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Echographic-quantified severity of mitral anulus calcification: prognostic correlation to related hemodynamic, valvular, rhythm, and conduction abnormalities.
American Heart Journal 1982 Februrary
Clinical and echocardiographic findings in 123 patients with mitral anulus calcification (MAC) were analyzed. In all patients M-mode echocardiography demonstrated a dense band of echoes posterior to the mitral valve, moving parallel and anterior to the left ventricular endocardium. Thirty-three per cent of patients were classified as having minimal to mild MAC (< 5 mm) and 67% had moderate to severe MAC (greater than or equal to 5 mm). There was a significant correlation between the degree of MAC to left atrial enlargement, congestive heart failure, aortic valve sclerosis, mitral regurgitation, atrial fibrillation, and AV-fascicular conduction defects. ECG evidence of conduction disturbances was significantly associated with MAC greater than or equal to t mm in width. The echocardiographic demonstration of MAC greater than or equal to 5 mm was significantly associated with the clinical implications known to occur with MAC; this echographic finding has important prognostic value in the evaluation of patients with mitral anulus calcification.
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