Korean Circ J.  1978 Dec;8(2):11-22. 10.4070/kcj.1978.8.2.11.

Clinical Studies on Valvular Heart Disease

• Lee MM
• Lee YW
• Lee SH

• KMID: 1668219
• DOI: http://doi.org/10.4070/kcj.1978.8.2.11

Abstract

A clinical study was made on 434 patients of valvular heart disease admitted to the Seoul National University Hospital during the period of November 1971-February 1978. The results were obtained as follows: 1) The number of valvular heart disease was 434 patients, which accounts for 2.6% of the total hospitalized patients during the same period. The sex incidence of valvular heart disease were female 48.6%, male 51.4%. The incidences of each valvular heart disease were mitral stenoinsufficiency 31.8%, mitral stenosis 24.2%, mitral insufficiency 21.0%, combined valvular heart disease 12.2%, aortic insufficiency 7.1%, aortic stenoinsufficiency 1.6%, pulmonic stenosis 1.4%, and aortic stenosis 0.7%, in order. 61.5% of all were in third to fifth decade in age distribution. 2) The following were found as etiological factors: rheumatic fever 36.4%, atherosclerosis 1.6%, syphilis 0.9%, and unknown and others 61.3%. 3) The main subjective symptoms were dyspnea, palpitation, cough, orthopnea, sputum, chest pain, fatigue, blood tinged sputum, dizziness, and headache. And the main objective finding were hepatomegaly, venous engorgement, edema, pulmonary congestion, thrill, ascites, splenomegaly, malar flush, and finger clubbing. 5) The disturbance of liver function were found in about 30% of valvular heart disease. 6) The abnormalities of electrocardiographic findings were observed as follows: atrial fibrillation 55.1%, ventricular premature beat 15.2%, first degree atrioventricular block 8.5%, incomplete right bundle branch block 4.1%, complete right bundle branch block 1.4%, second degree atrioventricular block 0.9%, and left bundle branch block 0.9%, in rhythm and conduction disturbance, and left ventricular hypertrophy 44%, right ventricular hypertrophy 18.2%, biventricular hypertrophy 4.6%, left atrial enlargement 19.8%, and right atrial enlargement 3.2%, in chamber enlargement.

MeSH Terms

Age Distribution
Aortic Valve Stenosis
Ascites
Atherosclerosis
Atrial Fibrillation
Atrioventricular Block
Bundle-Branch Block
Cardiac Complexes, Premature
Chest Pain
Cough
Dizziness
Dyspnea
Electrocardiography
Estrogens, Conjugated (USP)
Fatigue
Female
Fingers
Headache
Heart Valve Diseases*
Hepatomegaly
Humans
Hyperemia
Hypertrophy
Hypertrophy, Left Ventricular
Hypertrophy, Right Ventricular
Incidence
Liver
Male
Mitral Valve Insufficiency
Mitral Valve Stenosis
Pulmonary Edema
Pulmonary Valve Stenosis
Rheumatic Fever
Seoul
Splenomegaly
Sputum
Syphilis
Tolnaftate
Estrogens, Conjugated (USP)
Tolnaftate