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Chapter-45 PMV in Patients with Atrial Fibrillation

BOOK TITLE: Percutaneous Mitral Valvotomy

Author
1. M Krishnakumar
ISBN
9789352701926
DOI
10.5005/jp/books/14152_46
Edition
2/e
Publishing Year
2018
Pages
9
Author Affiliations
1. Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, Kerala, India, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST) Thiruvananthapuram, Kerala, India, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, India
Chapter keywords
Atrial fibrillation, AF, percutaneous mitral valvuloplasty, PMV, mitral stenosis, MS, normal sinus rhythm, NSR

Abstract

The development of atrial fibrillation (AF) is common sequelae in patients with long-standing mitral stenosis, and it is associated with hemodynamic and clinical decompensation. Leon et al. have pointed out that the presence of AF is associated with inferior immediate and long-term outcome after percutaneous mitral valvuloplasty (PMV). This chapter discusses the mechanism of AF, its effect on PMV and then the long-term outcome following PMV in patients with AF. AF can occur in clinically normal individuals and as a complication of virtually every known form of cardiac disease. It does, however, have a preferential tendency to develop in certain specific cardiac conditions, of which mitral valve disease is the most noteworthy.

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