Podcast
Questions and Answers
What is the preferred intervention in most patients with severe mitral stenosis?
What is the preferred intervention in most patients with severe mitral stenosis?
- Percutaneous mitral valve balloon commissurotomy (correct)
- Open commissurotomy
- Mechanical prosthetic mitral valve replacement
- Bioprosthetic mitral valve replacement
When is anticoagulation with a vitamin K antagonist indicated?
When is anticoagulation with a vitamin K antagonist indicated?
- In asymptomatic patients with MVA ≤ 1.5 cm2
- In patients with a history of embolic disease (correct)
- Before bioprosthetic mitral valve implantation
- After percutaneous mitral valve balloon commissurotomy
What are the indications for surgical interventions in mitral stenosis?
What are the indications for surgical interventions in mitral stenosis?
- Favorable anatomy for percutaneous mitral valve balloon commissurotomy
- Presence of thrombus in the left atrium (correct)
- History of atrial fibrillation
- Hemodynamically insignificant mixed valvular disease
In asymptomatic patients with MVA ≤ 1.5 cm2, which condition warrants consideration for surgery?
In asymptomatic patients with MVA ≤ 1.5 cm2, which condition warrants consideration for surgery?
When is surgical intervention contraindicated for mitral stenosis?
When is surgical intervention contraindicated for mitral stenosis?
What is the primary cause of mitral stenosis commonly associated with rheumatic fever?
What is the primary cause of mitral stenosis commonly associated with rheumatic fever?
Which stage, according to the American College of Cardiology/American Heart Association, is characterized by severe left atrial enlargement and asymptomatic severe mitral stenosis?
Which stage, according to the American College of Cardiology/American Heart Association, is characterized by severe left atrial enlargement and asymptomatic severe mitral stenosis?
What is the result of mitral valve stenosis on blood flow into the left ventricle and cardiac output?
What is the result of mitral valve stenosis on blood flow into the left ventricle and cardiac output?
What is a characteristic auscultation finding in patients with mitral stenosis?
What is a characteristic auscultation finding in patients with mitral stenosis?
What diagnostic tools may show characteristic changes in patients with mitral stenosis based on the extent of the disease?
What diagnostic tools may show characteristic changes in patients with mitral stenosis based on the extent of the disease?