ArticleJACC. Asia2026
Updated Wilkins Score Predicting Success of Balloon Mitral Valvuloplasty in Rheumatic Mitral Stenosis.
Article in JACC. Asia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Article
- Reply: Balloon Mitral Valvotomy in Rheumatic Mitral Stenosis: Balancing Success vs Value.JACC. Asia · 2026Article
- Article
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Authors and funding
18 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Wilkins score evaluates mitral valve morphology and predicts percutaneous balloon mitral valvuloplasty (PBMV) success in rheumatic mitral stenosis (MS). The 2021 European Society of Cardiology guidelines recommend considering 5 clinical and 2 anatomical factors when selecting PBMV candidates.
objectivesThe authors aimed to update the Wilkins score by integrating clinical variables and compared its performance with the conventional score.
methodsWe studied 1,128 patients with rheumatic MS who underwent PBMV in 4 hospitals. PBMV success was defined as postprocedural mitral valve area (MVA) ≥1.5 cm
resultsThe median age was 45 years and 82.2% were female. Prevalence of prior commissurotomy, NYHA functional class IV, atrial fibrillation, and pulmonary hypertension was 4.3%, 1.5%, 48.4%, and 44.5%, respectively. The median Wilkins score was 8 and 65.8% and 4.2% had very small MVA and severe tricuspid regurgitation. The procedural success rate was 48.6%. C-statistic of the Wilkins score and the Wilkins-Integrated Clinical PBMV score was 0.543 (95% CI: 0.477-0.608) and 0.658 (95% CI: 0.595-0.721), respectively. The Wilkins-Integrated Clinical PBMV score showed good calibration and clinical utility on decision curve analysis.
conclusionsThe Wilkins-Integrated Clinical PBMV score better predicts procedural success in patients with rheumatic MS who underwent PBMV.
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