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THE ASSOCIATION OF TIMI OUTLINES COUNT WITH PULMONARY ARTERY STRESS IN SUFFERERS WITH MITRAL STENOSIS

Dr. Javeria Bushra Touqir, Dr. Ali Faheem, Dr. Hamza Ali

Background: In patients with extreme mitral stenosis the expanded right ventricle (RV) after burden causes RV hypertrophy recommended to impede the coronary blood stream and may prompt cardiovascular brokenness. Rheumatic mitral stenosis (MS) is a perpetual sickness with dynamic manifestations and unfavorable hemodynamic consequences including aspiratory hypertension. Methods: Patients with huge valvular inclusion other than mitral stenosis, huge ventricular brokenness and coronary stenosis were barred. Patients with extreme mitral valve stenosis experienced coronary angiography, heart catheterization and echocardiography to assess the TIMI casing check, hemodynamic information. Results: 73.5 % of patients were female. The mean age of the patients was 49.5±12.7 years. Huge positive relationship saw between mean RCA TFC and systolic and diastolic PAP (p=0.02 and 0.014 individually). The adjusted TIMI casing includes were essentially higher in all vessels contrasted and ordinary qualities (p<0.001) and distinction between RCA TFC and its typical worth was fundamentally higher than contrast between LCX TFC and LAD TFC with their typical qualities. Conclusion: Diminished stream in RCA and its connection with PAP is defended with ventricular hypertrophy and expanded vascular obstruction or endothelial brokenness. The expanded TFC in patients with mitral stenosis might be the aftereffect of normal movement of malady or atrial fibrillation. Keywords: Mitral stenosis, pulmonary hypertension, TIMI frame count.

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