P-mitrale: Causes & Reasons

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Possible Causes for p mitrale

Congestive Heart Failure

1 Structure of human G protein-coupled receptor kinase 2 in complex with the kinase inhibitor balanol. 54 61 20128603 2010 2 Effects of eythropoietin administration on mitral [malacards.org]

Lancellotti P, Gerard PL, Pierard LA. Long-term outcome of patients with heart failure and dynamic functional mitral regurgitation. [emedicine.com]

[…] regurgitation and left ventricular remodeling in heart failure patients. 61 54 Cosyns B...Lancellotti P 18760492 2010 3 Provider adherence to clinical guidelines related [malacards.org]

Cardiomyopathy

[…] markedly longer chordae tendineae (DCM-lowMR: 24 [20-26] mm; controls: 14 [13-16] mm; P 0.01) and larger anterior leaflets (DCM-lowMR: 30 [27-31] mm; controls: 22 [20-24] mm; P [ncbi.nlm.nih.gov]

각 군의 최고 심실조기수축의 평균수는 1군에서 시간당 23.3 12.7회, 2군에서 589.78 609.4회로 유의한 차이를 보였다(p value 0.05). 4. [ir.ymlib.yonsei.ac.kr]

Four DCM patients with moderate-severe MR had unbalanced remodeling, such as excessive LV dilatation, short anterior mitral leaflets, and short chordae tendineae.The development [ncbi.nlm.nih.gov]

Left Cardiac Ventricle Disorder

Aortic Regurgitation. 6. 9 m/s or mean P 20– 39 mm Hg The murmur of mitral regurgitation is a mid-frequency, rectangular murmur taking up all of systole. [v-secure.in]

Analysis of the relationships between clinical and biochemical parameters and left ventricular diastolic dysfunction Odds ratio 95.0% CI p value Age 1.120 1.027-1.221 0.010 [ekjm.org]

A pansystolic murmur of mitral regurgitation at the apex may occur in either HFrEF or HFpEF. [merckmanuals.com]

Hypertensive Heart Disease

Significance was defined as p RESULTS: HHD and HCM cohorts were age-/gender-matched. [ncbi.nlm.nih.gov]

Kruger R, Schutte R, Huisman HW, Hindersson P, Olsen MH, Eugen-Olsen J, Schutte AE. [portal.findresearcher.sdu.dk]

Magnitude and location of maximal EDWT, presence of late gadolinium enhancement (LGE), LV asymmetry ( 1.5-fold opposing segment) and systolic anterior motion of the mitral [ncbi.nlm.nih.gov]

Aortic Valve Disorder

Current prognosis of ischemic mitral regurgitation. Implications for future management. Circulation 1988,78(suppl I): I51-9. Kay GL, Kay JH, Zubiate P, et al. [heart.bmj.com]

Kidney Int 31:973 -980, 1987 Geibel A, Görnandt L, Kasper W, Bubenheimer P: Reproductibility of Doppler echocardiographic quantification of aortic and mitral valve stenoses [jasn.asnjournals.org]

Schon HR, Schroter G, Barthel P, et al. Quinapril therapy in patients with chronic mitral regurgitation. J Heart Valve Disease 1994;3:197–204. [ncbi.nlm.nih.gov]

Mitral Valve Disease

[…] results of preoperative and postoperative echocardiographic data showed significant decrease in pulmonary arterial systolic pressure (101.2 20.3 versus 48.1 14.3 mmHg, P [ncbi.nlm.nih.gov]

P 0.5), body surface area (2.0 0.2 versus 2.0 0.2 m(2); P 0.5), left ventricular and atrial dimensions (all P 0.55), and mitral regurgitation regurgitant orifice (P 0.62) [ncbi.nlm.nih.gov]

CONCLUSIONS: Mitral valve disease in children leads to abnormal airway and respiratory tissue mechanics. [ncbi.nlm.nih.gov]

