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Table 4 Echocardiography characteritistics at presentation (baseline) and at review (17 patients with cardiac surgery excluded)

From: Rheumatic heart disease in The Gambia: clinical and valvular aspects at presentation and evolution under penicillin prophylaxis

Baseline (N = 86)

Review (N = 94)

Characteristics

N

%

Characteristics

n

%

MV regurgitation (N = 80)

  

MV regurgitation (N = 79)

  

 Mild

13

16.2

 Mild-

12

15.2

 Moderate

15

18.8

 Moderate-

12

15.2

 Severe

47

58.8

 Severe-

55

69.6

 Not specified

5

6.2

   

MV stenosis (N = 22)

  

MV stenosis(N = 25) (10 isolated, no MVR)

  

 Mild

4

18.2

Mild

2

8

 Moderate

2

9.1

Moderate

7

28

 Severe

15

68.2

Severe

16

64

 Not specified

1

4.5

   

AV regurgitation (N = 47)

  

AV regurgitation (N = 48)

  

 Mild

18

38.3

 Mild

11

22.9

 Moderate

14

29.8

 Moderate

21

43.8

 Severe

12

25.5

 Severe

16

33.3

 Not specified

3

6.4

   

AV stenosis (N = 3 = 1 mild & 2 severe)

  

AV stenosis (n = 1 moderate in 4 valves dysfunction)

  

TV regurtation (N = 63)

  

TV regurgitation (N = 53)

  

 Mild

19

30.2

 Mild

18

33.9

 Moderate

22

34.9

 Moderate

18

33.9

 Severe

20

31.7

 Severe (including 1 severe TVS)

17

33.1

 Not specified

2

3.2

   

Pulmonary valve (PV) regurgitation

17

19.8

Pulmonary valve (PV) regurgitation (all mild)

28

29.8

 Mild

12

70.6

Impaired LV systolic function (EF < 55%)

13

13.8

 Moderate

2

11.8

Pulmonary hypertension (ePASP > 40 mmHg)

34

36.2

 Severe

1

5.9

Pericardial effusion

5

5.3

 Not specified

2

11.8

Valvular evolution (vs baseline; N = 73 available)

  

Impaired LV systolic function (EF < 55%)

7

8.1

 No change

43

58.9

Pulmonary hypertension (ePASP > 40 mmHg)

33

38.4

 Initial lesions decreased

13

17.8

Pericardial effusion

3

3.5

 Initial lesions worsened

17

23.3