@article{Rauf_Asghar Khan_Ashraf_ullah_Khan_Hassan_Mahmood Gul_Hafizullah_2018, title={PERCUTANEOUS BALOON VALVOTOMY IN PATIENTS WITH MI- TRAL STENOSIS WITH FAVORABLE ECHOCARDIOGRAPHIC SCORE}, volume={32}, url={https://jpmi.org.pk/index.php/jpmi/article/view/2280}, abstractNote={<div class="page" title="Page 1"><div class="layoutArea"><div class="column"><p><span>Objective: </span><span>To determine the short term and three months’ echocardiographic </span><span>outcomes of percutaneous mitral balloon valvotomy (PMBV) in mitral stenosis </span><span>patients with low Wilkin’s score in a medical teaching institution. </span></p> <p><span>Methodology: </span><span>This descriptive study was carried out at the Department of Car- diology, Lady Reading Hospital, Peshawar. Patients of all ages and both genders, </span><span>with isolated mitral stenosis or with ≤ grade II mitral regurgitation, with Wilkin’s score ≤ 8 and giving an informed consent to the procedure, were included in </span><span>the study by non-probability consecutive sampling technique. Echocardiogra- phy was performed before, after and three months of the procedure (PMBV). </span></p> <p><span>Results: </span><span>Total number of patients were 141 and mostly were females (69%). </span><span>Mean age of patients was 22.69 ±7.93 years. Mean Wilkin’s score was 5.7 with a range of 2-8. We observe improvement in mitral valve area, pulmonary artery </span><span>pressures, mitral valve gradient and left atrial volume in 94.3%, 97.9%, 100% </span><span>and 97.9% of patients respectively. Worsening of mitral regurgitation occurred </span><span>in 6.32%. After three months of follow up, the improvement in mitral valve area (from 0.86 ± 0.07 to 1.86 ± 0.34) was quite significant with p value of <0.001. </span></p> <p><span>Conclusion: </span><span>Percutaneous mitral balloon valvotomy was a safe procedure in </span><span>patients with favorable Wilkin’s score in terms of improvement in mitral valve </span><span>area, left atrial volume, pulmonary artery pressure and improvement in mitral valve gradient. There were very less chances of worsening of mitral regurgita- tion. </span></p></div></div></div>}, number={2}, journal={Journal of Postgraduate Medical Institute}, author={Rauf, Muhammad Abdur and Asghar Khan, Muhammad and Ashraf, Ambar and ullah, Sami and Khan, Noman and Hassan, Mahmoodul and Mahmood Gul, Adnan and Hafizullah, Mohammad}, year={2018}, month={Jul.} }