Bolesti mitralne valvule kod djece i odraslih
Mitral Valve Diseases in Children and Adults
Contributor(s): Senka Mesihović-Dinarević (Editor)
Subject(s): Health and medicine and law
Published by: Akademija Nauka i Umjetnosti Bosne i Hercegovine
Keywords: mitral valve disease; pathology; Transcatheter mitral valve interventions; echocardiography; mitral regurgitation; mitral stenosis;
Summary/Abstract: The Committee for Cardiovascular Pathology of the Department of Medical Sciences of the Academy of Sciences and Arts of Bosnia and Herzegovina organized on the 29th of September, 2016 the International scientific symposium “Mitral valve diseases in children and adults”. The Committee has been included in world’s scientific assembly on celebrating World Heart Day as a part of World Heart Federation. Over past nine years, the Committee has organized the following Symposiums which resulted with the following publications of the Academy of Sciences and Arts of Bosnia and Herzegovina: 1. Symposium: “I work with heart”, ANUBiH, 2010. 2. International Symposium “Pulmonary Artery Hypertension”, ANUBiH, 2011, Book no: CXXXIX/39. 3. Symposium: “The Risk Factors for Development of Cardiovascular Diseases”, ANUBiH, 2011, Book no: CXLI/40. 4. Symposium: “Congenital Heart Defects”, ANUBiH, 2012, Book no: CL/42. 5. International Symposium: “Perspectives in Paediatric Cardiology” (Dubrovnik), ANUBiH, 2012, Book no: CLI/43. 6. Symposium: “Rhythm disturbances in children and adults”, ANUBiH, 2013. 7. International Symposium: “Acquired Heart Diseases”, ANUBiH, 2014, Book no: CLVIII/45. 8. International Scientific Symposium: “Fetal medicine: from Leonardo da Vinci up Today”, ANUBiH, 2015, Book no: CLIX/46.
Series: Posebna izdanja ANUBiH
- E-ISBN-13: 978-9926-410-16-2
- Page Count: 56
- Publication Year: 2017
- Language: English
MITRAL VALVE DISEASE IN CHILDREN AND ADULTS
MITRAL VALVE DISEASE IN CHILDREN AND ADULTS
(MITRAL VALVE DISEASE IN CHILDREN AND ADULTS)
- Author(s):Senka Mesihović-Dinarević
- Contributor(s):Adnan Arnautlija (Translator)
- Language:English
- Subject(s):Health and medicine and law
- Page Range:9-16
- No. of Pages:8
- Keywords:mitral; valve; disease;
- Summary/Abstract:Mitral valve / MV / is a functional complex that is based on the normal morphology, geometrical relations and function of all constituents. Its role is triple: 1. regulate blood flow to the LV during diastole with low pressure gradient, preventing the recurrence of systolic blood flow in LA, 2. contribute to the formation of LV outflow tract in systole and 3. its integrity is essential for maintenance of a normal size and geometry function of LV. The disease of heart valves, mitral and aortic caused by degenerative changes, is quite common in adults. In a young person, the more common causes are: inflammatory diseases, cardiomyopathy and ischemic heart disease. Using color Doppler echocardiography, the morphological valve changes and damage to its function can be diagnosed. The goal of treatment is: to reduce or eliminate symptoms of disease, to avoid damage to LV function or right ventricle, improving the quality of patient’s life, prevention of complications and mortality reduction. Treatment options for valvular heart disease are: medical therapy, balloon valvuloplasty and surgical therapy: valve replacement or valve reconstruction. In children there are predominantly acquired valvular heart diseases of rheumatic etiology. Mitral stenosis is rare, more common is mitral regurgitation /MR/. Treatment of MR involves: SBE prophylaxis, afterload reducing agents, diuretics and digoxin. Surgical correction prefers reconstruction over MV replacement. Asymptomatic patients with MV prolapse do not require treatment, and symptomatic patients need beta blocker agents. Reconstructive surgery or MV replacement is indicated in rare patients with severe MR.
