Mitral stenosis - Revision history

Rossdonaldson1: /* See Also */

2024-11-13T18:01:44Z

Rossdonaldson1: /* Management */

2024-11-13T18:01:23Z

Management

← Revisión anterior		Revisión del 18:01 13 nov 2024
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	**Consider [[RBCs\|transfusion]] / surgery consult		**Consider [[RBCs\|transfusion]] / surgery consult
	*Endocarditis prophylaxis after replacement		*Endocarditis prophylaxis after replacement

			==Disposition==

	==See Also==		==See Also==

Rossdonaldson1: /* Background */

2024-11-13T17:59:09Z

Background

← Revisión anterior		Revisión del 17:59 13 nov 2024
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	==Background==		==Background==
	[[File:Blausen 0648 MitralValveStenosis.png\|thumb\|Drawing of mitral stenosis.]]		[[File:Blausen 0648 MitralValveStenosis.png\|thumb\|Drawing of mitral stenosis.]]
			[[File:Rheumatic heart disease, gross pathology 20G0013 lores.jpg\|thumb\|Mitral valve stenosis from rheumatic heart disease on pathology (thickened mitral valve, thickened chordae tendineae, hypertrophied left ventricular myocardium).]]
	*Most common cause (~85%) is rheumatic fever		*Most common cause (~85%) is rheumatic fever
	*Chronic [[rheumatic disease]] uncommon in western world, but still very common in developing countries<ref>Lung B. Mitral stenosis still a concern in heart valve diseases. Archives of Cardiovascular Diseases		*Chronic [[rheumatic disease]] uncommon in western world, but still very common in developing countries<ref>Lung B. Mitral stenosis still a concern in heart valve diseases. Archives of Cardiovascular Diseases

Rossdonaldson1: /* Evaluation */

2024-11-13T17:57:09Z

Evaluation

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 ==Evaluation==
 {| class="wikitable" style="float:right;clear:right; margin-left:1em"
 |+ Severity of mitral stenosis
@@ Línea 71: / Línea 64: @@
 | < 1.0&nbsp;cm<sup>2</sup>
 |}
 ==Management==

Rossdonaldson1: /* Evaluation */

2024-11-13T17:56:45Z

Evaluation

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 **Straightening of right heart border
 *[[Echocardiography]]
 ==Management==

Rossdonaldson1: /* Background */

2024-11-13T17:55:51Z

Background

← Revisión anterior		Revisión del 17:55 13 nov 2024
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	==Background==		==Background==
			[[File:Blausen 0648 MitralValveStenosis.png\|thumb\|Drawing of mitral stenosis.]]
	*Most common cause (~85%) is rheumatic fever		*Most common cause (~85%) is rheumatic fever
	*Chronic [[rheumatic disease]] uncommon in western world, but still very common in developing countries<ref>Lung B. Mitral stenosis still a concern in heart valve diseases. Archives of Cardiovascular Diseases		*Chronic [[rheumatic disease]] uncommon in western world, but still very common in developing countries<ref>Lung B. Mitral stenosis still a concern in heart valve diseases. Archives of Cardiovascular Diseases

Rossdonaldson1: /* Clinical Features */

2024-11-13T16:33:16Z

Clinical Features

← Revisión anterior		Revisión del 16:33 13 nov 2024
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	==Clinical Features==		==Clinical Features==
			[[File:Phonocardiograms from normal and abnormal heart sounds.svg\|thumb\|Phonocardiograms of common cardiac murmurs.]]
	*Mid-diastolic [[murmur]]		*Mid-diastolic [[murmur]]
	*Symptoms and complications		*Symptoms and complications

ClaireLewis at 15:42, 25 September 2019

2019-09-25T15:42:49Z

← Revisión anterior		Revisión del 15:42 25 sep 2019
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	*Mid-diastolic [[murmur]]		*Mid-diastolic [[murmur]]
	*Symptoms and complications		*Symptoms and complications
	**Exertional dyspnea		**Exertional [[dyspnea]]
	**PND		**PND
	**Acute [[pulmonary edema]]		**Acute [[pulmonary edema]]
	**[[Tricuspid regurgitation]]		**[[Tricuspid regurgitation]]
	**[[Cor pulmonale]]		**[[Cor pulmonale]]
	**Hemoptysis (pulmonary ~~htn~~ > ruptured bronchial vein)		**[[Hemoptysis]] ([[pulmonary hypertension]] > ruptured bronchial vein)
	**[[Atrial fibrillation]]		**[[Atrial fibrillation]]
	**Thromboembolism		**[[Thromboembolism]]
	**Precipitants:		**Precipitants:
	***[[Anemia]]		***[[Anemia]]
	***Pregnancy		***[[Pregnancy]]
	***Infection		***Infection
	***[[A-fib]]		***[[A-fib]]

