(Mitral Valve Stenosis—Adult)
|Mitral Valve Stenosis|
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- Difficulty breathing, especially during exercise and when lying flat
- Awakening short of breath in the middle of the night
- Sensation of rapid or irregular heartbeat
- Cough with exertion
- Coughing up blood
- Swelling of the legs or feet
- Frequent respiratory infections
- Lightheadedness, fainting
- Rarely, chest pain, such as squeezing, pressure, or tightness
- Abnormal heartsounds, such as a heart murmur or snap
- Stretching of a vein in the neck
- Signs of fluid in the lungs
- Drugs that lower the heart rate and improve the heart's function
- Blood-thinning drugs
- Drugs to control heart arrhythmias
- Mitral valvulotomy—A surgical cut or enlargement is made in the stenotic mitral valve to relieve the obstruction.
- Balloon valvuloplasty—A balloon device is inserted into the blocked mitral valve to open or enlarge the valve. This may provide temporary relief of symptoms. However, the valve may become blocked again.
- Mitral valve replacement—This is the surgical replacement of a defective heart valve. This surgery is usually delayed until symptoms are severe or the patient can no longer be helped by other procedures.
- Get prompt treatment for any infections, especially strep throat.
- Talk to your doctor about prophylactic antibiotic treatment to prevent recurrent strep infections.
- Follow any treatment plans to manage chronic health conditions.
- Avoid excess caffeine and alcohol, and all illicit drugs that speed up your heart rate.
- Exercise regularly and monitor your salt intake.
American Heart Association http://www.heart.org
National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov
Canadian Cardiovascular Society http://www.ccs.ca
The College of Family Physicians of Canada http://www.cfpc.ca
Infective endocarditis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated March 21, 2014. Accessed August 20, 2014.
Fauci AS, Braunwald E, et al. Harrison's Principles of Internal Medicine. 14th ed. New York, NY: The McGraw-Hill Companies; 2000.
Mitral stenosis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated June 12, 2014. Accessed August 20, 2014.
Premedication (antibiotics). American Dental Association's Mouth Healthy website. Available at: http://www.mouthhealthy.org/en/az-topics/p/Premedication-or-Antibiotics.aspx. Accessed August 20, 2014.
Shipton B and Wahba H. Valvular heart disease: review and update. Am Fam Physician. 2001;63:2201-2208.
- Reviewer: Michael J. Fucci, DO
- Review Date: 08/2014 -
- Update Date: 00/50/2014 -