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- Title
WILKIN'S SCORE; PREDICTIVE VALUE OF WILKIN'S SCORE IN DETERMINING THE PROCEDURAL SUCCESS OF PERCUTANEOUS TRANSVENOUS MITRAL COMMISSUROTOMY.
- Authors
Mughal, Sobia; Hanif, Muhammad Imran; Riaz, Areeba; Hanif, Asif
- Abstract
Objectives: To assess the predictive value of Wilkin's score in determining the procedural success of Percutaneous Transvenous Mitral Commissurotomy. Study Design: Cross sectional study. Setting: Catheterization Laboratory of Gulab Devi Chest Hospital, Lahore. Period: April 2016 to March 2017. Methods: All patients with valve area <1.5cm2, pliable or border line pliable valve were included in study. Patients who had LA thrombus, severe mitral regurgitation, severe valvular calcification were excluded from study. Patients were evaluated clinically and echocardiographically 24 hours before and after procedure. Valve morphology was assessed using 2D echocardiography. Wilkins' score's sensitivity and specificity and predictive accuracy at score >8 was also assessed. Mean was used to express quantitative data while qualitative data was presented using frequency tables. One-sample kolomogorov smirnov test was applied to see normality of data. Paired sample t-test was applied for normally distributed while Wilcoxon test for non-normally distributed data. Results: There were 26(23.6%) male and 84(76.4%) female with mean age 32.30±11.40 years. Successful results of PTMC with MVA ≥1.5 were obtained in 97 (88.2%) while it remained unsuccessful in 13 (11.8%) patients. Successful results with Wilkins score <8 were obtained in 22(95.6%) and unsuccessful in 1(4.3%) patient. While with Wilkin score ≥8, it remained successful in 75(86.2%) and unsuccessful in 12(13.7%) patients. Sensitivity and specificity of Wilkins score for the success of PTMC was 22.68% and 92.31% respectively. Conclusion: The success of PTMC depends upon valve morphology. Wilkins score is the best determinant to predict the likelihood of success or failure of procedure and therefore should be used to select suitable patients prior to PTMC.
- Subjects
SPLIT brain; MITRAL valve insufficiency; CROSS-sectional method
- Publication
Professional Medical Journal, 2018, Vol 25, Issue 9, p1432
- ISSN
1024-8919
- Publication type
Article
- DOI
10.29309/TPMJ/18.4403