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Update-- SD-208 May Play A Leading Role In Almost Any Website Administration

1?and?13 Malholtra et al.14 found in their histo-morphological study of cases of rheumatic heart disease that intra myocardial branches of myocardial vessels were also involved in a form of active rheumatic vasculitis characterized by medial hypertrophy and replacement fibrosis and they speculated that these changes might affect myocardial function. Mittal and Goozar15 found significantly impaired RV systolic function in 22 cases of isolated rheumatic MS and did not find any relationship between parameters of RV systolic function and PASP and the authors attributed the impairment of RV systolic function to myocardial involvement of the rheumatic process. RV systolic dysfunction has also been reported in all cases of rheumatic MS regardless of pulmonary artery pressure16 and long term Carnitine dehydrogenase follow up of cases with MS, revealed evidence for progressive right heart disease independent of MS severity.9 Inci et al.17 evaluated RV systolic function before, immediately after, and at 3?months and 1?year after percutaneous balloon mitral valvuloplasty (PBMV) by conventional and TDI imaging methods and observed no improvement in the RV systolic function despite the improved hemodynamic status and attributed their findings to irreversible myocardial damage due to rheumatic pathology or long-lasting hemodynamic burden. Our results were in agreement with those of Yildirimturk et check details al.1 who found SD-208 mw significantly lower mean RV-GLS (?21.6?��?5.4 vs. ?25.4?��?5.0, P?=?0.049) and RV-GLSr (?1.21?��?0.68 vs. ?1.64?��?0.24, P?=?0.038) in patients with moderate-severe MS compared to control subjects, correlation analysis revealed significant inverse correlation between RV-GLS and mean transmitral gradient (r?=??0.358, P?=?0.027) and PASP (r?=??0.586, P?<?0.001) and significant inverse correlation between RV-GLS and PASP (r?=??0.450, P?=?0.005) in patients with MS. Additionally, Castro et al. 18 found significantly lower mean RV 2D global longitudinal strain in patients with severe MS compared to healthy subjects (?17.5?��?3.9% vs. ?21.8?��?3.4%; p?=?0.007) and an inverse correlation between RV-GLS and PASP in patients with MS. A recently published study by Kumar et al. 19 found significantly lower RV-GLS in patients with severe MS compared to control subjects (?14.67?��?3.95 vs. 9.07?��?4.70; p?<?0.02) and an inverse correlation between RV-GLS and PASP (r?=?0.416, p?=?0.02). Significantly lower RV strain and strain rate were also recorded in less severe forms of MS, Tanboga et al.20 evaluated 59 patients with mild-moderate MS and found significantly lower RV-GLS (?23.5?��?7.2 vs. ?18.63?��?6.3, P?=?0.001) and RV-GLSr (?1.72?��?0.54 vs. ?1.37?��?0.66, P?=?0.01) in patients with MS compared to control group and moderate correlation between RV-GLS, and RV-GLSr with MVA, TAPSE, RVESD, and PASP. Another study by Ozdemir et al.</div>
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