Doctor insights on:
Medicine For Mitral Stenosis
Narrowing: Mitral stenosis is a narrowing of the valve that controls the flow of blood from the left atrium to the left ventricle of the heart. This can have many causes and, depending upon the severity of the stenosis, may or may not cause symptoms. This must be followed, because the degree of stenosis can increase over time and require replacement. ...Read more
Mitral stenosis is a thickening of the mitral valve leaflets. This results in narrowing that restricts blood flow through the valve.
Ms is rated as mild, moderate, or severe. Severe ms usually requires valve surgery.
Mild does not cause symptoms but should be monitored periodically. ...Read more
It depends on cause: Mitral stenosis may be mild and not require specific therapy. For more significant mitral stenosis, treatment is either catheter-based or surgical. Catheter-based therapies involve feeding a balloon-tipped catheter through a large blood vessel in the groin into the heart and across the narrowed mitral valve. The balloon is inflated with relief of stenosis. Surgery involves repair or replacement. ...Read more
Restricts blood flow: Mitral stenosis is when the mitral valve fails to open sufficiently. This restricts the blood flow into the left ventricle (the main pumping chamber). This causes the left atrium to dilate and increase pressure in the lungs. This causes shortness of breath, increase BP in lungs, abnormal heart rhythms, and heart failure. ...Read more
Mitral stenosis: Much more common in under developed countries than in theusa because of inacessible antibiotics on a regular basis to treat rheumatic fever, which is the most common cause of later mitral stenosis which can be lethal if not treated. ...Read more
Depends on severity: Progressively restricted opening of the mitral valve, measured by serial echocardiography, results in higher pressures in the lung circulation and reduced cardiac output when exercising. Worsening shortness of breath and cardiac arrhythmias may be the result. There are evidence based guidelines to help your doctors decide when to intervene to improve quality and length of life. ...Read more
Echo, cath: Echocardiogram is the most common test for mitral stenosis, as the structure and function of the valve can be assessed visually. Cxr can give information regarding chamber size and valve calcification. Ekg and holter monitor can reveal atrial fibrilation, a common arrhythmia associated with mitral stenosis. Heart cath would reveal the hemodynamics and the need for surgical intervention. ...Read more
Depends: Depends on severity as per cutaneous (valvuloplasty) or surgery (usually replacement) are reserved for symptomatic & advanced cases that no longer respond to medications which is first line option. If intervention is required than echocardiography is used to determine if surgery or balloon valvuloplasty is best option. Talk to your cardiologist. ...Read more
Mitral Stenosis: For starters, there are no specific pain fibers in the heart. When the valve is stenotic (narrowed) it impedes flow between the left atrium and ventricle. This causes enlargement of the left atrium and elevation of pressure in that chamber and pulmonary circulation. The symptom is then not pain but shortness of breath. ...Read more
Narrow gate: Narrowing of the gate between the left upper and left lower chambers. This prevents blood from freely entering the lower chamber thus reducing amount of blood available to be pumped causing fatigue. Also there is build up of back pressure hence water logging of lungs, liver, abdomen and limbs causing shortness of breath, nausea, poor appetite and leg swelling. Symptoms depend on degree of narrowing. ...Read more
Depends: Mitral stenosis as it progresses causes the Left atrium to enlarge and can cause a-Fib. This can lead to increased pulmonary pressures which can lead to right heart failure. So there is a drop in cardiac out put from deceased pre-load and severe pulmonary hypertension leading to edema, ascites, etc. The drs can do a surface echo, TEE, right and left heart cath to evaluate and time the surgery. ...Read more
Not exactly: There are several treatment options but no medicine can open the valve. These treatments can reduce the blockage but the falve is still abnormal or replaced with an artificial valve. Sometime a ballon can be inserted thru the valve to stretch it open and improve flow. Rarely can the valve be repaired (unlike a leaking valve which is usually repaired). It can be replaced with an artificial valve. ...Read more
See below: Ms (mitral stenosis) is not fatal if treated appropriately. Once diagnosed, close follow up necessary. If the patient develops symptoms such as shortness of breath, afib, pulmonary hypertension, chf, . ..Or a mean gradients> 10, mitral valve area <1. For best results, surgical replacement is required. Balloon valvuloplasty is possible but not all patients are candidates. ...Read more
Variable: Mitral stenosis can cause disabling heart failure in the 40s or lesser symptoms later in life. The disease is becoming quite uncommon in United States and is more often seen in patients born overseas. In cases detected early, and the valve is repaired or replaced, the life expectancy should be the same as a healthy patient of the same age. ...Read more
Blocked vs Leaking: Stenosis means the valve does not open enough and restricts the flow of blood thru the valve. Regugitation means the valve leaks when closed and allows blood to flow in reverese. Both cause the hear to have to work harder. Mitral regurge is much more common than stenosis in industrialized nations because antibiotics used to treat strep infections have reduced rheumatic fever rates. ...Read more
Multiple causes: Dyspnea is difficult breathing. Ms causes this in multiple ways. Increased lung water (back up into the lungs.) dilated left atrium compressing the left main stem bronchus. Decreased cardiac output (and o2 delivery) leading to a sensation of needing to breathe harder. Atrial arrhythmias leading to decreased cardiac output and increased water in the lungs. Each person has variable contribution. ...Read more
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