Echocardiographic and clinical spectrum of mitral anular calcification

Gábor, G; Mohr, Brian; Goel, Prem C.; Cohen, Baruch

doi:10.1016/0002-9149(76)90795-5

Cited by 41 publications

(9 citation statements)

References 5 publications

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“…Many studies exist on the M-mode and two-dimensional echocardiographic findings of mitral annular calcification [4][5][6][7][8][9] , and the M-mode echocardiographic severity of mitral annular calcification has an important prognostic value related to haemodynamic, valvular, rhythmic and conduction abnormalities [10] . However, in patients with mitral annular calcification, there have been few studies evaluating the mitral inflow dynamics [11] , and no studies evaluating mitral annular motion.…”

Section: Introductionmentioning

confidence: 99%

Mitral Inflow and Mitral Annular Motion Velocities in Patients with Mitral Annular Calcification: Evaluation by Pulsed Doppler Echocardiography and Pulsed Doppler Tissue Imaging

Soeki

Fukuda²,

Shinohara³

et al. 2002

European Journal of Echocardiography

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Section: Introductionmentioning

confidence: 99%

Mitral Inflow and Mitral Annular Motion Velocities in Patients with Mitral Annular Calcification: Evaluation by Pulsed Doppler Echocardiography and Pulsed Doppler Tissue Imaging

Soeki

Fukuda²,

Shinohara³

et al. 2002

European Journal of Echocardiography

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“…In 1976 Gabor et al [3] showed that echocardiography was a reliable means of diagnosing mitral annular calcification, and since that time this observation has been unequivocally confirmed by others. But the entity of mitral annular calcification was well known prior to the advent of echocardiography.…”

Section: Discussionmentioning

confidence: 87%

Murmurs Associated with Mitral Annular Calcification and Aortic Sclerosis

Miller¹,

Grais²,

Abrams³

et al. 1999

Gerontology

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Background: Auscultation of patients with mitral annular calcification on echocardiography revealed a particular constellation of findings. Objective: To test the hypothesis that a particular auscultatory constellation provides a high degree of certainty in diagnosing the combination of mitral annular calcification and aortic sclerosis so often found in the elderly. Methods: Two groups of patients were studied to evaluate the particular auscultatory constellation under consideration which consisted of: (1) a harsh ejection systolic murmur heard from the 2nd right interspace to the cardiac apex and usually loudest between the 3rd left interspace and the apex; (2) the murmur radiates from the apex towards the left axilla and radiates poorly or not at all from the 2nd right interspace to the neck, and (3) the 2nd heart sound at the cardiac base is normal in intensity, and no ejection clicks are present. Group 1 consisted of patients with mitral annular calcification on echocardiographic examination, and group 2 consisted of patients in whom the particular constellation of auscultatory findings was present and who were then referred for echocardiographic assessment. Results: The particular auscultatory constellation under investigation allowed the diagnosis of the presence of the combination of mitral annular calcification and aortic sclerosis with substantial accuracy. Conclusion: The findings in this exploratory study suggest that the pathologic combination of mitral annular calcification and aortic sclerosis can be diagnosed with a reasonably high degree of certainty in elderly patients, if the particular auscultatory configuration is identified.

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“…'0 An M-mode echocardiogram was performed on each patient and mitral annular calcification was diagnosed when previously described features were present. ", 12 We used the electrocardiographic criteria of Romhilt and Estes'3 to diagnose left ventricular hypertrophy.…”

Section: Methodsmentioning

confidence: 99%

Functional mitral stenosis in patients with massive mitral annular calcification.

Osterberger

Goldstein

Khaja³

et al. 1981

Circulation

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SUMMARY Mitral insufficiency with mitral annular calcification occurring predominantly in elderly females has been described. We studied six patients with mitral diastolic obstruction associated with mitral annular calcification without stenosis of the mitral leaflets. Three were males and three were females, ages 43 In this report, we present six patients with severe mitral annular calcification in whom a large pressure difference was recorded across the mitral valve at the time of cardiac catheterization. We propose that in these patients, the mitral annular calcification itself causes the observed pressure difference. Material and MethodsThe six subjects of this study were selected from patients who underwent right-and left-heart catheterization (Judkins or Sones technique) for evaluation of valvular disease. All six patients had fluoroscopic and radiographic evidence of severe mitral annular calcification.Complete hemodynamic measurements were obtained in each patient. Pressure differences across the mitral valve were determined by simultaneous pressure recordings using fluid-filled catheter systems from the pulmonary wedge position (Swan-Ganz catheter) and left ventricle ( fig. 1). Great care was

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Echocardiographic and clinical spectrum of mitral anular calcification

Cited by 41 publications

References 5 publications

Mitral Inflow and Mitral Annular Motion Velocities in Patients with Mitral Annular Calcification: Evaluation by Pulsed Doppler Echocardiography and Pulsed Doppler Tissue Imaging

Mitral Inflow and Mitral Annular Motion Velocities in Patients with Mitral Annular Calcification: Evaluation by Pulsed Doppler Echocardiography and Pulsed Doppler Tissue Imaging

Murmurs Associated with Mitral Annular Calcification and Aortic Sclerosis

Functional mitral stenosis in patients with massive mitral annular calcification.

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