Aortic Valve Stenosis

P., Rouf, R., Habashi, J. & Dietz, H. C. Mitral valve disease in Marfan syndrome and related disorders. J. Cardiovasc. Transl. Res. 4, 741–747 (2011). 134. Chang, S. [doi.org]

Flachskampf FA, Chandra S, Gaddipatti A, Levine RA, Weyman AE, Ameling W, Hanrath P, Thomas JD. [ahajournals.org]

Analysis of shape and motion of the mitral annulus in subjects with and without cardiomyopathy by echocardiographic 3-dimensional reconstruction.J Am Soc Echocardiogr. 2000 [ahajournals.org]

Mitral Valve Insufficiency

Electrocardiography[edit] P mitrale is broad, notched P waves in several or many leads with a prominent late negative comp[[mb b [[]]]]onent to the P wave in lead V1, and [en.wikipedia.org]

 Electrocardiography: P mitrale is broad, notched P waves in several or many leads with a prominent late negative component to the P wave in lead V1, and may be seen in [slideshare.net]

RESULTS: Cardiopulmonary bypass time and ischemia time were shorter in the MVP-group, p CONCLUSION: Mitral valve plasty for MR is efficient and associated with shorter CPB [ncbi.nlm.nih.gov]

Dilated Cardiomyopathy

\mathrm{d}t\) ⁠ ), and mitral regurgitation (MR) before and after biventricular pacing as well as when pacing was suspended for 4 weeks. [doi.org]

Major cardiac findings include cardiomegaly, quiet precordium, tachycardia, gallop rhythm (S 3 and/or S 4 ), accentuated P-2, and murmurs of mitral and tricuspid regurgitation [transplantbuddies.org]

Patent Ductus Arteriosus

[Skip to Content Landing] Figure 1. Literature Search and Study Selection Flow Diagram PDA indicates patent ductus arteriosus. Figure 2. Network Plots for Patent Ductus Arteriosus Closure and Need for Repeat Pharmacotherapy These 2 outcome measures for treatment of hemodynamically significant patent ductus[…] [doi.org]

Aortic Valve Insufficiency

[…] significant linear relationship between mitral tenting area and severity of mitral regurgitation (P 0.001). [doi.org]

Pinero A, Marcos-Alberca P, Fortes J. Cabergoline-related severe restrictive mitral regurgitation. N Engl J Med 2005 ;353: 1976 - 1977 7. [doi.org]

The relative risk for moderate or severe valve regurgitation in the pergolide group was 6.3 for mitral regurgitation (P 0.008), 4.2 for aortic regurgitation (P 0.01), and [doi.org]

Mitral Valve Stenosis

[…] of mitral valvular disease. [web.archive.org]

[…] see X-ray findings in pulmonary congestion) Lateral image Dorsal displacement of the esophagus (visible in barium swallow test) Signs of right ventricular hypertrophy ECG P [amboss.com]

notched P waves in several or many leads with a prominent late negative component to the P wave in lead V1, and may also be seen in mitral regurgitation, and, potentially [en.wikipedia.org]

Large Ventricular Septal Defect

Neither diagnosis of TBA or TGA/VSD nor any associated anatomical feature (including aortic arch obstruction, unusual coronary anatomy, great artery relationship, or mitral [ncbi.nlm.nih.gov]

[…] multivariate analysis, factors associated with mortality were the presence of preoperative IPPV for pneumonia (P .006) and the need for peritoneal dialysis following surgery (P [ncbi.nlm.nih.gov]

Giant Left Atrium

After mitral valve replacement, left atrium mean diameter was significantly decreased in Group A from 8.1 /- 1.3 mm to 6.2 /- 1.6 mm ( p 0.01). [ncbi.nlm.nih.gov]

The cardiothoracic ratio decreased from 74.8 /- 8.3% to 62.8 /- 9.0% (P 0.01) and the vital capacity of the lungs increased from 71.1 /- 18.0% to 82.9 /- 22.2% (P 0.01). [ncbi.nlm.nih.gov]

