dc.description.abstract | Introduction: Mitral stenosis and mitral regurgitation, are common throughout the
world. Peak Left Atrial Strain (PALS) is a parameter for assessing left atrial
deformation in the evaluation of atrial function and a predictor of long-term outcome
of various heart diseases. In this study, we assessed the relationship between PALS
and the severity of mitral stenosis and mitral regurgitation
Objective : To determine the relationship between PALS and the severity of mitral
valve heart disease
Method: This study is an analytic study with a cross-sectional design on 119
subjects with mitral stenosis and 103 mitral regurgitation who met the inclusion
criteria at H. Adam Malik General Hospital. PALS measurements were taken. Data
were analyzed univariate, bivariat, correlate to assess the relationship between
PALS and the severity of mitral valve disease
Result: 119 patients with severe mitral stenosis. In mitral stenosis, the mean PALS
is 8.2 (4.9-22.8)%. PALS was significantly higher in patients with sinus rhythm than
in the group with AF (10.29 ± 3.89 vs 8.63 ± 7.8%; P = 0.002). PALS had a
significant correlation with MVA, pressure gradient, and PHT (r = 0.676, P =
<0.001; r=-0.594, P= 0.001 and r=-0.594, P= 0.001). Whereas in mitral
regurgitation, it has an average PALS of 15.2 (7.8-19.2)%. PALS was also
significantly higher in patients with sinus rhythm than in the group with AF (16.36 ±
2.43 vs 11.64 ± 2.89%, P = 0.001). PALS has a correlation with VC, PISA, EROA
and RVol (r = -0.533, P=0.001; r=-0.618; r=-0.563, P=0.001; r= -0.528, P=0.001).
Conclusion: PALS has a significant correlation with the assessment of the severity
of mitral stenosis and mitral regurgitation. | en_US |