الفهرس 
The role of exercise echocardiography in management of moderate mitral stenosis
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Abstract
Background: Rheumatic mitral stenosis continues to be a challenge in Egypt. Most of our patients are symptomatic females with mild-moderate degree of mitral stenosis. The trend in our country is more towards managing them conservatively with medical treatment till they develop a more severe degree of stenosis. PURPOSE:is to determine the role of exercise echo in determining dynamic changes in mitral stenosis and to identify high risk patients who may benefit from early intervention particularly in disproportionately symptomatic patients with mild-moderate mitral stenosis (MS).methodology: Thirty five patients ,mean age (41.6y±12.7)with pure rheumatic non severe MS(MVA{u2265} 1 cm²),17(48.6%)had atrial fibrillation (AF).All patients with pure MS were studied by Doppler echocardiography, both resting and immediately post a symptom- limited exercise test. Mean transmitral gradient (MPG) and the estimated pulmonary artery systolic pressure (PASP) were documented