Mitral Stenosis Overview

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Questions and Answers

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?

  • 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?

  • 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?

<p>New-onset atrial fibrillation (C)</p> Signup and view all the answers

When is surgical intervention contraindicated for mitral stenosis?

<p>Unfavorable anatomy for percutaneous mitral valve balloon commissurotomy (D)</p> Signup and view all the answers

What is the primary cause of mitral stenosis commonly associated with rheumatic fever?

<p>Autoimmune diseases (D)</p> Signup and view all the answers

Which stage, according to the American College of Cardiology/American Heart Association, is characterized by severe left atrial enlargement and asymptomatic severe mitral stenosis?

<p>Stage C (A)</p> Signup and view all the answers

What is the result of mitral valve stenosis on blood flow into the left ventricle and cardiac output?

<p>Decreased stroke volume (A)</p> Signup and view all the answers

What is a characteristic auscultation finding in patients with mitral stenosis?

<p>Opening snap after S1 (D)</p> Signup and view all the answers

What diagnostic tools may show characteristic changes in patients with mitral stenosis based on the extent of the disease?

<p>Chest X-ray and ECG (B)</p> Signup and view all the answers

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