[…] with a giant left atrium than in those without (n 14, 69.9 /- 15.3 cm/sec and 30.5 /- 9.6 mm, respectively); in the latter, the IVC orifice dimension was significantly (p [ncbi.nlm.nih.gov]

Left Ventricular Hypertrophy

P mitrale – Left atrial enlargement ( P mitrale ) may develop because LVH affects the hemodynamics of the left atrium. Left axis deviation – is common in LVH. [ecgwaves.com]

In addition to the dramatic T waves, he also has P waves suggestive of “P mitrale”, or left atrial enlargement. [ecgguru.com]

[…] wave in lead II prominent terminal negative component to P wave in lead V1 (shown here) See also - mitral stenosis . [ecglibrary.com]

Left Ventricular Dilatation

- signs of pulmonary congestion. 2.ECG: - P mitral. - LV dilatation. 3.Echocardiography: - determine degree of regurge. - LV dimensions. - EF 25 Complications: LV failure [slideplayer.com]

(end-diastolic volume or 110 ml/m(2)) (p CONCLUSION: Symptoms and signs predict LV dilatation and/or dysfunction with fair sensitivity and excellent specificity. [ncbi.nlm.nih.gov]

Hecker SL, Zabalgoitia M, Ashline P, Oneschuk L, O'Rourke RA, Herrera CJ. Comparison of exercise and dobutamine stress echocardiography in assessing mitral stenosis. [revespcardiol.org]

Coarctation of the Aorta

Significant predictors identified from multivariate analysis were as follows: Z score for the ascending aorta diameter of -2 or less (P .001), Z score for the mitral valve [ncbi.nlm.nih.gov]

Mean mitral valve diameter z score was lower ( P z score was higher in fetuses with CoA than in those without CoA ( P 0.01). [ncbi.nlm.nih.gov]

Fetuses with CoA presented with a narrower, but not shorter, left ventricle when compared with controls (mitral valve diastolic diameter, 5.90 vs 8.50 mm; P 0.002; left [ncbi.nlm.nih.gov]

Papillary Muscle Dysfunction

Rossi A, Dini FL, Faggiano P, et al. Independent prognostic value of functional mitral regurgitation in patients with heart failure. [emedicine.medscape.com]

In the subgroup of 10 patients with old inferior myocardial infarction, mitral regurgitation was present only among those 6 with single rather than double blood supply (P [ncbi.nlm.nih.gov]

[…] without mitral regurgitation (1129 38 msec vs 1134 58 msec, p 0.93). [jcmr-online.biomedcentral.com]

Left Atrial Ball Valve Thrombus

Left atrial Abnormality of P wave with a divot(double bump mitral). [brainscape.com]

ECG Right ventricular hypertrophy: tall R waves in V1–V3 P mitrale or atrial fibrillation Chest X-ray Enlarged LA and appendage Signs of pulmonary venous congestion Echocardiogram [med.rimikri.com]

Conradie C, Schall R, Marx JD (1993) Echocardiographic study of left atrial thrombi in mitral stenosis. Clin Cardiol 16(10):729–731. Google Scholar 9. [link.springer.com]

Atrial Myxoma

C.: Mitral valve. In, "Cardiac Ultrasound" (EditorsGramiak and Waay). The C. V. Mosby and Company, Saint Louis 1975, p. 47. 7. Goldberg, H. P., Glenn, F., Dotter, C. [jpgmonline.com]

AU - Rama Rao, Anil P AU - Morales, Monty C. AU - Copeland, Jack G. [arizona.pure.elsevier.com]

In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. [mountsinai.org]

Pulmonary Arteriovenous Malformation

Pulmonary arteriovenous malformations are rare vascular anomalies. We report a 12-year-old girl who presented with exertional dyspnoea, cyanosis and clubbing since the age of five years, and multiple pulmonary arteriovenous malformations. Computed tomography pulmonary angiogram showed a large pulmonary[…] [ncbi.nlm.nih.gov]

