2 scenarios. 1) stress testing objectively quantifies the person's exercise capacity, to determine if they are symptomatic from the valve, which affects surgery consideration. 2) sometimes the resting echo suggests less severe stenosis than the person's symptoms. Stress echo can confirm severe stenosis if the gradient across the valve, or pulmonary pressure, increases significantly.
To assess severity. Stress echocardiography is indicated in asymptomatic patients with echocardiographically severe lesions as well as for patients with symptoms disproportionate to resting doppler hemodynamics.
Depends. Mitral stenosis (ms) can cause a variety of symptoms depending on severity. Severe MS can cause left atrial enlargement leading to afib and since the mv is the "door "to the left ventricle there is decrease in cardiac out put. Pressure builds up behind it and back in to the lungs and can cause congestive heart failure. Ms pts can get their valve replaced and reverse many of these if done early enough.
Mitral valve. Valves are like doors, they have to open and close. Mitral stenosis is when the mitral valve doesn't open enough. This causes shortness of breath by forcing lung pressure up. Repair or replacement of the symptomatic valve improves the problem, if surgery possible, medical therapy less effective long term.
YES. Over time it can lead to heart failure.
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.
After successful Mitral Prolapse repair some years on what are Specific findings in median Valvular readings in mmHg results in Mitral Stenosis?
See below. Mean transvalvular gradient of <5 is normal. <10 is mild. >10 is likely to cause symptoms.
Mitral stenosis. Mitral stenosis is narrowing of the mitral valve usually from rheumatic fever as a long term complication. Mitral facies is only a descriptive term of the thin face seen in many patients with long term mitral stenosis.
Sign of stenosis. Mitral facies is a description of facial coloration in people with significant mitral stenosis (restricted mitral valve). Because the output flow of the heart is reduced the blood flow to the face can be decreased. The patients will have red cheeks and be pale/gray over the remainder of their face.
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.