BACKGROUND Mitral stenosis, one of the grave consequences of rheumatic heart disease, was generally considered to take decades to evolve. However, several studies from the developing countries have shown that mitral stenosis follows a different course from that seen in the developed countries. This study reports the prevalence, severity and common complications of mitral stenosis in the first a...

Evaluation of mitral flow dynamics during exercise is critically important in patients who receive percutaneous transvenous mitral commissurotomy (PTMC) because limited mitral flow during exercise provokes hemodynamic deterioration and involves cardiogenic symptoms in patients with mitral stenosis. To examine mitral flow dynamics during exercise, we applied continuous wave Doppler technique in ...

BaIlon mitral valvuloplasty and closed mitral valve conunissurotomy were performed in 450 and 127 patients, respectively. Also, 254 patients with severe mitral stenosis were enrolled in a prospective randomized trial comparing the two procedures. Immediately after balloon mitral valvuloplasty, mean left atrial pressure was 11.38±3.54 mmHg, transmitral valve gradient was 1.8±2 mmHg, and mit...

Mitral stenosis is associated with increased pulmonary artery pressure and resistance. Adrenomedullin, discovered in human pheochromocytoma tissue in 1993, has shown to dilate the pulmonary vessels and so may participate in the control of pulmonary circulation. In this study, we assessed the plasma concentration of adrenomedullin in patients complaining of rheumatic mitral stenosis, with and wi...

I Beasley B, Kerber K. Does mitral prolapse occur in mitral stenosis? Echocardiographic-angiographic observalions. Chest 1981; 80:56-60 2 Howard PC, Benchimol A, Desser KB. Prolapse of the atrioventricular valves and associated mitral stenosis. A case report. Arizona Med 1978; 33:789-92 3 Weinrauch LA, McDonald DC, DeSilva R. Mitral valve prolapse in rheumatic mitral stenosis. Chest 1977; 72: 7...

SUMMARY In a series of 135 patients with mitral valvular stenosis, three groups were identified: those in sinus rhythm, those with intermittent atrial fibrillation, and those with longstanding, established atrial fibrillation. Examination of the relationships between atrial fibrillation, hemodynamic findings and radiologic data in mitral stenosis was undertaken. Analysis of clinical and hemodyn...

The purpose of this work was to determine how reliable a guide an apical systolic murmur can be to the finding at mitral valvotomy of incidental mitral regurgitation complicating dominant mitral stenosis. The history of the systolic murmur in mitral stenosis is a confused one, since general agreement was not reached about the timing of systolic and diastolic murmurs in mitral stenosis for nearl...

Epistaxis is a frequent presentation in the emergency department and often causes significant anxiety among patients and their relatives. We report a 30-year-old man with mitral stenosis presenting with epistaxis as the initial symptom. He had no other symptoms related to mitral stenosis prior to this episode. Epistaxis is a very unusual initial presentation of rheumatic mitral stenosis.

Seven patients with congenital mitral stenosis have been investigated with echocardiography using reflected ultrasound. In all cases the mitral stenosis was combined with other cardiovascular malformations. The results are compared with those obtained at clinical investigation, cardiac catheterization, and operation and/or autopsy. It is concluded that the method is of definite value in diagnos...

a 47 year-old female died after mitral valve replacement. post-cardiopulmonary bypass right ventricle was not able to pump despite good left ventricular contractility. at microscopic examination, diffuse right ventricular fatty infiltration was found. we found no previous report of this pathology in patients with mitral stenosis