Publications by authors named "R Ilia"
Introduction: There is no consensus regarding the natural history of rheumatic mitral stenosis (MS) among adults presenting with nonsevere disease. This study aims to describe the progression of stenosis among adult rheumatic MS patients, to identify predictive factors for progression, and to assess the incidence of complications.
Methods: A retrospective cohort analysis was performed among patients with rheumatic MS treated at a single center.
Article Synopsis
- The study investigates the occurrence of spasm in the left main coronary artery (LM) among patients with additional coronary issues who underwent bypass surgery and repeat angiography within five years.
- Out of 84 analyzed patients, 20% had a normal LM on repeat angiography, while 80% showed significant stenosis, with initial LM blockage being less severe in the normal cases.
- The only significant predictor for normal LM at follow-up was finding tubular stenosis during the first angiogram, highlighting the importance of considering coronary spasm to avoid unnecessary bypass surgery.