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INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH

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IJPR included in UGC-Approved List of Journals - Ref. No. is SL. No. 4812 & J. No. 63703

Published by : Advanced Scientific Research
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IJPR 9[3] July - September 2017 Special Issue

July - September 9[3] 2017

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Prevalence, causes and severity of mitral regurgitation in Iraqi patients

Author: EKHLAS HASSAN, AMMAR RASOUL MOHAMMAD, FALAH MAHDI DANANAH, RANA TALIB AL-NAFAKH, AHMED ABDUL JABBAR
Abstract: Mitral regurgitation (MR) is one of the most frequent valvular heart diseases faced in clinical practice and a common finding on echocardiography. Aim: is to evaluate MR in Iraqi patients, focusing attention on its prevalence, mechanism, etiology, severity, and associated valve conditions. Methods: a total of 653 patients were prospectively recruited, presented to Al Sader teaching hospital (Najaf –Iraq). All patients underwent a standard transthoracic echocardiogram. Results: MR was described in 283 patients 43.3 %. Prevalence in female was 30% while in male was 13.3% of total MR patients. Mechanism of MR was primary in 75.3% and secondary in 24.7%. Degeneration was the most common primary cause 51% followed by prolapsed 11.3%, then Barlow ?s disease 9.5% and annular calcification 1.8%, Infective endocarditic, systemic lopuscarditis, Rheumatic heart disease and congenital heart disease, each of them 0.35%. Most common secondary cause of MR was ischemic 16.3% followed by functional in 8.5% from total patients with MR. Trace MR was detected in 21.9%, in 63.6% mild, in 11.7% moderate and in 2.8% sever. 54.4% of patients with MR had concomitant valve disease of at least mild grade. Tricuspid regurgitation (TR) the most prevalent 50.5 % followed by pulmonary regurgitation (PR) 35.3%, aortic regurgitation (AR) 26.1%, aortic stenos is (AS) 0.4%), mitral stenos is (MS) 0.4% . Conclusion: MR is common in Iraqi population. The common mechanism is primary one. Degenerative cause is the most frequent etiology of primary MR, while ischemic is the most common etiology of secondary MR. Most patients had mild MR and significant MR diagnosed in 6% of allcases.
Keyword: mitral regurgitation; echocardiography
DOI: https://doi.org/10.31838/ijpr/2020.12.02.0166
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