The Importance of Lung Ultrasonography in the Assessment of Severity of Mitral Stenosis
Fuente:
Wiley Open Access
Salvato in:
| Autori principali: | , , , , |
|---|---|
| Natura: | Artículo Open Access |
| Pubblicazione: |
Wiley
2026
|
| Soggetti: | |
| Accesso online: | |
| Tags: |
Aggiungi Tag
Nessun Tag, puoi essere il primo ad aggiungerne!!
|
| _version_ | 1867002786156118016 |
|---|---|
| author | Nergiz Aydin Sefa Tatar Nazire Belgin Akilli Yunus Emre Yavuz Hakan Akilli |
| author_facet | Nergiz Aydin Sefa Tatar Nazire Belgin Akilli Yunus Emre Yavuz Hakan Akilli Nergiz Aydin Sefa Tatar Nazire Belgin Akilli Yunus Emre Yavuz Hakan Akilli |
| collection | Wiley Open Access |
| contents | The Importance of Lung Ultrasonography in the Assessment of Severity of Mitral Stenosis Nergiz Aydin Sefa Tatar Nazire Belgin Akilli Yunus Emre Yavuz Hakan Akilli Echocardiography ABSTRACT Background This study investigated the relationship between mitral stenosis (MS) severity and B‐line counts on lung ultrasonography (US) and their predictive value for PMBV requirement. Methods A total of 105 patients (70 MS, 35 controls) underwent transthoracic echocardiography (ECHO) and lung US using a 28‐point protocol. Patients performed an exercise test to 85% of their predicted heart rate, followed by repeat imaging. B‐line changes were analyzed by MS severity and symptoms. Results MS patients had significantly more B‐lines than controls ( p < 0.001). No significant difference was found between mild and moderate‐severe MS at baseline. In moderate‐severe MS, symptomatic patients had more B‐lines than asymptomatic patients, both at rest and post‐exercise ( p = 0.02 and p = 0.002, respectively). An increase >3 B‐lines in the left hemithorax after exercise predicted percutaneous mitral balloon valvuloplasty (PMBV) with 85.7% sensitivity and 66.2% specificity (AUC 0.69, p = 0.006). Conclusions Lung US assessment of B‐lines may assist in determining the optimal timing for intervention in MS, particularly in asymptomatic severe and symptomatic mild‐to‐moderate cases, where conventional ECHO findings may be inconclusive. 10.1111/echo.70360 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/echo.70360 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_echo_70360 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2026 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | The Importance of Lung Ultrasonography in the Assessment of Severity of Mitral Stenosis Nergiz Aydin Sefa Tatar Nazire Belgin Akilli Yunus Emre Yavuz Hakan Akilli Echocardiography The Importance of Lung Ultrasonography in the Assessment of Severity of Mitral Stenosis Nergiz Aydin Sefa Tatar Nazire Belgin Akilli Yunus Emre Yavuz Hakan Akilli Echocardiography ABSTRACT Background This study investigated the relationship between mitral stenosis (MS) severity and B‐line counts on lung ultrasonography (US) and their predictive value for PMBV requirement. Methods A total of 105 patients (70 MS, 35 controls) underwent transthoracic echocardiography (ECHO) and lung US using a 28‐point protocol. Patients performed an exercise test to 85% of their predicted heart rate, followed by repeat imaging. B‐line changes were analyzed by MS severity and symptoms. Results MS patients had significantly more B‐lines than controls ( p < 0.001). No significant difference was found between mild and moderate‐severe MS at baseline. In moderate‐severe MS, symptomatic patients had more B‐lines than asymptomatic patients, both at rest and post‐exercise ( p = 0.02 and p = 0.002, respectively). An increase >3 B‐lines in the left hemithorax after exercise predicted percutaneous mitral balloon valvuloplasty (PMBV) with 85.7% sensitivity and 66.2% specificity (AUC 0.69, p = 0.006). Conclusions Lung US assessment of B‐lines may assist in determining the optimal timing for intervention in MS, particularly in asymptomatic severe and symptomatic mild‐to‐moderate cases, where conventional ECHO findings may be inconclusive. 10.1111/echo.70360 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | The Importance of Lung Ultrasonography in the Assessment of Severity of Mitral Stenosis |
| topic | Echocardiography |
| url | https://onlinelibrary.wiley.com/doi/10.1111/echo.70360 |