Rheumatic Heart Disease

(30.4% vs. 19%, p 0.001). [ncbi.nlm.nih.gov]

Subgroup analysis by ethnicity showed no positive relationship in Asians as well (P 0.05). [ncbi.nlm.nih.gov]

S., Rajagopal P., Somaraju B. Surgical pathology of mitral valves--the Indian scene. [ncbi.nlm.nih.gov]

Left Ventricular Outflow Obstruction

The AML and PML heights and the mitral annulus diameter were measured by TEE using mid-esophageal four-chamber and long-axis planes. [ncbi.nlm.nih.gov]

LV outflow tract was significantly narrower and the angle between the ejection flow and the mitral valve was larger in provocable patients. [ncbi.nlm.nih.gov]

Mean mitral papillary muscles angle was greater in patients with non-obstructive HCM than in patients with obstructive HCM or control subjects (136 17 vs 123 16 [ P 0.007] [em-consulte.com]

Corrected Transposition of the Great Vessels

[…] plasty in one) vs. 94.1% in group II (P 0.05 vs. group I; aortic valve replacement in one). [ncbi.nlm.nih.gov]

The freedom from reoperation was 77.6% in group I (redo-Rastelli in five patients, subaortic stenosis resection in three, tricuspid valve replacement in one and mitral valve [ncbi.nlm.nih.gov]

Right Atrial Hypertrophy

This is called P mitrale, because mitral valve disease is a common cause (Figure 1). The duration of the P-wave will exceed 120 milliseconds in lead II. [ecgwaves.com]

In general, left atrial enlargement is used as a synonym for p mitrale, right atrial enlargement for p pulmonale, and biatrial enlargement for p biatriale. [link.springer.com]

Mitrale ECG Hocm EKG Atrial Hypertrophy EKG Right Atrial Enlargement Heart Murmur Possible Right Atrial Enlargement Atrial Enlargement EKG Finding Loading... [thepinsta.com]

Endocardial Fibroelastosis

He had P mitrale and ST changes on ECG (Fig. 4A), septal thickness of 22 mm (4B), LVEF 65%, biatrial enlargement (4C) and a grade III diastolic dysfunction (4D). [escardio.org]

Endocardial Fibroelastosis Monica P. Revelo, MD, PhD Gross specimen shows left ventricle with white opaque thickened endocardium and flat trabeculae. [basicmedicalkey.com]

[…] thick echogenic endocardium Moller JH, Lucas RV Jr, Adams P Jr et.al. [fetalultrasound.com]

Aortopulmonary Septal Defect

Aortopulmonary septal defect Specialty Cardiology Aortopulmonary septal defect is a rare congenital heart disorder accounting for only 0.1-0.3% of congenital heart defects worldwide. [1] It is characterized by a communication between the aortic and pulmonary arteries, with preservation of two normal semilunar[…] [en.wikipedia.org]

Coronary Arteriovenous Fistula

Coronary arteriovenous fistula is an uncommon clinical entity. The right coronary artery is the most common site of origin, and the fistula commonly drains into the right-sided cardiac chambers. Very rarely it can arise from the left main coronary artery, and fistulas draining into the superior vena cavity are[…] [ncbi.nlm.nih.gov]

Persistent Truncus Arteriosus

OBJECTIVE: This study aimed to report our experiences with surgical repair in patients of all ages with persistent truncus arteriosus. METHODS: From July 2004 to July 2014, 50 consecutive patients with persistent truncus arteriosus who underwent anatomical repair were included in the retrospective review. Median[…] [ncbi.nlm.nih.gov]

Rheumatic Valvulitis

P 1 (anterior), P 2 (middle), P 3 (posterior)―are the scallops (clefts or indendations) of PML (posterior mitral leaflet), A 1, A 2, A 3 ―are the corresponding segments of [scirp.org]

No patient developed mitral or aortic stenosis: this suggests that regular prophylaxis may prevent the development of stenosis. [circ.ahajournals.org]

Allen P. [educalingo.com]