Mitral valve prolapse and cerebral ischemia: Nurse specialist experience in echocardiography

3^rd Euro Nursing & Medicare Summit

July 27-29, 2015 Valencia, Spain

S Vu�?ini�?�? and V Perovi�?�?

Institute of Cardiovascular Disease â�?�?Dedinjeâ�?, Serbia

Posters-Accepted Abstracts: J Nurs Care

Abstract :

Background: Mitral valve prolapse (MVP), with 2% general population prevalence (more frequent in younger women) is bening condition. Although rare, this patients can experience serious complications, such as sudden cardiac death (0.5 - 2%) and stroke (0.6%). Aim: The aim of this study was to identify the prognostic value of a group of risk factors that were obtained by combining non-invasive methods (echocardiography and holter-ECG) in assessment of risk for stroke (embolic/ischemic) in subjects with non complicated MVR. Methods: There were 158 subjects examined in the period 2012, in ultrasound lab. They were divided into two groups. In the first group there were 40 subjects aged 20-45 (36% male, 64% female) with clearly identified MVP without complications. In the second group there were 87 subjects aged 37-50 (22% male, 78% female) with clearly identified MVP without complications who suffered stroke in observed period. The following statistical tests were used: t-test, variance analysis, chi square test, binary logistic regression and descriptive statistics. In all the tests applied the level of significance was set at 5%. Results: We determined by using statistical methods that a group of risk factors: anterior mitral leaflet thickness-AMLt (7.15�?±1.2 mm; p<0.05; HR 5.7), interatrial septel aneurysm (p<0.05; HP 9.6), paroxysmal atrial fibrillation (p<0.05; HR 8.7), left atrium systolic volume-LAVs (42.6�?±10.7, p<0.05; HR 3.8) and asystolic pause (3.5�?±1s; p<0.05, HR 5.2) defined by a combination of non-invasive methods can predict stroke onset with a 87% sensitivity, in patients with MNP. Conclusion: This study confirmed that by combining non-invasive methods we can create a group of risk factors with a 87% prognostic sensitivity for onset of stroke, extremely rare (1/6000 patients per year) complication. Our results can help in identification of high risk group of patients with MVP and possibility for onset of this dangerous thromboembolic life threatening complication, and to give opportunity for prevention.

Biography :

Email: sanjakosticvucinic@gmail.com