Gender Differences in the Morphological Severity of Mitral Stenosis in Patients Presenting in a Tertiary Care Hospital

Abstract

Introduction: Mitral stenosis is most common among rheumatic valvular heart disease. The morphological severity of the mitral valve is assessed by Wilkins scoring on echocardiography. Substantial gender-related differences regarding mitral valve and other cardiovascular diseases are reported. Data showed men and women had a different risk for valvular heart diseases. This study aims to ascertain if there is any gender-specific difference in the morphological severity of mitral stenosis based on Wilkin’s scoring in a tertiary care Cardiology Center. Aims & Objectives: To report differences in morphological severity of mitral stenosis in male and female gender based on Wilkin’s scoring. Place and duration of study: Cardiology Department of Gulab Devi Teaching Hospital. This Study was completed in one year. Material & Methods: A descriptive cross-sectional study on 152 patients presenting in the Cardiology Department of Gulab Devi Teaching Hospital. The study was conducted after obtaining ethical approval from the Institutional Ethical Review Board. Results: A total of 152 subjects participated among which 80 male patients and 72 females. The severity of the disease was divided into mild, moderate and severe. No gender related difference was observed in echocardiographic parameters. Regarding morphological assessment based on Wilkin’s score, significant difference was observed only in the values of Valve leaflet thickness. Conclusion: The results of this study didn’t show a clear and significant difference in morphological severity of mitral stenosis when compared between male and female gender. So, each patient regardless of gender should be carefully screened and assessed while deciding treatment strategy.

Keywords

• mitral valve stenosis, echocardiography, wilkin’s score, heart valve diseases, gender