OBJECTIVES: The present study was performed to determine the outcome of emergent balloon mitral valvotomy ( @entity1899 ) in @entity1 with @entity1167 , @entity3126 or @entity1455 . BACKGROUND: In India, many @entity1 with @entity4794 present in critical condition. They have high mortality despite surgical relief. The role of @entity1899 in such @entity1 is ill-defined. METHODS: Of 558 @entity1 undergoing @entity1899 between January 1993 and December 1994, 40 presented with @entity1455 , @entity1167 or @entity3126 refractory to medical treatment and underwent emergent @entity1899 (group I). Elective @entity1899 was performed in the remaining 518 @entity1 (group II). RESULTS: Age ([mean +/- SD] 40 +/- 13 vs. 31 +/- 9 years, p < 0.05), incidence of @entity955 (35% vs. 11%, p < 0.05), pulmonary artery systolic pressure (PAsP) (64 +/- 14 vs. 51 +/- 12 mm Hg, p < 0.001) and mitral valve (MV) score (7.4 +/- 1.2 vs. 6.4 +/- 1, p < 0.001) were higher and MV area lower (0.74 +/- 0.17 vs. 0.86 +/- 0.14 cm2, p < 0.001) in group I @entity1 . After emergent @entity1899 in group I, @entity339 occurred in 15%, and the mortality rate was 35%. Stepwise logistic regression analysis identified MV score > or =8 (p = 0.008), @entity69709 > or =65 mm Hg (p = 0.023) and cardiac output < or =3.151 liters/min (p = 0.001) as significant predictors of a fatal outcome. Follow-up of 1 to 16 months (median 8) was available in 20 of 26 survivors in group I, of whom 15 were asymptomatic. The gain in MV area and the decrease in transmitral gradient and PAsP obtained immediately after @entity1899 persisted during the follow-up period. CONCLUSIONS: Emergent @entity1899 is feasible in critically ill @entity1 . In-hospital survivors have excellent clinical and hemodynamic status at intermediate follow-up.

Emergent balloon mitral valvotomy in @entity1 presenting with XXXX , @entity1455 or refractory @entity3126 .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1899 :: ('12302', 'Species') :: ['BMV'] @entity339 :: ('MESH:D008944', 'Disease') :: ['mitral regurgitation'] @entity3126 :: ('MESH:D011654', 'Disease') :: ['pulmonary edema'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial fibrillation'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity4794 :: ('MESH:D008946', 'Disease') :: ['mitral stenosis'] @entity1455 :: ('MESH:D012770', 'Disease') :: ['cardiogenic shock'] @entity69709 :: ('MESH:C028136', 'Chemical') :: ['PAsP']
@entity1167 :: (MESH:D006323,Disease) :: ['cardiac arrest']
