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Chapter-06 Mitral Stenosis—Evaluation and Medical Management

BOOK TITLE: Percutaneous Mitral Valvotomy

Author
1. S Harikrishnan
2. Joseph Stigimon
ISBN
9789352701926
DOI
10.5005/jp/books/14152_7
Edition
2/e
Publishing Year
2018
Pages
9
Author Affiliations
1. Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, Kerala, India, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India, Sree Chitra Tirunal Institute for Medical Sciences and Technology Thiruvananthapuram, Kerala, India, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India, Sree Chitra Tirunal Institute for Medical, Sciences and Technology, Trivandrum, Kerala, India, Sree Chitra Tirunal Institute for Medical Sciences & Technology (SCTIMST), Thiruvananthapuram, Kerala, India
2. Institut Cardiovasculaire Paris-Sud Paris, France, Little Flower Hospital, Ernakulam, India
Chapter keywords
Mitral stenosis, MS, rheumatic fever, acute pulmonary edema, pulmonary hypertension, systemic thromboembolism, anticoagulation, diuretic

Abstract

The aim of management of mitral stenosis (MS) is to control symptoms and to prevent the complications of mitral stenosis. The major complications of mitral stenosis are acute pulmonary edema, pulmonary hypertension, systemic thromboembolism and right heart failure. The management should also aim to prevent progression of the valve lesions, by preventing recurrences of rheumatic fever. This chapter covers the physical examination, murmur of mitral stenosis, echocardiography and radiological evaluation, diuretics, rheumatic fever prophylaxis, infective endocarditis prophylaxis, anticoagulation, diagnostic testing in MS-cardiac catheterization, and mixed valve lesions.

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