Chronic occlusive rheumatic coronary vasculitis and myocardial dysfunction

Grismer, Jerome T.; Anderson, William R.; Weiss, Leo

doi:10.1016/0002-9149(67)90019-7

Cited by 27 publications

(2 citation statements)

References 25 publications

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“…Gross et al 5 detected coronary vasculitis in 33% of patients with rheumatic heart disease. Coronary rheumatic vasculitis predominantly affects the left ventricular myocardium, and the extent of involvement is variable 6. Symptoms of congestive heart failure, such as fatigue and dyspnoea, are common both in myocardial and valvular involvement, which can be masked by each other.…”

Section: Discussionmentioning

confidence: 99%

Rheumatic heart disease and coronary vasculitis in children

et al. 2006

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Section: Discussionmentioning

confidence: 99%

Rheumatic heart disease and coronary vasculitis in children

et al. 2006

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“…Perivascular fibrosis was also found. Chronic artcriolitis and perivascular fibrosis have been previously reported in rheumatic heart disease and have been postulated as a con tributory factor to myocardial failure [8][9][10][11][12], But there has been no study correlating the microvascular changes with the occurrence of LV dysfunction in RMVD [9. 12).…”

Section: Discussionmentioning

confidence: 99%

Intramyocardial Coronary Arterial Changes in Rheumatic Mitral Valve Disease

Subramanyan¹,

Cc²,

Balakrishnan³

1984

Cardiology

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A retrospective analysis of intramyocardial coronary arterial changes was done in excised papillary muscles obtained at surgery in 46 cases with rheumatic mitral valve disease (RMVD). The findings were correlated with left ventricular function. Vessel wall thickening with obliteration of the lumen was found in 15 patients (32.6%) while adventitial and peri vascular fibrosis was found in 12 cases (26 %). Patients with microarteriopathy had significantly higher left ventricular and diastolic pressure (p < 0.05), lower ejection fraction (p < 0.001), and lower cardiac index (p < 0.01), as compared to patients with no microarteriopathy. The incidence of left ventricular dysfunction and surgical mortality was higher in patients with microarteriopathy (80 and 47%, respectively) than in those with normal microvasculature (26 and 13 %, respectively). As a test for predicting left ventricular dysfunction and surgical mortality a positive biopsy was moderately sensitive (sensitivity 60 and 64%, respectively) and highly specific (specificity 88 and 77%, respectively). Successful outcome after mitral valve replacement was correctly predicted by a negative biopsy result in 87% cases. We conclude that in RMVD, microarteriopathy is associated with left ventricular dysfunction and poor postoperative prognosis.

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Nineteenth rheumatism review. Part‐III

1970

Arthritis & Rheumatism

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Chronic occlusive rheumatic coronary vasculitis and myocardial dysfunction

Cited by 27 publications

References 25 publications

Rheumatic heart disease and coronary vasculitis in children

Rheumatic heart disease and coronary vasculitis in children

Intramyocardial Coronary Arterial Changes in Rheumatic Mitral Valve Disease

Nineteenth rheumatism review. Part‐III

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