of patients diagnosed by transesophageal echocardiography (82.4%) were referred from outpatient departments. Rheumatic heart disease was the most frequent cardiovascular disorder (87.1%), followed by tricuspid valve lesions (62.8%), of which 54% (329/606) were tricuspid regurgitation and 62.6% (114/182) were aortic valve regurgitation. Regarding the type of valvular lesions detected, mitral valve disease was the most frequent, being found in 69.2% (214/309) of patients. Regarding the severity of valvular lesions, 73.1% (19/26) of mitral valve stenosis cases were severe while 83.3% (35/62) of aortic stenosis cases were mild. Moderate pulmonary hypertension was seen mostly secondary to rheumatic heart disease. The majority of cardiovascular disorder patients (33.6%; 284/844) were recommended for balloon mitral valvotomy. Mitral valve surgery was the most frequently performed surgical intervention for affected valves of patients with cardiovascular disorders; being used for the treatment of 31.4% (80/255) of valvular lesions. Conclusions: Transesophageal echocardiography revealed that rheumatic heart disease is the most frequent cardiovascular disorder among Yemeni patients and poses a major health problem. In addition, a high proportion of patients with cardiovascular disorders have valvular lesions of the mild degree that require surgical intervention.
File Format	PDF HTM / HTML
Alternate Webpage(s)	https://www.ust.edu/ojs/index.php/yjmp/article/download/524/877
Language	English
Access Restriction	Open
Subject Keyword	2D Doppler Echocardiography Aortic Valve Insufficiency Aortic Valve Stenosis Cardiovascular Diseases Congenital Abnormality Convergence Insufficiency Description Diseases of mitral valve ECHOCARDIOGRAPH Echocardiography, Transesophageal Heart Diseases Heart valve disease Hypertensive disease Mitral Valve Prolapse Syndrome Mitral Valve Stenosis Patients Prospective search Pulmonary Hypertension Randomized algorithm Regurgitation Rheumatic Heart Disease Sensor Tee (command) Tricuspid Valve Insufficiency Tricuspid valve structure interest mitral commissurotomy
Content Type	Text
Resource Type	Article