Mitral stenosis

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Overview

Mitral stenosis is a valvular heart disease characterized by the narrowing of the orifice of the mitral valve of the heart.

In normal cardiac physiology, the mitral valve opens during left ventricular diastole, to allow blood to flow from the left atrium to the left ventricle. Blood flows in the proper direction because during this phase of the cardiac cycle the pressure in the left ventricle is lower than the pressure in the left atrium, and the blood flows down the pressure gradient. In the case of mitral stenosis, the valve does not open completely, and to transport the same amount of blood the left atrium needs a higher pressure than normal to overcome the increased gradient.

Epidemiology

Pathophysiology

Natural History

Diagnosis

Differential Diagnosis

Symptoms

Physical Examination

Chest x-ray

Electrocardiogram

Echocardiography

Assessment of Severity of MS

Cardiac Catheterization

Treatment

Overview

Surgical Indications

Complications and Prognosis

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References

  • Bonow RO, Carabello B, de Leon AC; et al. (1998). "ACC/AHA guidelines for the management of patients with valvular heart disease". J. Am. Coll. Cardiol. 32 (5): 1486–588. PMID 9809971.
  • Wilkins GT, Weyman AE, Abascal VM, Block PC, Palacios IF (1988). "Percutaneous balloon dilatation of the mitral valve: an analysis of echocardiographic variables related to outcome and the mechanism of dilatation". British heart journal. 60 (4): 299–308. PMID 3190958.
  • Abascal VM, Wilkins GT, O'Shea JP; et al. (1990). "Prediction of successful outcome in 130 patients undergoing percutaneous balloon mitral valvotomy". Circulation. 82 (2): 448–56. PMID 2372892.

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