İlhan GÖLBAŞI, Atalay METE, Ömer BAYEZİD, Ercan AKBULUT, Harun GÜLMEZ, Mehmet KABUKCU, Cengiz TÜRKAY

Mitral stenozunda kapak replasmanı öncesi ve sonrasında efor kapasitesinin treadmill egzersiz testi ile değerlendirilmesi

Mitral stenozunda düşük kalp debisi ve pulmoner konjesyon, egzersiz intoleransına neden olur. Cerrahi tedavi ile egzersiz kapasitesindeki düzelme miktarını değerlendiren az sayıda araştırma mevcuttur. Çalışmamızın amacı mitral kapak replasmanı sonrası egzersiz kapasitesindeki düzelmeyi daha objektif değerlendirmektir. Ocak 1993 - Mart 1998 arasında pulmoner hipertansiyon ve orta veya ileri derecede triküspit yetmezliği bulunan izole mitral stenozlu 28 hastaya mitral kapak replasmanı yapıldı. Kapak replasmanı ile egzersiz kapasitesinde oluşan değişiklikler prospektif olarak değerlendirildi. Mitral kapak replasmanı ile eksersiz süresi 3.71$pm$1.86/dak'dan, 6.76$pm$2.12/dak'ya (p

Evaluation of the exercise capacity with treadmill exercise testing before and after mitral valve replacement in mitral stenosis

Pulmonary congestion and low cardiac output cause exercise intolerance in patients with mitral stenosis. There is little information on degree of improvement in exercise capacity with surgical treatment. The purpose of the present study was to assess the degree of improvement in exercise capacty after mitral valve replacement. Between january 1993 and March 1998 mitral valve replacement was performed in 28 patients with mitral stenosis complicated with pulmonary hypertension and tricuspid regurgitation and the exercise capacity was evaluated prospectively. The average exercise time increased from 3.71$pm$1.86/min to 6.76$pm$2.12/min (p

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