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Doctor insights on: Why Does A Patient With Mitral Stenosis Lay On His Left Side During Auscultation

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Why does a patient with mitral stenosis lay on his left side during auscultation?

Why does a patient with mitral stenosis lay on his left side during auscultation?

Better to hear: It positions the tip of the left ventricle closer to the chest wall so that thye stethoscope has a better chance of hearing the low pitched murmur. ...Read more

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Dr. Robert Binford
77 doctors shared insights

Mitral Stenosis (Definition)

Mitral stenosis is a narrowing and stiffening of the heart valve separating the top and bottom chambers of the left side of the heart. This narrowing makes it more difficult for blood from the top chamber of the heart to flow to the bottom chamber. Many cases of mitral stenosis are caused by a prior ...Read more


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If a patient has mitral stenosis how will this cause failure of the heart?

Right heart failure: Blood backs up in the left atrium which overflows into the two vena cavae which lead to distention of these veins which swells the liver and the ankles. If it becomes more severe, then, the right ventricle distends and blood backs up into the lungs and causes shortness of breath. This is called right heart failure. Also, insufficient blood gets to the rest of the body because the left ventricle. ...Read more

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When does mitral stenosis become a problem for a patient?

When does mitral stenosis become a problem for a patient?

Depends: It depends on several factors including how narrow the valve is, how healthy the patient is overall, and whether or not there are any arrhythmias. If the heart rate is well controlled and diuretics are used, many patients do just fine with moderate stenosis. Severe stenosis, and symptomatic moderate or severe stenosis often require surgery. ...Read more

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If a patient has mitral stenosis how will this effect heart failure risk?

May Increase: If mitral stenosis is severe, pressure increases in the blood vessels of the lungs, resulting in heart failure with fluid accumulation in the lungs and a low level of oxygen in the blood. ...Read more

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Can a mitral valve heart patient(mitral valve stenosis) be a mother?

Sure: Many are mothers. It may be advisable for you or not, but you'd expect to be followed by a cardiologist and maybe a maternal-fetal specialist. ...Read more

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26, overweight with left-side chest & burning pain & breast sore for 4 months. Palpalations almost everyday/all day. EKG, stress test, blood ( troponin I <0.02) and ultrasound normal. How likely am I to have MVP or Mitral Stenosis? I have bad Gerd.

26, overweight with left-side chest & burning pain & breast sore for 4 months. Palpalations almost everyday/all day.  EKG, stress test, blood ( troponin I <0.02) and ultrasound normal. How likely am I to have MVP or Mitral Stenosis? I have bad Gerd.

Stomach or heart: Valvular heart disease, although possible, is less likely unless other symptoms appear. Seems most cardiac tests have been done to rule in heart problems. To evaluate for valve problems, one would check an echocardiogram (ultrasound of your heart). Are you compliant with your GERD medications? If so, speak with your gastroenterologist for alternative therapy or even titration of your current meds ...Read more

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What occurs during mitral stenosis?

What occurs during mitral stenosis?

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

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Can you explain why we can hear better the diastolic murmur of mitral stenosis during expiration?

Venous Return: In general when you expire (breath out) you decrease the amount of venous return to the right side of the heart but increases blood volume going to the left heart. Left sided murmurs will increase in intensity with expiration and right sided murmurs will increase in intensity/sound with inspiration. ...Read more

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Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more


Dr. Debra Rosenblatt
1 doctor shared a insight

Stenosis (Definition)

Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small ...Read more