MITRAL VALVE PATHOLOGY: CHALLENGES AND SOLUTIONS – A SHORT OVERVIEW
MITRAL VALVE PATHOLOGY: CHALLENGES AND SOLUTIONS – A SHORT OVERVIEW
(MITRAL VALVE PATHOLOGY: CHALLENGES AND SOLUTIONS – A SHORT OVERVIEW)
- Author(s):Manferd Marx, Daniel Zimpfer
- Contributor(s):Adnan Arnautlija (Translator)
- Language:English
- Subject(s):Health and medicine and law
- Page Range:17-25
- No. of Pages:9
- Keywords:mitral valve; pathology; challenges;
- Summary/Abstract:Mitral valve prolapse (MVP) is the most common valve disease (prevalence of 2 to 3%). Although MVP is generally regarded as a benign condition, complications such as mitral regurgitation, atrial fibrillation, congestive heart failure, endocarditis and stroke are well known. MVP is a significant cause of SCD where CE-CMR (contrast-enhanced MRI) might allow the identification of this arrhythmic substrate. Transcatheter mitral valve interventions are progressively being introduced into clinical practice targeting a population of patients with mitral regurgitation (MR). Beyond percutaneous edge to edge repair (MitraClip®), a percutaneous surgical-like direct annuloplasty device but also transcatheter chordal replacement and indirect annuloplasty (using coronary sinus devices, radiofrequency-mediated annular remodeling and cinching devices) are in various stages of development. Meanwhile, we do have personal experience using Melody valves as MV replacement using the hybrid approach. Rheumatic fever continues to be the commonest cause of acquired heart disease in the children and adolescent population of most developing countries. Until the early 1980s, the only option for patients with mitral stenosis (MS) uncontrollable by medical therapy was surgery. After several technical modifications balloon mitral valvotomy is a standard therapeutic modality for managing rheumatic mitral stenosis. Patients with sinus rhythm, less gross valve deformity, and a post-balloon mitral valvotomy area >1.75 cm2 will have better intermediate outcomes. Detailed knowledge of MV pathology will lead to perfect solutions for each individual patient.
ECHOCARDIOGRAPHY OF THE MITRAL VALVE
ECHOCARDIOGRAPHY OF THE MITRAL VALVE
(ECHOCARDIOGRAPHY OF THE MITRAL VALVE)
- Author(s):Katja Prokšelj
- Contributor(s):Adnan Arnautlija (Translator)
- Language:English
- Subject(s):Health and medicine and law
- Page Range:26-41
- No. of Pages:16
- Keywords:echocardiography; mitral valve; mitral regurgitation; mitral stenosis;
- Summary/Abstract:The mitral valve is a complex anatomical and functional structure, composed of the mitral leaflets, mitral annulus, chordae tendineae, papillary muscles and adjacent myocardium. Normal function of all parts of the mitral valve apparatus is essential for normal function of the mitral valve. Different conditions and diseases can cause mitral valve dysfunction, namely mitral regurgitation and mitral stenosis. Echocardiography is a key diagnostic procedure to evaluate the mitral valve. Transthoracic echocardiography is a basic investigation in assessing the mitral valve. When detailed evaluation of the mitral valve is required, transesophageal echocardiography is indicated with the advantage of better resolution and additional views. Two-dimensional echocardiography is useful in the evaluation of mitral valve morphology, heart size and function. Three-dimensional echocardiography is especially useful before surgical procedures, since it gives a better view of the complex mitral valve structure in a “surgeon’s view”. To detect possible mitral valve dysfunction, colour-Doppler echocardiography is used. To properly evaluate the degree of mitral valve regurgitation and stenosis, pulse and continuous-wave Doppler echocardiography is mandatory. Mitral valve evaluation requires a thorough echocardiographic investigation with different echocardiographic modalities and with the use of novel echocardiographic methods, such as three-dimensional echocardiography.
