000			03086cam a2200349 a 4500
003			EG-GiCUC
005			20250223031719.0
008			170502s2016 ua h f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.04.M.Sc.2016.Om.A
100	0		_aOmnia Azmy Nabeh Omar Elshiekh
245	1	0	_aAssessment of left ventricular systolic function in asymptomatic patients with primary chronic severe mitral regurgitation / _cOmnia Azmy Nabeh Omar Elshiekh ; Supervised Azza A. Moneim Farrag , Reda Hussein Diab , Sameh M. Helmy Elkaffas
246	1	5	_aتقييم الكفاءة الانقباضية للبُطين الأيسر لعضلة القلب لمرضى ارتجاع الصمام المترالى الأوَّلى المُزمِن من الدرجة الشديدة الغير مُصاحب بمظاهر مَرَضيَّة
260			_aCairo : _bOmnia Azmy Nabeh Omar Elshiekh , _c2016
300			_a96 P. : _bfacsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiology
520			_aIn patients with asymptomatic primary chronic severe mitral regurgiation (MR), the increased preload without an increase in afterload which may even decrease will result in a higher or near normal Ejection fraction (EF). However, left ventricular (LV) systolic dysfunction may be 2unmasked3 only after surgical correction despite the apparently normal preoperative EF. We assessed the different LV systolic function indices by transthoracic echocardiography (TTE) in these patients that might predict early LV systolic dysfunction. The study included 70 patients with asymptomatic primary chronic severe mitral regurgitation; 35 had rheumatic etiology and 35 patients diagnosed as mitral valve prolapse. In addition, 35 age and gender matched healthy subjects were studied and served as control group. All patients were in normal sinus rhythm. All the studied population underwent history taking, clinical examination and ECG. Detailed TTE was done to assess LV function (EF, LV mass, LV mass index(LVMI), LV systolic volume index (LVSVI), relative wall thickness (RWT), Tei index, Tei index by Tissue Doppler (TDI) and LV dP/dt). It has also measured the severity of MR by regurgitant fraction (RF), regurgitant volume (R Vol), regurgitant orifice area (ROA). There was significant difference between the diseased and the control groups regarding the LV systolic function parameters (p=0,001) but theses parameters weren't found to be significantly correlated with MR severity indices
530			_aIssued also as CD
653		4	_aAsymptomatic patients
653		4	_aLeft ventricular systolic function
653		4	_aPrimary chronic severe mitral regurgitation
700	0		_aAzza A. Moneim Farrag , _eSupervisor
700	0		_aReda Hussein Diab , _eSupervisor
700	0		_aSameh M. Helmy Elkaffas , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c60752 _d60752