Chest Radiography in the Evaluation of Mitral Valvular Disease and it's Correlation with Echocardiography

Area of Science:

• Cardiology
• Radiology
• Medical Imaging

Background:

• Mitral valvular disease diagnosis relies heavily on echocardiography.
• Clinical, radiographic, and echocardiographic variables can predict mitral valvular disease.
• Early detection and accurate diagnosis are crucial for managing mitral valvular disease.

Purpose of the Study:

• To identify clinical, radiographic, and echocardiographic predictors of mitral valvular disease.
• To assess the correlation between chest radiography findings and echocardiography in mitral valvular disease patients.
• To evaluate the diagnostic performance of chest radiography for mitral valvular heart disease.

Main Methods:

• A cross-sectional observational study involving 50 patients with mitral valvular disease.
• Conducted at Mymensingh Medical College Hospital, Bangladesh (January 2017 - December 2018).
• Both chest radiography and echocardiography were performed for all participants.

Main Results:

• Chest radiography revealed common findings such as increased central density (90%) and enlarged transverse diameter (88%).
• Echocardiography confirmed mitral valvular heart disease in 94% of patients, with severe left atrium dilation (50%) and reduced mitral valve orifice area (68%) being prominent.
• Chest radiography demonstrated an overall sensitivity of 85.11%, specificity of 66.67%, and accuracy of 84% in detecting mitral valvular heart disease.

Conclusions:

• Chest radiography can effectively identify characteristic radiographic findings associated with mitral valvular disease.
• Chest radiography serves as a useful adjunct tool in the diagnosis of mitral valvular heart disease when used with echocardiography.
• The study highlights the potential of radiographic assessment in complementing echocardiographic evaluations for mitral valvular disease.