AN OVERVIEW OF THE TRENDS OF CARDIOVASCULAR DISEASES IN BIH
AN OVERVIEW OF THE TRENDS OF CARDIOVASCULAR DISEASES IN BIH
(AN OVERVIEW OF THE TRENDS OF CARDIOVASCULAR DISEASES IN BIH)
- Author(s):Aida Ramić-Čatak
- Language:English
- Subject(s):Health and medicine and law
- Page Range:42-48
- No. of Pages:7
- Keywords:cardiovascular diseases; risk factors; Bosnia and Herzegovina;
- Summary/Abstract:Aim: The aim of this paper is to assess the available data sources on the trends of cardiovascular diseases (CVDs) and related risk factors in Bosnia and Herzegovina (BiH), in comparison with data from some of the neighbouring countries and the European Region average of the World Health Organization (WHO). Background: Mortality and morbidity from cardiovascular diseases in BiH are influenced by interaction of different socio-economic factors, metabolic and behavioural risk factors. Methods: Analysis of trends of CVDs mortality in BiH in the 2005-2014 period, with use of available data from the Agency for Statistics of BiH, entity Institutes for Public Health and the results of the population surveys conducted and analysed for BiH. Comparison of CVD mortality trends and risk factor exposure in BiH with the recent data for CVD trends in neighbouring countries and WHO average for the European Region. Results: The analysis showed that more than half of the population in BiH is dying from CVDs, while hypertension, overweight/obesity, lack of physical activity, alcohol and tobacco consumption contribute as main risk factors. CVD mortality and risk factor exposure are above the average of neighbouring countries and the WHO average for the European region. Conclusion: Emerging trends in morbidity and mortality from cardiovascular diseases are one of the major public health challenges in BiH. Preventive oriented health services, mainly at primary health care, should be supported by health promotion interventions directed towards whole population and groups under risk.
CIRCULATORY SYSTEM DISEASES IN SARAJEVO CANTON
CIRCULATORY SYSTEM DISEASES IN SARAJEVO CANTON
(CIRCULATORY SYSTEM DISEASES IN SARAJEVO CANTON)
- Author(s):Sabaha Dračić, Emira Tanović-Mikulec, Seniha Čelik
- Language:English
- Subject(s):Health and medicine and law
- Page Range:49-55
- No. of Pages:7
- Keywords:noncommunicable diseases; diseases of the circulatory system; the leading disease; the leading cause of death;
- Summary/Abstract:Noncommunicable diseases, including diseases of the circulatory system, are very widespread in the population and represent a mass phenomenon in which the etiologic factors are not biological or infectious factors, they have a lengthy course and usually last a lifetime, causing serious consequences for human health. The main risk factors for the development of noncommunicable diseases, except genetic predisposition, are conditioned by habits and lifestyle, and can be significantly reduced by application of effective measures and interventions for prevention and control of these diseases. The diseases of the circulatory system have a major public health importance as the leading causes of mortality and the leading diseases in the world, especially in developed countries, but also in developing countries. The objective of this paper is to present the prevalence and trends of diseases of the circulatory system in the morbidity and mortality of the population of Sarajevo Canton. The paper uses retrospective descriptive statistical methods, such as data on morbidity registered in primary health care in the Sarajevo Canton and mortality data of the Institute for Statistics of Federation of BiH. The results show that hypertensive disease, apart from acute upper respiratory infections, is the leading disease in morbidity of the population of Sarajevo Canton (10.95%), and that the diseases of the circulatory system are the leading cause of death of the population of Sarajevo Canton (41.69%). More women die of these diseases (53.78%) in relation to men (46.22%), but in the age group below 65 years of age more men (69.71%) die from circulatory diseases in relation to women (30.29%). The leading causes of death for women in the Sarajevo Canton among diseases of the circulatory system are stroke/cerebral infarction and chronic ischemic heart disease, while among men these are stroke/cerebral infarction and acute myocardial infarction.