			===Complications===
			*Systemic emboli
			*[[CHF]]
			*[[Atrial fibrillation]]
			*[[Endocarditis]]

			==Differential Diagnosis==
			{{Valvular emergencies DDX}}

	==Evaluation==		==Evaluation==
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	*[[CXR]]		*[[CXR]]
	**Straightening of right heart border		**Straightening of right heart border
	*~~Echo~~		*[[Echocardiography]]

	~~==Differential Diagnosis==~~
	~~{{Valvular emergencies DDX}}~~

	==Management==		==Management==
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	**Alleviates pulmonary congestion		**Alleviates pulmonary congestion
	*[[A-fib]] treatment		*[[A-fib]] treatment
	*Hemoptysis		*[[Hemoptysis]]
	**Consider transfusion / surgery consult		**Consider [[RBCs\|transfusion]] / surgery consult
	*Endocarditis prophylaxis after replacement		*Endocarditis prophylaxis after replacement
	~~==Complications==~~
	*Systemic emboli
	*[[CHF]]
	*[[Atrial fibrillation]]
	*[[Endocarditis]]

	==See Also==		==See Also==

SLuckettG: /* Background */

2019-03-12T22:04:56Z

Background

← Revisión anterior		Revisión del 22:04 12 mar 2019
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	==Background==		==Background==
	*Most ~~likely~~ cause is rheumatic fever~~, ~85%~~		*Most common cause (~85%) is rheumatic fever
	*Chronic [[rheumatic disease]] uncommon in western world, but still very common in ~~underdeveloped~~ countries<ref>Lung B. Mitral stenosis still a concern in heart valve diseases. Archives of Cardiovascular Diseases		*Chronic [[rheumatic disease]] uncommon in western world, but still very common in developing countries<ref>Lung B. Mitral stenosis still a concern in heart valve diseases. Archives of Cardiovascular Diseases
	Volume 101, Issue 10, October 2008, Pages 597–599.</ref>		Volume 101, Issue 10, October 2008, Pages 597–599.</ref>
	**USA, 0.25 per 1000 people		**USA - 0.25 per 1000 people
	**India and Pakistan, 5 per 1000 people		**India and Pakistan - 5 per 1000 people
	**Cambodia, 21.5 per 1000 people		**Cambodia - 21.5 per 1000 people
	**Mozambique, 30.4 per 1000 people		**Mozambique - 30.4 per 1000 people
	*Other etiologies:		*Other etiologies:
	**Stenotic annular calcification, ~12% ~~(degenerative, aging, post~~-~~infection)~~		**Stenotic annular calcification (~12%)
	**Congenital~~, rare at~~ ~0.6% ~~(annulus~~ hypoplasia~~, parachute, double~~ orifice)		***Degenerative/age-related
			***Post-infectious
			**Congenital (~0.6%)
			***Annulus hypoplasia
			***Parachute
			***Double orifice

	==Clinical Features==		==Clinical Features==

Kxl328 at 03:35, 23 January 2017

2017-01-23T03:35:31Z

← Revisión anterior		Revisión del 03:35 23 ene 2017
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	==Clinical Features==		==Clinical Features==
	*Mid-diastolic [[murmur]]		*Mid-diastolic [[murmur]]
	*Symptoms		*Symptoms and complications
	**Exertional dyspnea		**Exertional dyspnea
	**PND		**PND
Línea 21:		Línea 21:
	**Hemoptysis (pulmonary htn > ruptured bronchial vein)		**Hemoptysis (pulmonary htn > ruptured bronchial vein)
	**[[Atrial fibrillation]]		**[[Atrial fibrillation]]
			**Thromboembolism
	**Precipitants:		**Precipitants:
	***[[Anemia]]		***[[Anemia]]

← Revisión anterior		Revisión del 18:01 13 nov 2024
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	*[[Valvular Emergencies]]		*[[Valvular Emergencies]]
	*[[Heart Murmurs]]		*[[Heart Murmurs]]

			==External Links==

	==References==		==References==
	<references/>		<references/>
	[[Category:Cardiology]]		[[Category:Cardiology]]