Research Article

Relation of Mitral Annulus and Left Atrial Dysfunction to the Severity of Functional Mitral Regurgitation in Patients with Dilated Cardiomyopathy

Table 5

Comparison between patients with trivial/mild, moderate, and severe FMR.

ParametersTrivial/mild FMR (N = 17)Moderate FMR (N = 25)Severe FMR (N = 14)One-way ANOVA between MR severity groupsP (mild vs. moderate FMR)P (moderate vs. severe FMR)

Indexed LVEDV (ml/m2)102 ± 24121 ± 31130 ± 280.002<0.050.80
Indexed LVESV (ml/m2)65 ± 2188 ± 3090 ± 170.070.100.36
LVEF (%)37 ± 1028 ± 1029 ± 90.02<0.010.69
Indexed LAVmax (ml/m2)38 ± 12.545 ± 1659 ± 120.0060.15<0.05
Total LAEF (%)40 ± 1829 ± 1423 ± 130.02<0.050.20
True LAEF (%)20 ± 1018 ± 1013 ± 90.220.640.13
MA AP diameter (cm)3.1 ± 0.43.4 ± 0.43.9 ± 0.5<0.001<0.05<0.001
MA ALPM diameter (cm)4.1 ± 0.54.4 ± 0.464.6 ± 0.50.007<0.050.15
MA circumference (cm)11.8 ± 1.413.0 ± 2.214.0 ± 1.6<0.001<0.01<0.05
MA area 3D (cm2)10.4 ± 2.512.4 ± 2.314.8 ± 3.4<0.001<0.05<0.01
MA area fractional change (%)18.6 ± 5.314 ± 4.310.6 ± 3.0<0.001<0.01<0.05
MA AP diameter change (%)11.6 ± 5.710 ± 5.78.0 ± 60.220.370.14
MA ALPM diameter change (%)9.6 ± 4.57.3 ± 4.05.4 ± 2.80.020.080.29
MA displacement (mm)6.3 ± 2.63.9 ± 2.14.6 ± 3.80.03<0.010.44

AP: anteroposterior; ALPM: anterolateral-posteromedial; LAEF: left atrium emptying fraction; LAVmax: left atrium maximal volume; LVEDV: left ventricle end-diastolic volume; LVESV: left ventricular end-systolic volume; LVEF: left ventricular ejection fraction; MA: mitral annulus.